Continuous Eligibility for Medicaid Associated With Improved Child Health Outcomes
Continuous Eligibility for Medicaid Associated With Improved Child Health Outcomes
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DOI：
10.1177/10775587211021172
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发表时间：
2021-09-16
影响因子：
2.5
通讯作者：
Ku, Leighton
中科院分区：
文献类型：
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作者：
Brantley, Erin;Ku, Leighton
保险范围的波动或流失是公认的获得医疗保健的障碍。在控制个人因素和其他医疗补助政策后，我们评估了允许儿童在 12 个月内继续享受医疗补助的州政策（无论收入波动如何）是否与健康和医疗保健结果相关。这项横断面研究使用了一个大型的、具有全国代表性的 0 至 17 岁儿童数据库。连续资格与保险率的提高、保险缺口和因申请问题造成的缺口的减少以及健康状况良好或较差的可能性降低有关。对于有特殊医疗保健需求的儿童来说，这与医疗保健以及预防性和专业护理的使用增加有关。然而，连续资格与整个样本的医疗保健利用结果无关。连续资格可能是缩小儿童覆盖范围差距并减少医疗补助机构文书工作负担的有效策略。
Fluctuating insurance coverage, or churning, is a recognized barrier to health care access. We assessed whether state policies that allow children to remain covered in Medicaid for a 12-month period, regardless of fluctuations in income, are associated with health and health care outcomes, after controlling for individual factors and other Medicaid policies. This cross-sectional study uses a large, nationally representative database of children ages 0 to 17. Continuous eligibility was associated with improved rates of insurance, reductions in gaps in insurance and gaps due to application problems, and lower probability of being in fair or poor health. For children with special health care needs, it was associated with increases in use of medical care and preventive and specialty care access. However, continuous eligibility was not associated with health care utilization outcomes for the full sample. Continuous eligibility may be an effective strategy to reduce gaps in coverage for children and reduce paperwork burden on Medicaid agencies.