Inconsistent Medicaid Coverage is Associated with Negative Health Events for People with Epilepsy.
Inconsistent Medicaid Coverage is Associated with Negative Health Events for People with Epilepsy.
复制标题
DOI：
10.1353/hpu.2022.0079
复制
发表时间：
2022
影响因子：
1.4
通讯作者：
Koroukian, Siran M.
中科院分区：
文献类型：
--
作者：
Bensken, Wyatt P.;Ciesielski, Timothy H.;Williams, Scott M.;Stange, Kurt C.;Sajatovic, Martha;Koroukian, Siran M.
检查癫痫患者（PWE）的医疗补助覆盖范围和负面健康事件（NHE）之间的关联。使用五年的PWE医疗补助索赔，我们确定了医疗补助覆盖范围的差距。我们使用逻辑回归来评估覆盖率差距与NHE前四分位数之间的关联以及与差距相关的因素。这些模型根据以下因素进行了调整：人口统计数据、居住地、药物依从性、疾病严重程度和合并症。在186，616名PWE中，21.7%的人在覆盖率方面存在差距。在有差距的人群中，每年处于NHE前四分位数的几率高出66%（OR：1.66; 95% CI：1.61，1.70）。女性、年轻人和有精神病合并症的人出现间隔的几率增加。医疗补助覆盖范围的差距与在覆盖期间的高利用率有关。可以针对特定群体采取干预措施，以减少流失。
Examine the association between gaps in Medicaid coverage and negative health events (NHEs) for people with epilepsy (PWE). Using five years of Medicaid claims for PWE, we identified gaps in Medicaid coverage. We used logistic regression to evaluate the association between a gap in coverage and being in the top quartile of NHEs and factors associated with having a gap. These models adjusted for: demographics, residence, medication adherence, disease severity, and comorbidities. Of 186,616 PWE, 21.7% had a gap in coverage. The odds of being in the top quartile of NHEs per year were 66% higher among those with a gap (OR: 1.66; 95% CI: 1.61, 1.70). Being female, younger, and having psychiatric comorbidities increased the odds of having a gap. Gaps in Medicaid coverage are associated with being a high utilizer during covered periods. Specific groups could be targeted with interventions to reduce churning.
登录
查看更多内容
影响因子：
3
作者：
Elixhauser, A;Steiner, C;Coffey, RN
通讯作者：
Coffey, RN
影响因子：
3
作者：
Hall, Allyson G.;Harman, Jeffrey S.;Zhang, Jianyi
通讯作者：
Zhang, Jianyi
影响因子：
2.3
作者：
Karve, Sudeep;Cleves, Mario A.;Martin, Bradley C.
通讯作者：
Martin, Bradley C.
影响因子：
3.8
作者：
Harman, Jeffrey S.;Hall, Allyson G.;Zhang, Jianyi
通讯作者：
Zhang, Jianyi
影响因子：
3
作者：
Ji, Xu;Wilk, Adam S.;Cummings, Janet R.
通讯作者：
Cummings, Janet R.