Patterns of medicaid disenrollment for youth with mental health problems.
Patterns of medicaid disenrollment for youth with mental health problems.
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DOI：
10.1177/1077558710369911
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发表时间：
2010-12
期刊：
影响因子：
--
通讯作者：
Satterwhite Mayberry L
中科院分区：
文献类型：
--
作者：
Pullmann MD;Heflinger CA;Satterwhite Mayberry L
在向成年期过渡期间接受医疗补助资助的心理健康服务的年轻人往往面临从医疗补助计划退保，而不是继续接受公共资助的服务。本文调查了16岁至23岁这些覆盖差距和退保的纵向预测因素。考克斯回归分析估计了首次失去保险180天或更长时间的时间，以及直到最终退保而没有后续重新投保的时间的预测因素。女性在最初失去保险后更有可能重新获得并保留保险。资金来源和诊断对医疗补助保留率的预测因性别而异。对于男女来说，通过SSI或MR/DD诊断获得的资金与医疗补助保留有关。退保对男性18岁和19岁生日的影响尤其明显。近三分之一的女性因怀孕而有资格获得医疗补助。资格准则涉及成人过渡期间的保留和流失，可能需要重新评估，以确保护理的连续性。
Young people who receive Medicaid-funded mental health services during the transition to adulthood often face disenrollment from Medicaid without continuity into publicly-funded services. This paper investigates the longitudinal predictors of these coverage gaps and disenrollment from age 16 to 23. Cox regression analyses estimated predictors of time until the first loss of coverage for 180 days or more, and time until final disenrollment with no subsequent reenrollment. Females were much more likely to regain and retain coverage after initial loss. Funding source and diagnoses predicted Medicaid retention differentially by gender. For both genders, funding through SSI or a diagnosis of MR/DD was related to Medicaid retention. Disenrollment especially impacted males precisely at their 18th and 19th birthdays. Nearly one-third of females qualified for Medicaid due to pregnancy. Eligibility guidelines relate to retention and loss during the transition to adulthood and may need reevaluation to ensure continuity of care.
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影响因子：
3.4
作者：
Phillips, JA;Miller, JE;Gaboda, D
通讯作者：
Gaboda, D
影响因子：
3.4
作者：
Sommers, BD
通讯作者：
Sommers, BD
DOI：
10.1023/a:1025027117827
发表时间：
2003-07-01
期刊：
ADMINISTRATION AND POLICY IN MENTAL HEALTH
影响因子：
--
作者：
Davis, M
通讯作者：
Davis, M
影响因子：
12.7
作者：
Hartley, D
通讯作者：
Hartley, D
影响因子：
9.7
作者：
Fairbrother, Gerry Lynn;Park Emerson, Heidi;Partridge, Lee
通讯作者：
Partridge, Lee