Lapses in Medicaid Coverage
Impact on Cost and Utilization Among Individuals With Diabetes Enrolled in Medicaid
Datos Bibliográficos
| ID | 9100328 |
|---|---|
| Autores | Allyson G Hall (0000-0002-4945-9184, University of Florida Health, autor de correspondencia), Jeffrey S Harman (0000-0002-1125-7704, autor de correspondencia), Jianyi Zhang (0009-0007-4492-9478) |
| Año | 2008 |
| Volumen | 46 |
| Número | 12 |
| Páginas | 1219-1225 |
| Fecha de publicación | 2008-12-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e31817d695c |
| PMID | 19300311 |
| OpenAlex | W2049188617 |
| Idioma | EN |
| Citas recibidas | 10 |
| Referencias citadas | 24 |
BACKGROUND: Gaps in Medicaid coverage can result in inadequate access to care. This can be particularly detrimental to those with a chronic disease such as diabetes. OBJECTIVE: To assess whether a lapse in Medicaid coverage is associated with an increase in expenditures, and acute care utilization upon reenrollment among beneficiaries with diabetes. RESEARCH DESIGN: Using multivariate regression analyses, we compared pre- versus post-expenditures and utilization among 2102 individuals with diabetes who had experienced at least one 1-month lapse in their Medicaid coverage. MEASURES: Dependent variables were the number of inpatient episodes, total length of stay, total number of emergency room visits, total expenditure, and pharmaceutical expenditures. These were aggregated over 3-month spans that either immediately preceded or immediately followed a lapse in coverage. Key predictor variables included a variable that identified the span as occurring pre-lapse or post-lapse in coverage, and a continuous variable identifying the length of the lapse. Predicted expenditure and utilization were calculated. RESULTS: Overall total program expenditures were higher for post-lapse periods compared with pre-lapse periods. Total expenditures were estimated to increase by $239 per member per month for the 3-month period. The likelihood of having any expenditure was actually lower in the post-lapse period. However inpatient and emergency room use was higher. CONCLUSIONS: The results from this study suggest that interruptions in Medicaid coverage are associated with overall greater program expenditures in the post-lapse periods. However, this increase in expenditures seems to be driven by a subset of individuals whose greater use of inpatient and emergency room services increased overall program costs
Economic growth · Economics · Health care · Medicaid · MEDLINE · Political science · Healthcare Policy and Management · Healthcare Systems and Reforms · Primary Care and Health Outcomes
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| Obras citantes distintas | 10 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2016 - 2025 (10) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 9 |