Administrative Churn in SNAP and Health Care Utilization Patterns

Datos Bibliográficos

ID9100005
AutoresC Heflin (0000-0001-9323-2027, Syracuse University, autor de correspondencia), Leslie Hodges (0000-0001-8474-192X, Institute for Research on Poverty, University of Wisconsin, Madison, WI), Chinedum O Ojinnaka (0000-0002-4535-5820, Arizona State University), Chinedum Ojinnaka (Arizona State University)
Año2020
Volumen58
Número1
Páginas33-37
Fecha de publicación2020-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001235
PMID31688555
OpenAlexW2988681592
IdiomaEN
Citas recibidas4
Referencias citadas12

BACKGROUND: Administrative churn occurs when a household exits the Supplemental Nutrition Assistance Program (SNAP) and then returns to the program within 4 months. Although a number of studies have examined health care utilization patterns related to Medicaid administrative churn less is known about health care utilization patterns among Medicaid-insured SNAP enrollees. OBJECTIVES: To investigate the characteristics and health care utilization patterns of Medicaid insured SNAP participants who experience SNAP administrative churn. RESEARCH DESIGN: Retrospective cohort study using 2010-2013 SNAP benefit data from the state of Missouri linked to Medicaid claims data for the same time period. Individual fixed effect regression analysis was used to investigate differences in health care claims for churners and nonchurners across various health care settings. SUBJECTS: Missouri residents ages 18-64 who were Medicaid-insured SNAP enrollees. MEASURES: Inpatient, outpatient, emergency department (ED), and pharmacy claims, and churn status. RESULTS: Half of our sample (49.63%) experienced administrative churn. In the descriptive analyses, churners had fewer claims for prescription drugs than nonchurners (25.42% vs. 30.47%), but more claims for ED visits (3.79% vs. 2.74%). Adjusting for individual fixed characteristics, inpatient claims occurred with more frequency during periods of churn than while on SNAP, whereas ED, outpatient, and pharmacy claims occurred with less frequency during periods of churn than while on SNAP. CONCLUSIONS: SNAP administrative churn was very common among our study sample. Given that health care utilization patterns varied for churners compared with nonchurners, it is important that researchers and public health professionals not assume stable SNAP receipt among participants

Descriptive statistics · Emergency department · Family medicine · Health care · Medicaid · Medical prescription · Medicare Part D · Prescription drug · Propensity score matching · Sample (material) · Snap · Food Security and Health in Diverse Populations · Medicine · Nursing · Nutrition and Health in Aging · Obesity, Physical Activity, Diet · Pharmacy