Access to Medical Care: The Impact of Outreach Services on Enrollees of a Prepaid Health Insurance Program

1975 ◽  
Vol 16 (3) ◽  
pp. 326 ◽  
Author(s):  
Paula Diehr ◽  
Kathleen O. Jackson ◽  
M. Vickie Boscha
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Outreach Services ◽  
Access To Medical Care ◽  
The Impact

Medicare

2013 ◽  
Author(s):  
Jonathan Oberlander
Keyword(s):  
Medical Care ◽  
Healthcare Reform ◽  
The Elderly ◽  
Safety Net ◽  
Younger Adults ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Subject ◽  
Access To Medical Care ◽  
The Welfare State

Medicare is America’s federal health insurance program for the elderly and younger adults with permanent disabilities. It provides a crucial safety net, assuring access to medical care for nearly 50 million persons. As the baby boomers retire, Medicare’s enrollment will swell in coming decades, and the rising costs of medical care will also push up program spending. Medicare is the subject of intense partisan and ideological conflict over how to change the program to cope with these challenges. It is also ensnared in broader debates over the welfare state and healthcare reform. This chapter traces Medicare’s historical development, explains how the program works, explores the politics of Medicare reform and discusses possible futures for a program that is a foundation of American social policy.

scholarly journals Insuring the Uninsured: Reducing the Barriers to Public Insurance

2015 ◽  
Author(s):  
Cynthia Saunders
Keyword(s):  
Health Insurance ◽  
Customer Service ◽  
Public Insurance ◽  
Public Programs ◽  
Benefit Design ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Barriers To Enrollment ◽  
Access To Medical Care ◽  
Gain Access

Health insurance is one of the essential enabling resources to gain access to medical care and ultimately increase health status. Over 11 million or one quarter of the nation’s uninsured individuals are eligible for Medicaid or the State Children’s Health Insurance Program (SCHIP), but are not enrolled. Interviews with 368 individuals from 1999 through 2003 identify eight primary barriers to enrollment in public insurance. These include: economic aspects of qualifying, lack of knowledge, benefit design of public programs, poor experiences and stigma, complexity and literacy, immigration status, poor customer service, and fear of fraud. These results suggest policy options alone are unlikely to result in reaching eligible uninsured individuals unless knowledge and instrumental support are offered to them about insurance.

scholarly journals Children’s Health Insurance Program Expansions: What Works for Families?

2019 ◽  
Vol 6 ◽  
pp. 2333794X1984036
Author(s):  
E. Kathleen Adams ◽  
Emily M. Johnston ◽  
Gery Guy ◽  
Peter Joski ◽  
Patricia Ketsche
Keyword(s):  
Health Insurance ◽  
Children's Health ◽  
Children’S Health ◽  
Children's Health Insurance Program ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Children's Health Insurance ◽  
Children’S Health Insurance Program ◽  
The Impact ◽  
Parent Child

We examine the impact of Children’s Health Insurance Program (CHIP) eligibility expansions 1999 to 2012 on child and joint parent/child insurance coverage. We use changes in state CHIP income eligibility levels and data from the Current Population Survey Annual Social and Economic Supplement to create child/parent dyads. We use logistic regression to estimate marginal effects of eligibility expansions on coverage in families with incomes below 300% federal poverty level (FPL) and, in turn, 150% to 300% FPL. The latter is the income range most expansions targeted. We find CHIP expansions increased public coverage among children in families 150% to 300% FPL by 2.5 percentage points (pp). We find increased joint parent/child coverage of 2.3 pp ( P = .055) but only in states where the public eligibility levels for parent and child are within 50 pp. In these states, the CHIP expansion increased the probability that both parent/child are publicly insured (2.5 pp) among insured dyads, but where the eligibility levels are further apart (51-150 pp; >150 pp), CHIP expansions increase the probability of mixed coverage—one public, one private—by 0.9 to 1.5 pp. Overall, families made decisions regarding coverage that put the child first but parents took advantage of joint parent/child coverage when eligibility levels were close. Joint public parent/child coverage can have positive care-seeking effects as well as reduced financial burdens for low-income families.

scholarly journals Medicaid/State Children's Health Insurance Program Patients and Infectious Diseases Treated in Emergency Departments: U.S., 2003

2007 ◽  
Vol 122 (4) ◽  
pp. 513-520 ◽  
Author(s):  
Nelson Adekoya
Keyword(s):  
Infectious Disease ◽  
Health Insurance ◽  
Infectious Diseases ◽  
Medical Care ◽  
Emergency Departments ◽  
Children's Health ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Ed Visits ◽  
The U.S

Objective. Emergency departments (EDs) are a critical source of medical care in the U.S. Information is sparse concerning infectious disease visits among Medicaid entitlement enrollees nationwide. The objective of this study was to describe infectious diseases in terms of Medicaid/State Children's Health Insurance Program (SCHIP) as an expected source of payment. Methods. Data for 2003 from the National Hospital Ambulatory Medical Care Survey (NHAMCS) were analyzed for infectious disease visits. NHAMCS is a national probability sample survey of visits to hospital EDs and outpatient departments of nonfederal, short-stay, and general hospitals in the U.S. Data are collected annually and are weighted to generate national estimates. Results. Nationally in 2003, an estimated 21.6 million visits were made to hospital EDs for infectious diseases (rate = 76 visits/1,000 people). Medicaid/SCHIP was the expected source of payment for an estimated 6.7 million infectious disease-related visits (rate = 200 visits/1,000 people covered by Medicaid). Children aged <15 years made 39% of visits nationwide (nationwide rate = 139 visits/1,000 people). Of Medicaid visits, 63% were made by children <15 years of age (Medicaid enrollees rate = 255 visits/1,000 people). The rate of visits for Medicaid enrollees was comparable for females and males (198 visits vs. 201/1,000 people). The rate of visits for black Medicaid enrollees was 33% higher than for white Medicaid enrollees (255 vs. 192 visits/1,000 people). Upper respiratory tract infection (URTI) is the most frequent infectious condition recorded at ED visits. An estimated 47% of ED visits with an expected pay source of Medicaid relate to URTIs (93 visits/1,000 people), compared with 38% of ED visits in general (29 visits/1,000 people). Conclusion. Medicaid enrollee-specific ED visit rates for infectious diseases were higher by age group, gender, race, and region, compared with national rates. Because approximately half of visits relate to URTIs for a Medicaid payment group, URTIs should form the basis for development of appropriate control strategies.

The Impact of a Children's Health Insurance Program by Age

PEDIATRICS ◽  
1999 ◽  
Vol 104 (5) ◽  
pp. 1051-1058 ◽  
Author(s):  
Christopher R. Keane ◽  
Judith R. Lave ◽  
Edmund M. Ricci ◽  
Charles P. LaVallee
Keyword(s):  
Health Insurance ◽  
Children's Health ◽  
Children’S Health ◽  
Children's Health Insurance Program ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Children's Health Insurance ◽  
Children’S Health Insurance Program ◽  
The Impact
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