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How stable is medicaid coverage for children?
Gerry Lynn Fairbrother1, Heidi Park Emerson, Lee Partridge
1Cincinnati Children's Hospital Medical Center, Health Policy and Clinical Effectiveness, Cincinnati, Ohio, USA. gerry.fairbrother@cchmc.org
Health Affairs (Project Hope)
|March 7, 2007
Summary
Medicaid provided continuous health coverage for many children, but others experienced coverage gaps. Policies should be revisited to ensure consistent access to care for eligible children.
Area of Science:
- Health Services Research
- Pediatric Health Policy
Background:
- Medicaid is a crucial source of health insurance for children in the United States.
- Understanding coverage continuity is essential for assessing healthcare access and quality for pediatric populations.
Purpose of the Study:
- To analyze Medicaid coverage patterns among children in five states.
- To determine the extent of continuous coverage versus coverage gaps over a three-year period.
Main Methods:
- Retrospective analysis of Medicaid enrollment data.
- Examination of coverage histories for children enrolled as of December 2003 across five states.
Main Results:
- Sizable proportions of children (43-66%) experienced continuous Medicaid coverage for two or more years.
- A significant minority (16-41%) faced coverage gaps, which were consistently short (2-4 months).
Conclusions:
- Medicaid offers substantial continuity of care for many children.
- Short coverage gaps indicate a need to refine state policies and administrative procedures to improve access and reduce disruptions for eligible children.
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