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Migration is long-range, seasonal movement from one region or habitat to another. This common strategy, carried out by many different organisms around the world, is an adaptive response that typically corresponds to changes in an organism’s environment, like resource availability or climate. Migrations can involve huge groups of thousands of animals as well as single individuals traveling alone and can range from thousands of kilometers to just a few hundred meters.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Hospitalizations for Injury Among Medicaid Children: California, 1992.

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National and state trends in enrollment and spending for dual eligibles under age 65 in Medicaid managed care.

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Migration patterns for Medicaid enrollees 2005-2007.

David K Baugh1, Shinu Verghese1

  • 1Mathematica Policy Research, Inc.

Medicare & Medicaid Research Review
|May 17, 2014
PubMed
Summary

Medicaid enrollees moving between states rarely experience coverage gaps. However, over 11% of moves result in gaps exceeding six months, impacting health and costs.

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Healthcare Administration

Background:

  • Medicaid, a federal program, is state-administered, leading to complexities in tracking enrollee movements.
  • Understanding Medicaid enrollee migration is crucial due to concerns about coverage gaps, continuity of care, and costs.

Purpose of the Study:

  • To investigate the patterns and extent of Medicaid enrollee migration across different states.

Main Methods:

  • Utilized linked, unduplicated Medicaid enrollment records from 2005-2007.
  • Analyzed descriptive statistics to quantify enrollee movement between states.

Main Results:

  • 3.7% of Medicaid enrollees migrated to a new state at least once during the study period.
Keywords:
EligibilityEnrollmentMAXMedicaidMigrationMoving

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  • Most migrations (72.2%) did not cause enrollment gaps; however, 11.4% resulted in gaps longer than six months.
  • Conclusions:

    • Medicaid enrollee migration is a significant factor influencing coverage continuity and healthcare costs.
    • Findings highlight the need to address enrollment gaps, especially with the anticipated growth in Medicaid enrollment under the Affordable Care Act.