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Administrative Churn in SNAP and Health Care Utilization Patterns
Colleen Heflin1, Leslie Hodges2, Chinedum Ojinnaka3
1Maxwell School of Public Affairs and Citizenship, Syracuse University, Syracuse, NY.
Medical Care
|November 6, 2019
Summary
Administrative churn, defined as exiting and re-enrolling in the Supplemental Nutrition Assistance Program (SNAP) within 4 months, is common. Healthcare use differs significantly between those who churn and those who don't, highlighting the need for nuanced approaches.
Area of Science:
- Public Health
- Health Services Research
- Health Economics
Background:
- Administrative churn in the Supplemental Nutrition Assistance Program (SNAP) is common but understudied regarding its impact on healthcare utilization.
- Existing research on administrative churn primarily focuses on Medicaid, with limited data on Medicaid-insured SNAP enrollees.
Purpose of the Study:
- To investigate the characteristics and healthcare utilization patterns of Medicaid-insured SNAP participants experiencing SNAP administrative churn.
- To compare healthcare access and service use between SNAP churners and non-churners.
Main Methods:
- A retrospective cohort study utilized 2010-2013 SNAP and Medicaid claims data from Missouri.
- Individual fixed-effect regression analysis was employed to assess healthcare claims differences.
- The study included Missouri residents aged 18-64 who were enrolled in both Medicaid and SNAP.
Main Results:
- Nearly half (49.63%) of the study sample experienced administrative churn.
- Churners showed fewer pharmacy claims but more emergency department (ED) visits compared to non-churners.
- Adjusted analyses revealed increased inpatient claims during churn periods, while ED, outpatient, and pharmacy claims decreased.
Conclusions:
- SNAP administrative churn is a frequent occurrence among eligible populations.
- Healthcare utilization patterns diverge between individuals who churn and those with stable SNAP enrollment.
- Researchers and public health professionals must avoid assumptions of consistent SNAP participation.
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