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Accession Number PB2013-111686
Title Migration Patterns for Medicaid Enrollees, 2005-2007. Medicaid Policy Brief 8.
Publication Date Aug 2012
Media Count 7p
Personal Author D. Baugh S. Verghese
Abstract Throughout the history of Medicaid, little has been known about cross-state enrollee patterns for three primary reasons: Medicaid is administered by the states; national statistics are aggregates of state statistics; and enrollee identifiers are typically unique only within each state. The state-based administration of Medicaid has raised concerns about enrollment gaps when enrollees move, the absence of coverage during the gaps (Czajka 1999; Sommers 2008), continuity of care, unmet need and risks to enrollee health status, and increased cost to the overall health care system in terms of uncompensated care and the use of higher cost emergency room services because of enrollment gaps. Other concerns center on the extent to which individuals enrolled in more than one state are double counted. An analysis of the underestimate of Medicaid enrollment in the Current Population Survey, conducted as part of the Medicaid Undercount project (Call et al. 2001/2002; Davern et al. 2009), highlighted the importance of unduplicating enrollee records across states. Other researchers have noted additional issues associated with using Medicaid administrative data as the gold standard for both counting enrollees and estimating the size of the uninsured population (Dubay et al. 2007).
Keywords Children
Disabled persons
Elderly persons
Federal government
Government policies
Migration patterns
Socioeconomic characteristics
State government

Source Agency Health Care Financing Administration Policy Planning Researc
NTIS Subject Category 92C - Social Concerns
91F - Health Services
44Q - Health Related Costs
88B - Information Systems
Corporate Author Mathematica Policy Research, Inc., Washington, DC.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1326
Contract Number N/A

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