Can Medicaid managed care provide continuity of care to new medicaid enrollees? An analysis of tenure on Medicaid

Olveen Carrasquillo, David U. Himmelstein, Steffie Woolhandler, David H. Bor

Research output: Contribution to journalArticle

50 Scopus citations

Abstract

Objectives. The purpose of this study was to analyze duration of coverage among new Medicaid enrollees. Methods. The 1991 Survey of Income and Program Participation was used to examined the duration of coverage for individuals who did not have Medicaid in January 1991 and obtained coverage by May 1993. Results. Of new Medicaid enrollees, 38% (90% confidence interval [CI] = 34%, 42%) remained covered 1 year later, 26% (90% CI = 21%, 31%) remained covered at 28 months. Of those older than 65 years, 54% (90% CI = 31%, 77%) retained Medicaid for 28 months, vs 20% (90% CI = 14%, 26%) of children. Of people who lost Medicaid 54% (90% CI = 31%, 77%) had no insurance the following month. Conclusions. Almost two thirds of new Medicaid recipients lose coverage within 12 months. It is unlikely that Medicaid managed care will enhance continuity of care for new recipients.

Original languageEnglish (US)
Pages (from-to)464-466
Number of pages3
JournalAmerican journal of public health
Volume88
Issue number3
DOIs
StatePublished - Mar 1998

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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