Continuous Eligibility for Medicaid Associated With Improved Child Health Outcomes

Document Type

Journal Article

Publication Date

6-1-2022

Journal

Medical care research and review : MCRR

Volume

79

Issue

3

DOI

10.1177/10775587211021172

Keywords

Medicaid; child health; insurance gaps; medically underserved

Abstract

Fluctuating insurance coverage, or churning, is a recognized barrier to health care access. We assessed whether state policies that allow children to remain covered in Medicaid for a 12-month period, regardless of fluctuations in income, are associated with health and health care outcomes, after controlling for individual factors and other Medicaid policies. This cross-sectional study uses a large, nationally representative database of children ages 0 to 17. Continuous eligibility was associated with improved rates of insurance, reductions in gaps in insurance and gaps due to application problems, and lower probability of being in fair or poor health. For children with special health care needs, it was associated with increases in use of medical care and preventive and specialty care access. However, continuous eligibility was not associated with health care utilization outcomes for the full sample. Continuous eligibility may be an effective strategy to reduce gaps in coverage for children and reduce paperwork burden on Medicaid agencies.

Department

Health Policy and Management

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