Inconsistent Medicaid Coverage is Associated with Negative Health Events for People with Epilepsy

Details

• Alternative Title:
  J Health Care Poor Underserved
• Personal Author:
  Bensken, Wyatt P. ; Ciesielski, Timothy H. ; Williams, Scott M. ; Stange, Kurt C. ; Sajatovic, Martha ; Koroukian, Siran M.
• Description:
  Objective.
  
  Examine the association between gaps in Medicaid coverage and negative health events (NHEs) for people with epilepsy (PWE).
  
  Methods.
  
  Using five years of Medicaid claims for PWE, we identified gaps in Medicaid coverage. We used logistic regression to evaluate the association between a gap in coverage and being in the top quartile of NHEs and factors associated with having a gap. These models adjusted for: demographics, residence, medication adherence, disease severity, and comorbidities.
  
  Results.
  
  Of 186,616 PWE, 21.7% had a gap in coverage. The odds of being in the top quartile of NHEs per year were 66% higher among those with a gap (OR: 1.66; 95% CI: 1.61, 1.70). Being female, younger, and having psychiatric comorbidities increased the odds of having a gap.
  
  Conclusions.
  
  Gaps in Medicaid coverage are associated with being a high utilizer during covered periods. Specific groups could be targeted with interventions to reduce churning.
  
  
• Keywords:
  Access To Care Age Factors Comorbidity Epilepsy Female Gaps In Coverage Humans Insurance Coverage Logistic Models Male Medicaid Medication Adherence Mental Disorders Sex Factors United States Utilization

  More +
• Source:
  J Health Care Poor Underserved. 33(2):1036-1053
• Pubmed ID:
  35574892
• Pubmed Central ID:
  PMC9147776
• Document Type:
  Journal Article
• Funding:
  F31 MD015681/MD/NIMHD NIH HHSUnited States/ ; U48 DP005030/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  33
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1ede93a5f496f58f34afc2641d2a870ea8dc9075780bbe2aa38b1c78e0a47f76
• Download URL:
  https://stacks.cdc.gov/view/cdc/120658/cdc_120658_DS1.pdf
• File Type:
  [PDF - 155.88 KB ]