Context or composition: what explains variation in SCHIP disenrollment?

Health Services Research
Julie A PhillipsDorothy Gaboda

Abstract

To investigate (1) the relative contributions of family and contextual characteristics to observed variation in disenrollment rates from the State Children's Health Insurance Program (SCHIP), and (2) whether context explains observed family-level patterns. We use secondary data on 24,628 families enrolled in New Jersey's SCHIP program (NJ KidCare), and county-level data from the Area Resource File, the Census, and the NJ FamilyCare provider roster. Information on family characteristics, SCHIP plan, and dates of enrollment and disenrollment are taken from NJ KidCare administrative records, which provided surveillance data from January 1998 through April 2000. We estimate a multilevel discrete-time-hazards model of SCHIP disenrollment. Families enrolled in plans involving cost-sharing, blacks, and those with only one enrolled child have higher than average rates of disenrollment. Disenrollment rates for blacks are lower in counties with a high share of black physicians. These characteristics account for part of the intercounty variation in disenrollment rates; remaining intercounty variation is largely explained by physician density or population density. It may be worthwhile to pay special attention to black families and countie...Continue Reading

References

Sep 1, 1988·Gut·J E KellowA R Zinsmeister
Jan 1, 1995·Health Affairs·J C CantorM S Marquis
Feb 17, 1998·Social Science & Medicine·C DuncanG Moon
Feb 19, 1998·The New England Journal of Medicine·P W NewacheckM Pearl
May 12, 1998·Journal of Health and Social Behavior·S A Robert
Jul 11, 1998·The New England Journal of Medicine·W Thurlow
Aug 18, 2000·Statistical Methods in Medical Research·D HedekerF B Hu
Apr 12, 2003·International Journal of Epidemiology·Janet W Rich-EdwardsFelton Earls
Sep 14, 2004·Journal of Health Care for the Poor and Underserved·Jane E MillerYamalis Diaz

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Citations

Jun 18, 2010·Medical Care Research and Review : MCRR·Michael D PullmannLindsay Satterwhite Mayberry
Nov 25, 2014·Tropical Medicine & International Health : TM & IH·Roger A AtingaRobert Bella Kuganab-Lem
Mar 29, 2008·Health Services Research·Jill Boylston HerndonElizabeth A Shenkman
Mar 16, 2007·Health Services Research·Jane E Miller
Nov 15, 2013·Medical Care Research and Review : MCRR·James P GuevaraSusmita Pati
May 18, 2007·Medical Care Research and Review : MCRR·Elizabeth ShenkmanDes Schatz
Sep 7, 2006·Medical Care Research and Review : MCRR·Janet B MitchellSonja Hoover
Jul 8, 2010·Health Affairs·Benjamin D Sommers
Nov 12, 2005·Current Opinion in Pediatrics·Laura P Shone, Peter G Szilagyi
Feb 23, 2019·Pharmacoepidemiology and Drug Safety·Anne M ButlerM Alan Brookhart
Jun 29, 2018·Health Services Research·Sarah H GordonAmal N Trivedi

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