Did copayment changes reduce health service utilization among CHIP enrollees? Evidence from Alabama.

Health Services Research
Bisakha SenNir Menachemi

Abstract

To explore whether health care utilization changed among enrollees in Alabama's CHIP program, ALL Kids, following copayment increases at the beginning of fiscal year 2004. Data on all ALL Kids enrollees over 1999-2009 are obtained from claims files and the state's administrative database. We use pooled month-level data for all enrollees and conduct covariate-adjusted segmented regression models. Health services considered are inpatient care, emergency department (ED) visits, brand-name prescription drugs, generic prescription drugs, physician office visits and outpatient-services, ambulance services, allergy treatments, and non-preventive dental services. Physician well-visits, preventive dental services, and service use by Native-Americans--which saw no copayment increases--serve as counterfactuals. There are significant declines in utilization for inpatient care, physician visits, brand-name medications, and ED visits following the copayment increases. By and large, utilization did not decline, or declined only temporarily, for those services and for those enrollees that who not subject to increased copayments. Copayment increases reduced utilization of many health services among ALL Kids enrollees. Concerns remain regarding ...Continue Reading

References

Mar 10, 2001·JAMA : the Journal of the American Medical Association·R TamblynL Mallet
Oct 31, 2001·American Journal of Public Health·M D WongM F Shapiro
Aug 14, 2002·Journal of Clinical Pharmacy and Therapeutics·A K WagnerD Ross-Degnan
Aug 18, 2005·Health Affairs·Teresa A Coughlin, Stephen Zuckerman
Apr 6, 2006·Health Services Research·Ilene H ZuckermanBruce Stuart
Jun 6, 2009·Health Affairs·Thomas M SeldenJoel Ruhter

❮ Previous
Next ❯

Citations

Jan 1, 2012·Medicare & Medicaid Research Review·Michael A MorriseyNir Menachemi
Jun 27, 2014·Medicare & Medicaid Research Review·Bisakha SenNir Menachemi
Dec 20, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Frederick NorthRobert J Stroebel
Jul 16, 2013·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Lucie Kalousova, Sarah A Burgard
Jun 19, 2013·Medical Care Research and Review : MCRR·David J BeckerNir Menachemi
May 12, 2016·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Bisakha SenNir Menachemi
Nov 11, 2019·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Gretta Mohan, Anne Nolan
Jan 1, 2014·Journal of Occupational and Environmental Medicine·Wendy D Lynch, Bruce W Sherman
Jun 3, 2014·The Medical Journal of Australia·Andrew Wilson
Jan 8, 2020·International Journal of Environmental Research and Public Health·Raúl Del Pozo-RubioFrancisco Escribano-Sotos

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The New England Journal of Medicine
Thomas H Lee, Kinga Zapert
The New England Journal of Medicine
Meredith B Rosenthal
International Journal of Health Services : Planning, Administration, Evaluation
David U Himmelstein, Steffie Woolhandler
© 2022 Meta ULC. All rights reserved