scholarly journals Adult Medicaid benefit generosity and receipt of recommended health services among low-income children: The spillover effects of Medicaid adult dental coverage expansions

2021 ◽  
Vol 75 ◽  
pp. 102404
Author(s):  
Brandy J. Lipton
Keyword(s):  
Health Services ◽  
Low Income ◽  
Spillover Effects ◽  
Low Income Children ◽  
Dental Coverage

The Effect of Parents' Insurance Coverage on Access to Care for Low-Income Children

2003 ◽  
Vol 40 (3) ◽  
pp. 254-268 ◽  
Author(s):  
Amy Davidoff ◽  
Lisa Dubay ◽  
Genevieve Kenney ◽  
Alshadye Yemane
Keyword(s):  
Access To Care ◽  
Low Income ◽  
Insurance Coverage ◽  
Spillover Effects ◽  
Medical Provider ◽  
Low Income Children ◽  
Point Reduction ◽  
Percentage Points ◽  
Well Child Visit ◽  
Child Visit

This study examines the effects of having an uninsured parent on access to health care for low-income children. Using data from the 1999 National Survey of America's Families, we find that having an uninsured parent decreases the likelihood that a child will have any medical provider visit by 6.5 percentage points, and decreases the likelihood of a well-child visit by 6.7 percentage points. Estimates for low-income children who have insurance but have an uninsured parent indicate a 4.1 percentage-point reduction in the probability of having any medical provider visit, and a similar 4.2 percentage-point reduction in the probability of having a well-child visit relative to those with insured parents. The effects of having an uninsured parent are smaller in magnitude than the effects of a child being uninsured. Efforts to increase insurance coverage of parents, either by extending eligibility for public insurance or through other policy interventions, will have positive spillover effects on access to care for children. Although the magnitude of these effects is small relative to the direct effect of providing insurance to either the child or parent, they should be considered in analyses of costs and benefits of proposed policies.

A Model Protocol for Applying Anthropology in Rapid Health Services Evaluations

2003 ◽  
Vol 25 (2) ◽  
pp. 39-42 ◽  
Author(s):  
Elisa Sobo
Keyword(s):  
Health Services ◽  
Low Income ◽  
San Diego ◽  
Public Awareness ◽  
Culturally Appropriate ◽  
Community Based ◽  
Evaluation Team ◽  
Community Based Organizations ◽  
Low Income Children ◽  
Services Evaluation

In 1998, California launched Healthy Families/Medi-Cal for Children (HF/MCC). HF/MCC provides low- and no-cost insurance to low-income children. Six million dollars was budgeted for culturally appropriate outreach and enrollment activities and 72 community-based organizations (CBOs) were contracted to carry these out. The contracts were performance based and required measurable outcomes, such as successful enrollments, to increase local public awareness and generate enrollment in HF/MCC. Children's Hospital San Diego was hired (through the San Diego State Foundation) to evaluate the CBOs' performance. This article describes the fortuitous incorporation of a qualitative anthropological component. The protocol developed might be applied in other rapid health services evaluation contexts, especially when other members of the evaluation team (or the sponsors) have not yet been convinced of the usefulness of the qualitative approach.

EPSDT's Role in Improving Child Vision, Hearing, and Oral Health

2017 ◽  
Vol 45 (S1) ◽  
pp. 65-68
Author(s):  
Jane Perkins
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Low Income ◽  
Children With Disabilities ◽  
Health Care Coverage ◽  
Low Income Children ◽  
Oral Health Services

The Medicaid Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit offers health care coverage specifically targeted to meet the needs to low-income children and children with disabilities. This article provides a brief overview of EPSDT and then discusses how states are working to bring vision, hearing, and oral health services to children through EPSDT.

scholarly journals How A North Carolina Program Boosted Preventive Oral Health Services For Low-Income Children

2010 ◽  
Vol 29 (12) ◽  
pp. 2278-2285 ◽  
Author(s):  
R. Gary Rozier ◽  
Sally C. Stearns ◽  
Bhavna T. Pahel ◽  
Rocio B. Quinonez ◽  
Jeongyoung Park
Keyword(s):  
North Carolina ◽  
Oral Health ◽  
Health Services ◽  
Low Income ◽  
Low Income Children ◽  
Oral Health Services

scholarly journals Health outcomes in low-income children with current asthma in Canada

2009 ◽  
Vol 29 (2) ◽  
pp. 49-55 ◽  
Author(s):  
T. To ◽  
S. Dell ◽  
M. Tassoudji ◽  
C. Wang
Keyword(s):  
Health Services ◽  
Health Outcomes ◽  
Low Income ◽  
Health Services Use ◽  
Current Asthma ◽  
Low Income Children ◽  
Income Adequacy ◽  
Children With Asthma ◽  
Low Income Families ◽  
Services Use

Data collected from the Canadian National Longitudinal Survey of Children and Youth (NLSCY) in 1994/95 and 1996/97 were used to measure longitudinal health outcomes among children with asthma. Over 10 000 children aged 1 to 11 years with complete data on asthma status in both years were included. Outcomes included hospitalizations and health services use (HSU). Current asthma was defined as children diagnosed with asthma by a physician and who took prescribed inhalants regularly, had wheezing or an attack in the previous year, or had their activities limited by asthma. Children having asthma significantly increased their odds of hospitalization (OR = 2.52; 95% CI: 1.71, 3.70) and health services use (OR = 3.80; 95% CI: 2.69, 5.37). Low‑income adequacy (LIA) in 1994/ 95 significantly predicts hospitalization and HSU in 1996/97 (OR = 2.68; 95% CI: 1.29, 5.59 and OR = 0.67; 95% CI: 0.45, 0.99, respectively). Our results confirmed that both having current asthma and living in low-income families had a significant impact on the health status of children in Canada. Programs seeking to decrease the economic burden of pediatric hospitalizations need to focus on asthma and low-income populations.

scholarly journals The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review

2021 ◽  
Vol 18 (15) ◽  
pp. 7865
Author(s):  
Jihee Song ◽  
Jeong Nam Kim ◽  
Scott Tomar ◽  
Lauren N. Wong
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Low Income ◽  
Dental Care ◽  
Health Care Quality ◽  
National Level ◽  
Spillover Effects ◽  
Care Quality ◽  
The Impact ◽  
Dental Coverage

The goal of the Patient Protection and Affordable Care Act (ACA) is to increase access to health insurance and decrease health care cost while improving health care quality. With more articles examining the relationship between one of the ACA provisions and dental health outcomes, we systematically reviewed the effect of the ACA on dental care coverage and access to dental services. We searched literature using the National Library of Medicine’s Medline (PubMed) and Thomson Reuters’ Web of Science between January 2010 and November 2020. We identified 33 articles related to dental coverage, and access/utilization of dental care services. This systematic review of studies showed that the ACA resulted in gains in dental coverage for adults and children, whereas results were mixed with dental care access. Overall, we found that the policy led to a decrease in cost barriers, an increase in private dental coverage for young adults, and increased dental care use among low-income childless adults. The implementation of the ACA was not directly associated with dental insurance coverage among people in the U.S. However, results suggest positive spillover effects of the ACA on dental care coverage and utilization by people in the national level dataset.

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