Evidence map›Paper›PMID 25888586›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2015

Supporting health insurance expansion: do electronic health records have valid insurance verification and enrollment data?

John Heintzman, Miguel Marino, Megan Hoopes, Steffani R Bailey, Rachel Gold, Jean O'Malley, Heather Angier, Christine Nelson, Erika Cottrell, Jennifer Devoe

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02298361 completednot on this map

Innovative Methods for Parents And Clinics to Create Tools (IMPACCT) for Kids' Care

TypeobservationalSponsorOCHIN, Inc.Ran2013 to 2016Enrolled27,251ConditionsInsurance Status/StabilityArmsHealth insurance outreach IT tools
NCT02355262 completednot on this map

Community-Based HIT Tools for Cancer Screening and Health Insurance Promotion (CATCH-UP)

TypeobservationalSponsorOHSU Knight Cancer InstituteRan2014 to 2020Enrolled45ConditionsBreast Carcinoma, Cervical Carcinoma, Colorectal Carcinoma, Health Status UnknownArmsInformational Intervention
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. A framework for understanding selection bias in real-world healthcare data.Journal of the Royal Statistical Society. Series A, (Statistics in Society) · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Measures of SES for Electronic Health Record-based Research.American journal of preventive medicine · 2018
    Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Using the electronic health record for assessment of health insurance in community health centers.Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
  19. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

John HeintzmanOregon Health and Science University, Department of Family Medicine, Portland, OR 97239, USA heintzma@ohsu.edu.
Miguel MarinoOregon Health and Science University, Department of Family Medicine, Portland, OR 97239, USA.
Megan HoopesOCHIN, Inc., Portland, OR, USA.
Steffani R BaileyOregon Health and Science University, Department of Family Medicine, Portland, OR 97239, USA.
Rachel GoldKaiser Center For Health Research Northwest, Portland, OR, USA.
Jean O'MalleyOregon Health and Science University, Department of Family Medicine, Portland, OR 97239, USA.
Heather AngierOregon Health and Science University, Department of Family Medicine, Portland, OR 97239, USA.
Christine NelsonOCHIN, Inc., Portland, OR, USA.
Erika CottrellOCHIN, Inc., Portland, OR, USA.
Jennifer DevoeOregon Health and Science University, Department of Family Medicine, Portland, OR 97239, USA.

Funding

Community-based HIT Tools for Cancer Screening and Health Insurance PromotionR01CA181452 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DEVOE, JENNIFER E · 2014 to 2018
$3.1M
The Primary Care Medical Home and Preventive Service Use in Latino ImmigrantsK08HS021522 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2013 to 2016
$590k
AHRQ HHS K08 HS021522AHRQ HHS K08HS021522NCI NIH HHS R01 CA181452NCI NIH HHS R01CA181452
6 · The paper itself

Abstract

objectiveTo validate electronic health record (EHR) insurance information for low-income pediatric patients at Oregon community health centers (CHCs), compared to reimbursement data and Medicaid coverage data. MATERIALS AND

methodsSubjects Children visiting any of 96 CHCs (N = 69 189) from 2011 to 2012. Analysis The authors measured correspondence (whether or not the visit was covered by Medicaid) between EHR coverage data and (i) reimbursement data and (ii) coverage data from Medicaid.

resultsCompared to reimbursement data and Medicaid coverage data, EHR coverage data had high agreement (87% and 95%, respectively), sensitivity (0.97 and 0.96), positive predictive value (0.88 and 0.98), but lower kappa statistics (0.32 and 0.49), specificity (0.27 and 0.60), and negative predictive value (0.66 and 0.45). These varied among clinics. DISCUSSION/

conclusionsEHR coverage data for children had a high overall correspondence with Medicaid data and reimbursement data, suggesting that in some systems EHR data could be utilized to promote insurance stability in their patients. Future work should attempt to replicate these analyses in other settings.

Indexed as

Electronic Health RecordsInsurance, HealthMedicaidChildCommunity Health CentersHumansInsurance CoverageInsurance, Health, ReimbursementOregonPediatricsUnited Stateschildrencommunity health centerselectronic health recordshealth insurancehealth insurance claimsMedicaid expansion

Identifiers

PMID25888586
PMCPMC5009899

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.