Evidence map›Paper›PMID 37985435›Full record

ArticleHealth services research2024

Insurance coverage during transitions: Evidence from Medicaid automatic enrollment for children receiving supplemental security income.

Stephanie Rennane, Danielle Sobol, Bradley D Stein, Andrew Dick

Open access · hybridAbstract read
In one paragraph

Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 9% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

4 authors at 2 institutions in 1 country.

Stephanie RennaneRAND, Arlington, Virginia, USA.ORCID 0000-0002-6995-2339
Danielle SobolPardee RAND Graduate School, Santa Monica, California, USA.
Bradley D SteinRAND, Pittsburgh, Pennsylvania, USA.
Andrew DickRAND, Boston, Massachusetts, USA.
RAND Corporation · USRAND School of Public Policy · US

Funding

Reducing Behavioral Health Disparities among Children with Special Needs: The Role of Medicaid Automatic EnrollmentR01MD017062 · NIMHD · RAND CORPORATION · PI RENNANE, STEPHANIE · 2022 to 2024
$1.8M
Understanding the Impact of Supplemental Security Income on Reducing Disparities in Caregiving Burden for Families of Children with Special Health Care NeedsR03MD013951 · NIMHD · RAND CORPORATION · PI RENNANE, STEPHANIE · 2020 to 2021
$194k
NIMHD NIH HHS R01 MD017062NIMHD NIH HHS R01MD017062NIMHD NIH HHS R03 MD013951NIMHD NIH HHS R03MD013951
6 · The paper itself

Abstract

objectivesTo analyze relationships between Medicaid automatic enrollment for child Supplemental Security Income (SSI) recipients and health insurance coverage during transitions. DATA SOURCES AND STUDY

settingMedical Expenditure Panel Study, 2000-2020 and National Survey for Children with Special Health Care Needs, 2001-2010. STUDY

designLeveraging variation in SSI-Medicaid automatic enrollment status across regions and over time, we estimate a regression model to quantify associations between automatic enrollment and insurance coverage. We validate our findings in the NS-CSHCN. DATA COLLECTION: Our sample includes children receiving SSI for a disability. We also analyze a subsample of children newly enrolled in SSI. PRINCIPAL

findingsAutomatic enrollment is associated with a statistically significant increase in insurance coverage. Expanding automatic enrollment to all states is associated with increases in Medicaid enrollment of 3% (CI 0.9%-6.7%) among all SSI children and 7% (CI 1.1%-13.9%) among children newly enrolled in SSI. We find similar decreases in uninsurance. Analysis in the NS-CSHCN replicates these findings.

conclusionsMedicaid automatic enrollment policies are associated with increased insurance coverage for SSI children, particularly those transitioning into the program. Medicaid policy defaults could play an important role in reducing administrative burdens to improve children's coverage and access to care.

Indexed as

Insurance CoverageMedicaidAdolescentChildChild, PreschoolChildren with DisabilitiesEligibility DeterminationFemaleHumansInfantInsurance, HealthMaleUnited Statesautomatic enrollmentchildren with special health care needsdisabled personsinsurance coverageMedicaidSupplemental Security Income

Identifiers

PMID37985435
PMCPMC11063087
OpenAlexW4388851054

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.