Low-Income Children's Preventive Services Use: Implications of Parents' Medicaid Status

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2005-06-01

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Abstract

This article examines the effect of parents' Medicaid status on the use of preventive health services by young children. Using data from the 1996 Medical Expenditure Panel Survey (MEPS), we analyzed a logit model for receipt of any well-child visits (WCVs) that compared three groups of low-income children. The three groups, defined by the joint insurance status of children and their parents, involved Medicaid pairs (both the child and the parent had Medicaid throughout the year), mixed pairs (the child had Medicaid and the parent was uninsured), and uninsured pairs (both child and parent were uninsured). Medicaid coverage for children was positively associated with receipt of any WCVs. However, the utilization effect of Medicaid coverage for children was significantly larger when the parent was also on Medicaid instead of being uninsured. Considering uninsured children with uninsured parents in 1996, enrolling only the children in Medicaid would have increased the percentage with WCVs from 29 to 43 percent according to simulations with the logit model. If the parents were enrolled in Medicaid as well, the percentage of children with any WCVs would have increased to 67 percent.

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Scholars@Duke

Gifford

Elizabeth Joanne Gifford

Associate Research Professor in the Sanford School of Public Policy

Beth Gifford is an associate research professor in the Sanford School of Public Policy, a core faculty member of the Center for Child and Family Policy and the Margolis Center for Health Policy, and leads the Social and Economic pillar of the Children’s Health and Discovery Institute. She leads a multidisciplinary research team that examines the health and social services engagement of children and families. Motivating her research is the need to understand how social policies and practices can better support children and families. Her work spans many public institutions including education, social services, criminal justice, and health care systems.


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