From coverage to care: addressing the issue of churn.
@article{Milligan2015FromCT,
title={From coverage to care: addressing the issue of churn.},
author={Charles J. Milligan},
journal={Journal of health politics, policy and law},
year={2015},
volume={40 1},
pages={
227-32
}
}In any given year, a significant number of individuals will move between Medicaid and qualified health plans (QHP). Known as "churn," this movement could disrupt continuity of health care services, even when no gap in insurance coverage exists. The number of people who churn in any given year is significant, and they often are significant utilizers of health care services. They could experience disruption in care in several ways: (1) changing carrier; (2) changing provider because of network…
Topics from this paper
5 Citations
Medicaid Expansion and the use of Account-based Health Plans
- Medicine, Economics
- 2015
This work suggests that a portion of the 55 million Medicaid beneficiary population can be enrolled in account based plans and assist state and federal Health Insurance Exchanges with the ‘churn’ that occurs between the two systems while controlling costs.
Subscriber continuity in health insurance plans: factors associated with re-enrollment and coverage changes
- MedicineJournal of medical economics
- 2020
The extent to which Marketplace health insurance subscribers re-enroll a second year is examined, and some coverage change choices were rational, while others suggest subscribers may have difficulty making insurance choice decisions.
The Affordable Care Act, the Medicaid Coverage Gap, and Hispanic Consumers: A Phenomenology of Obamacare
- Medicine
- 2018
Findings show that study participants are in an unfavorable situational context, better understood when the cultural context is considered, and cultural resistance recognized, and the lawful need to enroll or be penalized is understood.
Lost in the ACA: Bit Parts in a Landmark Law.
- Political Science, MedicineJournal of health politics, policy and law
- 2020
This article examines 11 from each of these 3 categories, drawn from 9 of the ACA's 10 titles, deepening recognition that the ACA is the authors' best example of comprehensive health reform and defies simplistic judgments.
Workplace Accommodations for Pregnant Employees: Associations With Women's Access to Health Insurance Coverage After Childbirth
- Medicine, Political ScienceJournal of occupational and environmental medicine
- 2016
Workplace accommodations for pregnant employees are associated with health insurance coverage via work continuity postpartum, and expanding protections for employees during pregnancy and after childbirth may help reduce employee turnover, loss of health insurance Coverage, and discontinuity of care.