CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings. Table B.5. Parents’ Reported Access, Use, and Care Experiences of Children in Medicaid Compared to the Uninsured and those with Private Insurance

08/01/2014

  Percentage of Medicaid Enrollees, Pooled 3- Statea Percentage Point Difference Between Medicaid Enrollees and Children Who b Were Uninsured Percentage Point Difference Between Medicaid Enrollees and Children Who Were Privately Insuredc
Access to Care Based on Parent’s Reports
Had USC or private doctor or nurse during past 12 months 85 18** -9**
     USC type: private doctor's office or group practice/ HMO 35 11** -26**
    USC has night or weekend office hours 25 -7 -9
    Could reach doctor at USC after hours 33 2 -21**
Had USC for Dental Care 79 44** 16**
    USC for Dental Care has or night or weekend hours 39 -1 2
Provider Accessibility
No trouble finding a general doctor 97 13** 1
No trouble finding a specialist 94 17** 1
No trouble finding a dentist 84 11** -5
Usually/always easy to get appointments with medical provider 80 21** 5
Usually/always easy to get appointments with dental provider 70 27** 3
Service Use Based on Parent’s Reports
Any doctor/other health professional visit 85 21** -2
Any preventive care or checkup visit 81 28** -10**
Any specialist visit 16 13** 4
Any mental health visit 8 6** 3
Any emergency department visit 36 3 7
Any hospital stays 8 0 4
Any dental visit for checkup or cleaning 77 45** 11*
    Dentist recommend additional or follow-up treatment 34 -4 6
        Dental procedure, such as having a cavity treated or a tooth pulled 70 -2 -9
Content of Preventive Care Received Based on Parent’s Reports
Flu vaccination 55 16** -8
Height and weight measurement 92 22** -3
Vision screening 53 10* 4
Developmental screening (combined measure) 32 20** -8
Anticipatory guidance (combined measure) 36 12** -3
Access to and Use of Oral Health Care Based on Parent Reports
Has dental benefits or coverage for dental services 92 66** 10*
Had USC for Dental Care 79 44** 16**
    USC for Dental Care has night or weekend hours 39 -1 2
No Trouble Finding a Dentist 84 11** -5
Usually/Always Easy to Get Appointments with Dental Provider 70 27** 3
Any Dental Visit for Check-up or Cleaning 77 45** 11*
    Dentist recommended additional or follow up treatment 34 -4 6
        Had dental procedure, such as having a cavity treated or tooth pulled 70 -2 -9
Dental sealants (if age > 6 years) 56 13* 14*
Patient-Centeredness of Health Care Based on Parent’s Reports
Obtained referrals when needed 68 34** 3
Received effective care coordination 64 11 3
Received family-centered care 39 10* 5
Unmet Needs Based on Parent’s Reports
Doctor/health professional care 8 -7* 1
Prescription drugs 9 -8* -3
Specialists 7 -3 -1
Hospital care 4 -5** 1
Mental health care 5 1 6
Dental care 16 -1 6
Any unmet need 31 -4 9*
Parental Perceptions of Coverage and Financial Burden of Child’s Health Care
Very or somewhat confident could get needed health care for child 95 25** 3
Never or not very often stressed about meeting child’s health care needs 83 27** 5
No problem paying child's medical bills for care (or no out-of-pocket costs) 95 30** 24**
Out of Pocket Costs: Greater than $0 up to $250 3 -8** -4
Out of Pocket Costs: Between $250 and $2,000 1 -18** -14**
Out of Pocket Costs: : Greater than $2,000 <1 -2 -5**

Source: 2012 Congressionally Mandated Survey of CHIP and Medicaid Enrollees and Disenrollees.

Notes: The regression-adjusted differences derived from multivariate regression models control for age, sex, race/ethnicity and language groups, more than three children in the household, highest education of any parent, parents’ employment status, parent citizenship, and, local area or county. Sample sizes are different across outcome indicators due to differences in response rates and survey skip patterns. "No out-of-pocket costs" includes those who indicated out-of-pocket costs but then said they had no problem paying, or later indicated they paid $0 in out-of-pocket costs.

a CHIP enrollees are those enrolled in CHIP for at least 12 months at time of sampling.

b Uninsured children had 5 or more months without any coverage in the past 12 months.

c Privately insured children had 12 months of private coverage in the past 12 months.

*/** Indicates that the values are statistically different from Medicaid enrollees at the 0.05/ 0.01 level.

View full report

Preview
Download

"rpt_CHIPevaluation.pdf" (pdf, 1.01Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®

Tags: 
Insurance