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How Surveys Differ in the Quality of Reported Medicaid Enrollment: State Surveys and the CPS

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Presentation by Kathleen Thiede Call at the Joint Statistical Meetings in Salt Lake City, UT, July 31 2007.

Economy & FinanceBusiness
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How Surveys Differ in the Quality of Reported Medicaid Enrollment: State Surveys and the CPS JSM Salt Lake City, Utah July 31, 2007 Kathleen Thiede Call, Ph.D. SHADAC, School of Public Health University of Minnesota
Study co-authors and sponsorship ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the Medicaid Undercount? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Our Research Questions ,[object Object],[object Object]
Answering Our Questions (1) State Surveys ,[object Object],[object Object],[object Object],[object Object]
Medicaid Undercount Experiment (MUE) Surveys Analytic sample exclusions: Those in institutional settings (e.g., nursing homes, group quarters); missing coverage or health status data; not enrolled in Medicaid at time of survey. 1,392 1,582 (55.9%) Pennsylvania: Medicaid adults and children 940 1,087 (29.8%) Florida: Medicaid adults (<65) & children 1,316 1,423 (41.7%) California: Medicaid adults Analytic Sample Size Number of Completes (Response Rate-AAPOR RR4) State MUE:
Answering Our Questions (2) CPS Linked Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Analytic Strategy ,[object Object],[object Object],[object Object],[object Object]
Multivariate Logistic Regressions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Q1: What do Medicaid enrollees say about their coverage ,[object Object],[object Object],[object Object],[object Object],[object Object]
Q2: Factors Consistently Associated with Correctly Reporting Medicaid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Q2: Factors Consistently Associated with Falsely Reporting Being Uninsured ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of Logistic Results ,[object Object],[object Object],[object Object]
Summary of Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Issues to consider ,[object Object],[object Object],[object Object],[object Object],[object Object]
SHADAC Contact Information www.shadac.org 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 Principal Investigator: Lynn Blewett, Ph.D. (blewe001@umn.edu) Investigator: Kathleen Call, Ph.D. (callx001@umn.edu) Research Director: Michael Davern, Ph.D. (daver004@umn.edu ) Center Director: Kelli Johnson, M.B.A. (johns706@umn.edu)
[object Object]
Medicaid Undercount Experiment (MUE) Surveys
Health Insurance Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Q2: Factors Associated with Correctly Reporting Medicaid ( = 1)
Q2: Factors Associated with Falsely Reporting Being Uninsured ( = 1 )
What are the factors associated with measurement accuracy/error?
Additional Covariates
State Odds Ratios

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How Surveys Differ in the Quality of Reported Medicaid Enrollment: State Surveys and the CPS

  • 1. How Surveys Differ in the Quality of Reported Medicaid Enrollment: State Surveys and the CPS JSM Salt Lake City, Utah July 31, 2007 Kathleen Thiede Call, Ph.D. SHADAC, School of Public Health University of Minnesota
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  • 6. Medicaid Undercount Experiment (MUE) Surveys Analytic sample exclusions: Those in institutional settings (e.g., nursing homes, group quarters); missing coverage or health status data; not enrolled in Medicaid at time of survey. 1,392 1,582 (55.9%) Pennsylvania: Medicaid adults and children 940 1,087 (29.8%) Florida: Medicaid adults (<65) & children 1,316 1,423 (41.7%) California: Medicaid adults Analytic Sample Size Number of Completes (Response Rate-AAPOR RR4) State MUE:
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  • 17. SHADAC Contact Information www.shadac.org 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 Principal Investigator: Lynn Blewett, Ph.D. (blewe001@umn.edu) Investigator: Kathleen Call, Ph.D. (callx001@umn.edu) Research Director: Michael Davern, Ph.D. (daver004@umn.edu ) Center Director: Kelli Johnson, M.B.A. (johns706@umn.edu)
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  • 21. Q2: Factors Associated with Correctly Reporting Medicaid ( = 1)
  • 22. Q2: Factors Associated with Falsely Reporting Being Uninsured ( = 1 )
  • 23. What are the factors associated with measurement accuracy/error?