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Accuracy in Self-Reported Health Insurance Coverage and Bias to Survey Estimates of Uninsurance   Academy Health Orlando, Florida June 4, 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]
What is the Medicaid Undercount?  What is assumed? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Our Research Questions  ,[object Object],[object Object],[object Object]
Answering Our Questions ,[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:
Q1: Do Medicaid Enrollees say they are Uninsured
Q2: Factors Associated with Correctly Reporting Medicaid ( = 1)
Q2: Factors  Associated with Falsely Reporting Being Uninsured ( = 1 )
Summary of Logistic Results ,[object Object],[object Object]
Q3: Do Misreports of Uninsurance Bias Estimates of Coverage in Health Surveys
Summary of Results ,[object Object],[object Object],[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],[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]
Analytic Strategy ,[object Object],[object Object],[object Object],[object Object],[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]
Issues to consider ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Accuracy in Self-Reported Health Insurance Coverage and Bias to Survey Estimates of Uninsurance

  • 1. Accuracy in Self-Reported Health Insurance Coverage and Bias to Survey Estimates of Uninsurance Academy Health Orlando, Florida June 4, 2007 Kathleen Thiede Call, Ph.D. SHADAC, School of Public Health University of Minnesota
  • 2.
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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:
  • 7. Q1: Do Medicaid Enrollees say they are Uninsured
  • 8. Q2: Factors Associated with Correctly Reporting Medicaid ( = 1)
  • 9. Q2: Factors Associated with Falsely Reporting Being Uninsured ( = 1 )
  • 10.
  • 11. Q3: Do Misreports of Uninsurance Bias Estimates of Coverage in Health Surveys
  • 12.
  • 13.
  • 14. 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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  • 19.