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.

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]

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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)

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?

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Case Review Paper This assignment will need to be typed, double-spaced with a cover page, font should be Times New Roman size 12, and inclusive of traditional (normal) one-inch margins. Any references you use need to be completed in APA formatting. For this assignment: (1) APA style must be used correctly, (2) All required relevant course readings and materials must be used, (3) At least 6 scholarly sources used (beyond course materials).The paper must be clear, well organized, and should be 10-15 pgs. not including cover page, references, and any other attachments. This assignment provides an opportunity for students to complete a thorough case review of a client (Lisa). Students will assess Lisa’s case through a case study that provides several vignette’s regarding Lisa’s experience child welfare and substance usage. This case study illustrates the journey made by Lisa, a parent involved in the child welfare and addiction treatment systems. Students will follow Lisa through treatment program interviews and subsequent treatment, having to meet deadlines, and her recovery process with typical challenges and a relapse. This assignment will allow you to demonstrate how you would distinguish, appraise, and integrate multiple sources of knowledge (including research –based knowledge and practice wisdom). Students will demonstrate their ability to apply Human Behaviors theories to guide basement and practice interventions. It is encouraged that you re-familiarize yourself with theories learned in Human Behaviors & Social Environment as well as Psychopathology courses (ex: Brief Solution Focused, Cognitive Behavioral Theory, Attachment Theory, Racial Identity Theory, Ego Psychology, Trauma Informed Theories). Lisa’s story illustrates clinical issues, observations and decisions made by child welfare and addiction professionals, confidentiality processes and procedures, and decision points related to her children and competing requirements. After reading Lisa’s Case Study (attached), please adhere to the following guidelines: For this assignment, students will be expected to answer a series of questions that correspond to each stage of Lisa’s progress through the substance abuse child welfare system. These questions can be found at the bottom of every page of the case study. Please be sure that your answer for each section is supported with peer-reviewed resources or course literature. Also, please remember to integrate course material throughout your answers. There must be a theoretical support section in which students must compare and contrast TWO theories and provide a through explanation and rationale for why one of the theories works best to support their work with the client.Please remember that you should specify the concepts and propositions from each theory that support, explain, and assist in your work with the client. Theories include Respondent Learning theory, Operant Learning theory, Cognitive-Behavioral.

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