Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured

Low-income families struggle to obtain and maintain public health insurance. We identified strategies used by Community Health Centers (CHCs) to assist patients with insurance applications, and assessed patients’ receptivity to these efforts. Observational cross-case comparative study with four CHCs...

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Autores principales:	Rose Harding, Jennifer Hall, Jennifer DeVoe, Heather Angier, Rachel Gold, Christine Nelson, Sonja Likumahuwa-Ackman, John Heintzman, Aleksandra Sumic, Deborah Cohen
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2017
Materias:	health insurance medicaid chip patient and family experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4afe35fdaf074b9ba5637320a85433dc
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spelling	oai:doaj.org-article:4afe35fdaf074b9ba5637320a85433dc2021-11-15T04:22:14ZMaintaining public health insurance benefits: How primary care clinics help keep low-income patients insured2372-0247https://doaj.org/article/4afe35fdaf074b9ba5637320a85433dc2017-11-01T00:00:00Zhttps://pxjournal.org/journal/vol4/iss3/11https://doaj.org/toc/2372-0247Low-income families struggle to obtain and maintain public health insurance. We identified strategies used by Community Health Centers (CHCs) to assist patients with insurance applications, and assessed patients’ receptivity to these efforts. Observational cross-case comparative study with four CHCs in Oregon. We observed insurance assistance processes, and interviewed 26 clinic staff and 18 patients/family members. Qualitative data were analyzed using a grounded theory approach. Patients’ understanding of eligibility status, reapplication schedules, and how to apply, were major barriers to insurance enrollment. Clinic staff addressed these barriers by reminding patients when applications were due, assisting with applications as needed, and tracking submitted applications to ensure approval. Families trusted clinic staff with insurance enrollment support, and appreciated it. CHCs are effective at helping patients with public health insurance. Access to insurance expiration data, tools enabling enrollment activities, and compensation are needed to support enrollment services in CHCs.Rose HardingJennifer HallJennifer DeVoeHeather AngierRachel GoldChristine NelsonSonja Likumahuwa-AckmanJohn HeintzmanAleksandra SumicDeborah CohenThe Beryl Institutearticlehealth insurancemedicaidchippatient and family experienceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	health insurance medicaid chip patient and family experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	health insurance medicaid chip patient and family experience Medicine (General) R5-920 Public aspects of medicine RA1-1270 Rose Harding Jennifer Hall Jennifer DeVoe Heather Angier Rachel Gold Christine Nelson Sonja Likumahuwa-Ackman John Heintzman Aleksandra Sumic Deborah Cohen Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured
description	Low-income families struggle to obtain and maintain public health insurance. We identified strategies used by Community Health Centers (CHCs) to assist patients with insurance applications, and assessed patients’ receptivity to these efforts. Observational cross-case comparative study with four CHCs in Oregon. We observed insurance assistance processes, and interviewed 26 clinic staff and 18 patients/family members. Qualitative data were analyzed using a grounded theory approach. Patients’ understanding of eligibility status, reapplication schedules, and how to apply, were major barriers to insurance enrollment. Clinic staff addressed these barriers by reminding patients when applications were due, assisting with applications as needed, and tracking submitted applications to ensure approval. Families trusted clinic staff with insurance enrollment support, and appreciated it. CHCs are effective at helping patients with public health insurance. Access to insurance expiration data, tools enabling enrollment activities, and compensation are needed to support enrollment services in CHCs.
format	article
author	Rose Harding Jennifer Hall Jennifer DeVoe Heather Angier Rachel Gold Christine Nelson Sonja Likumahuwa-Ackman John Heintzman Aleksandra Sumic Deborah Cohen
author_facet	Rose Harding Jennifer Hall Jennifer DeVoe Heather Angier Rachel Gold Christine Nelson Sonja Likumahuwa-Ackman John Heintzman Aleksandra Sumic Deborah Cohen
author_sort	Rose Harding
title	Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured
title_short	Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured
title_full	Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured
title_fullStr	Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured
title_full_unstemmed	Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured
title_sort	maintaining public health insurance benefits: how primary care clinics help keep low-income patients insured
publisher	The Beryl Institute
publishDate	2017
url	https://doaj.org/article/4afe35fdaf074b9ba5637320a85433dc
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Maintaining public health insurance benefits: How primary care clinics help keep low-income patients insured

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