Potential inequities in access to in-person SHIP counseling services
Counseling and education on Medicare coverage options are available through the federal State Health Insurance Assistance Program (SHIP), but little is known about the population that SHIP reaches. Cross-sectional study. Using a novel data source on SHIP counseling site locations, we characterized t...
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| Veröffentlicht in: | The American journal of managed care 2024-02, Vol.30 (2), p.e46-e51 |
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| container_title | The American journal of managed care |
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| creator | Garrido, Melissa M Dorneo, Allison Adelberg, Michael Biko, David Shafer, Paul R Frakt, Austin B |
| description | Counseling and education on Medicare coverage options are available through the federal State Health Insurance Assistance Program (SHIP), but little is known about the population that SHIP reaches.
Cross-sectional study.
Using a novel data source on SHIP counseling site locations, we characterized the availability of in-person SHIP counseling by zip code tabulation area (ZCTA) and used linear regression and t tests to evaluate whether SHIP counseling sites are disproportionately located in higher-income communities.
Our sample included 1511 SHIP counseling sites. More than half (63%) of the localities in our sample have a SHIP site within the ZCTA or county. Twenty-four percent do not have a SHIP site within the county but have one in an adjacent county. The remaining 13% do not have a nearby SHIP site. There is a disproportionate number of individuals eligible for Medicare in localities without a SHIP site. Moreover, the population living in areas without in-person SHIP sites is more likely to have low income and fewer years of education than the population living in areas with a SHIP site.
These results suggest that there are areas where in-person SHIP service expansion or other additional navigation support may be warranted. |
| doi_str_mv | 10.37765/ajmc.2024.89500 |
| format | Article |
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Cross-sectional study.
Using a novel data source on SHIP counseling site locations, we characterized the availability of in-person SHIP counseling by zip code tabulation area (ZCTA) and used linear regression and t tests to evaluate whether SHIP counseling sites are disproportionately located in higher-income communities.
Our sample included 1511 SHIP counseling sites. More than half (63%) of the localities in our sample have a SHIP site within the ZCTA or county. Twenty-four percent do not have a SHIP site within the county but have one in an adjacent county. The remaining 13% do not have a nearby SHIP site. There is a disproportionate number of individuals eligible for Medicare in localities without a SHIP site. Moreover, the population living in areas without in-person SHIP sites is more likely to have low income and fewer years of education than the population living in areas with a SHIP site.
These results suggest that there are areas where in-person SHIP service expansion or other additional navigation support may be warranted.</description><identifier>ISSN: 1088-0224</identifier><identifier>ISSN: 1936-2692</identifier><identifier>EISSN: 1936-2692</identifier><identifier>DOI: 10.37765/ajmc.2024.89500</identifier><identifier>PMID: 38381548</identifier><language>eng</language><publisher>United States: MultiMedia Healthcare Inc</publisher><subject>Access to information ; Annual reports ; Beneficiaries ; Counseling services ; Health insurance ; Insurance coverage ; Low income groups ; Medicaid ; Medicare ; Postal codes ; Socioeconomic factors</subject><ispartof>The American journal of managed care, 2024-02, Vol.30 (2), p.e46-e51</ispartof><rights>Copyright MultiMedia Healthcare Inc. 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c327t-61dd0857fffa3694e2a922569e9bef8877bb0ba5d6aaed5894907934f9447c1c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2925798055?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12745,12774,21388,21389,21390,21391,21392,23256,27924,27925,33452,33453,33530,33531,33703,33704,33744,33745,34005,34006,34314,34315,34334,34335,36265,36266,43616,43659,43787,43805,43953,44067,44073,44404,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38381548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garrido, Melissa M</creatorcontrib><creatorcontrib>Dorneo, Allison</creatorcontrib><creatorcontrib>Adelberg, Michael</creatorcontrib><creatorcontrib>Biko, David</creatorcontrib><creatorcontrib>Shafer, Paul R</creatorcontrib><creatorcontrib>Frakt, Austin B</creatorcontrib><title>Potential inequities in access to in-person SHIP counseling services</title><title>The American journal of managed care</title><addtitle>Am J Manag Care</addtitle><description>Counseling and education on Medicare coverage options are available through the federal State Health Insurance Assistance Program (SHIP), but little is known about the population that SHIP reaches.
Cross-sectional study.
Using a novel data source on SHIP counseling site locations, we characterized the availability of in-person SHIP counseling by zip code tabulation area (ZCTA) and used linear regression and t tests to evaluate whether SHIP counseling sites are disproportionately located in higher-income communities.
Our sample included 1511 SHIP counseling sites. More than half (63%) of the localities in our sample have a SHIP site within the ZCTA or county. Twenty-four percent do not have a SHIP site within the county but have one in an adjacent county. The remaining 13% do not have a nearby SHIP site. There is a disproportionate number of individuals eligible for Medicare in localities without a SHIP site. Moreover, the population living in areas without in-person SHIP sites is more likely to have low income and fewer years of education than the population living in areas with a SHIP site.
These results suggest that there are areas where in-person SHIP service expansion or other additional navigation support may be warranted.</description><subject>Access to information</subject><subject>Annual reports</subject><subject>Beneficiaries</subject><subject>Counseling services</subject><subject>Health insurance</subject><subject>Insurance coverage</subject><subject>Low income groups</subject><subject>Medicaid</subject><subject>Medicare</subject><subject>Postal codes</subject><subject>Socioeconomic factors</subject><issn>1088-0224</issn><issn>1936-2692</issn><issn>1936-2692</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkEtLw0AURgdRbK3uXUnAjZvUybxnKfXRQsGCug6TyY1MyaOdSQT_vdOHLlzd78L5LpeD0HWGp1RKwe_NurFTggmbKs0xPkHjTFOREqHJacxYqRQTwkboIoQ1xlQoJs7RiCqqMs7UGD2uuh7a3pk6cS1sB9c7CDEmxloIIem7uKQb8KFrk7f5YpXYbmgD1K79TAL4LxexS3RWmTrA1XFO0Mfz0_tsni5fXxazh2VqKZF9KrKyxIrLqqoMFZoBMZoQLjToAiqlpCwKXBheCmOg5EozjaWmrNKMSZtZOkF3h7sb320HCH3euGChrk0L3RByoilmkipNI3r7D113g2_jd5EiXGqFOY8UPlDWdyF4qPKNd43x33mG873hfGc43xnO94Zj5eZ4eCgaKP8Kv0rpD3_5dmA</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Garrido, Melissa M</creator><creator>Dorneo, Allison</creator><creator>Adelberg, Michael</creator><creator>Biko, David</creator><creator>Shafer, Paul R</creator><creator>Frakt, Austin B</creator><general>MultiMedia Healthcare Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88M</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20240201</creationdate><title>Potential inequities in access to in-person SHIP counseling services</title><author>Garrido, Melissa M ; 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Cross-sectional study.
Using a novel data source on SHIP counseling site locations, we characterized the availability of in-person SHIP counseling by zip code tabulation area (ZCTA) and used linear regression and t tests to evaluate whether SHIP counseling sites are disproportionately located in higher-income communities.
Our sample included 1511 SHIP counseling sites. More than half (63%) of the localities in our sample have a SHIP site within the ZCTA or county. Twenty-four percent do not have a SHIP site within the county but have one in an adjacent county. The remaining 13% do not have a nearby SHIP site. There is a disproportionate number of individuals eligible for Medicare in localities without a SHIP site. Moreover, the population living in areas without in-person SHIP sites is more likely to have low income and fewer years of education than the population living in areas with a SHIP site.
These results suggest that there are areas where in-person SHIP service expansion or other additional navigation support may be warranted.</abstract><cop>United States</cop><pub>MultiMedia Healthcare Inc</pub><pmid>38381548</pmid><doi>10.37765/ajmc.2024.89500</doi></addata></record> |
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| issn | 1088-0224 1936-2692 1936-2692 |
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| subjects | Access to information Annual reports Beneficiaries Counseling services Health insurance Insurance coverage Low income groups Medicaid Medicare Postal codes Socioeconomic factors |
| title | Potential inequities in access to in-person SHIP counseling services |
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