Emergencies, Pediatric Uninsured Emergency Visits
Conditions
Keywords
Pediatric uninsured emergency visits, lack of insurance, linkage to resources, Medicaid
Brief summary
The study introduces a bedside intervention assisting families with the enrollment or re-enrollment process through patient direct contact with NJFamily Care and financial departments, using an emergency department (ED)-based navigator tool. The primary objective is to identify the barriers contributing to the lack of insurance coverage through NJ Family Care coverage using a brief survey with the parents of children who are treated in the ED and identified as uninsured, and to study the effect of a bedside intervention designed to assist families with the enrollment or re-enrollment process.
Interventions
OTHERNavigation through financial systems and linkage to resources
Navigation through financial systems and linkage to resources to connect families and ultimately help them gain access to insurance for the pediatric patient.
Sponsors
Hackensack Meridian Health
New Jersey Health Foundation
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Parent/guardian/ legal authorized representative (age 18 years or older) with children aged: 1 month to 17 years of age who obtain care in the pediatric emergency department * Child Uninsured (ie, Charity Care, HUMC Charity Care, Pending Medicaid, Self-Pay) * Interested in applying or receiving assistance with NJfamilycare * Not pending private insurance coverage * Primary language of the parent or guardian is identified as English * Pediatric patient lives in New Jersey
Exclusion criteria
* Parent/guardian/legal authorized representative with children aged: less than 1 month and greater than 17 years old Insured pediatric patient Parent/ Guardian/Legal Authorized Representative not present Parent/ Guardian/Legal Authorized Representative age 17 years or younger Primary language not identified as English Patients visiting the Emergency Department related to Motor Vehicle Accidents Already participated in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Barriers to medicaid enrollment or reenrollment | Survey is completed upon enrollment | Outcome of questionnaire regarding barriers expressed as percentage of participants who identified each barrier |
| Rate of Successful Medicaid Enrollment or Re-enrollment Approval | Assessed via participant follow-up call or review of the electronic health record at 90 days post-intervention. | The proportion of the enrolled participants who reported approval for Medicaid coverage. This outcome measures the ultimate success of the intervention of re-establishing health insurance. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment in Temporary Insurance Coverage | Assessed via participant follow-up within 10 days (+/- 5 days) post-intervention and/or chart review. | The proportion of participants who, after receiving additional assistance, were successfully enrolled in a temporary or bridge insurance plan, known as presumptive eligibility. This measures the intervention's success in providing a safety net for families during the Medicaid application waiting period. |
Countries
United States
Contacts
CONTACTDaisy Negron, MBA, BSN, RN
PRINCIPAL_INVESTIGATORKaren Eigen, MD, MPH
Hackensack Meridian Health
Outcome results
None listed