{"id":"https://openalex.org/W20604965","doi":"https://doi.org/10.1186/1472-6963-10-195","title":"Impact of discontinuity in health insurance on resource utilization","display_name":"Impact of discontinuity in health insurance on resource utilization","publication_year":2010,"publication_date":"2010-07-06","ids":{"openalex":"https://openalex.org/W20604965","doi":"https://doi.org/10.1186/1472-6963-10-195","mag":"20604965","pmid":"https://pubmed.ncbi.nlm.nih.gov/20604965","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2914034"},"language":"en","primary_location":{"id":"doi:10.1186/1472-6963-10-195","doi":"https://doi.org/10.1186/1472-6963-10-195","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6963-10-195","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-10-195","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-10-195","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Ritesh Banerjee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ritesh Banerjee","raw_affiliation_strings":["Division of Health Care Policy & Research, Mayo Clinic, Rochester Minnesota USA. zigenfuss.jeanette@mayo.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Health Care Policy & Research, Mayo Clinic, Rochester Minnesota USA. zigenfuss.jeanette@mayo.edu","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001791376","display_name":"Jeanette Y. Ziegenfuss","orcid":"https://orcid.org/0000-0001-9304-4499","observed_orcids":["https://orcid.org/0000-0001-9304-4499"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jeanette Y Ziegenfuss","raw_affiliation_strings":["Division of Health Care Policy & Research, Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Health Care Policy & Research, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5105250082","display_name":"Nilay D. Shah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nilay D Shah","raw_affiliation_strings":["Division of Health Care Policy & Research, Mayo Clinic, Rochester, Minnesota, USA","Knowledge and Encounter Research Unit, Mayo Clinic, Rochester, Minnesota, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Health Care Policy & Research, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Knowledge and Encounter Research Unit, Mayo Clinic, Rochester, Minnesota, USA","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5001791376","https://openalex.org/A5105250082"],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":3.7561,"has_fulltext":true,"cited_by_count":62,"citation_normalized_percentile":{"value":0.93136194,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"10","issue":"1","first_page":"195","last_page":"195"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.7900000214576721},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.8270000219345093},{"id":"https://openalex.org/keywords/emergency-department-use","display_name":"emergency department utilization","score":0.7570000290870667},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.722000002861023},{"id":"https://openalex.org/keywords/office-visits","display_name":"office visits","score":0.9480000138282776},{"id":"https://openalex.org/keywords/prescription-refills","display_name":"prescription refills","score":0.8870000243186951},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.640999972820282},{"id":"https://openalex.org/keywords/public-health-insurance","display_name":"public health insurance","score":0.46799999475479126}],"concepts":[{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.5477475523948669},{"id":"https://openalex.org/C153911025","wikidata":"https://www.wikidata.org/wiki/Q7202","display_name":"Molecular biology","level":1,"score":0.3808414936065674},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.21917036175727844}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004608","descriptor_name":"Eligibility Determination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004651","descriptor_name":"Employment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006304","descriptor_name":"Health Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1186/1472-6963-10-195","doi":"https://doi.org/10.1186/1472-6963-10-195","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6963-10-195","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-10-195","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:2914034","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2914034","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Serv Res","raw_type":"Text"},{"id":"pmid:20604965","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/20604965","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC health services research","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:bdf38fa751874b508031ebc3ca6c0300","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/bdf38fa751874b508031ebc3ca6c0300","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Services Research, Vol 10, Iss 1, p 195 (2010)","raw_type":"article"},{"id":"mag:20604965","doi":null,"is_oa":false,"landing_page_url":"https://dspace.ankara.edu.tr/xmlui/handle/20.500.12575/68245","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"doi:10.1186/1472-6963-10-195","doi":"https://doi.org/10.1186/1472-6963-10-195","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6963-10-195","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-10-195","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W20604965.pdf","grobid_xml":"https://content.openalex.org/works/W20604965.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W182096047","https://openalex.org/W1558893731","https://openalex.org/W1964450723","https://openalex.org/W1970334068","https://openalex.org/W1983665614","https://openalex.org/W1984524168","https://openalex.org/W1984794727","https://openalex.org/W1992926613","https://openalex.org/W2005980282","https://openalex.org/W2045832229","https://openalex.org/W2050318781","https://openalex.org/W2057780602","https://openalex.org/W2073174643","https://openalex.org/W2079207220","https://openalex.org/W2079728761","https://openalex.org/W2092332859","https://openalex.org/W2126717144","https://openalex.org/W2145675021","https://openalex.org/W2158666201","https://openalex.org/W2169942008","https://openalex.org/W4255046332"],"related_works":["https://openalex.org/W2416168394","https://openalex.org/W2185979642","https://openalex.org/W2736190170","https://openalex.org/W2134056380","https://openalex.org/W2062881100","https://openalex.org/W1669414951","https://openalex.org/W1548108900","https://openalex.org/W2278549811","https://openalex.org/W2962595361","https://openalex.org/W2956053121"],"abstract_inverted_index":{"BACKGROUND:":[0],"This":[1],"study":[2,146],"sought":[3],"to":[4,42,67,102,150,170,194],"describe":[5],"the":[6,16,52,69,145,189,202],"incidence":[7],"of":[8,13,71,115,191],"transitions":[9,111],"into":[10,112],"and":[11,20,62,91,94,113,127],"out":[12,114],"Medicaid,":[14],"characterize":[15],"populations":[17],"that":[18,100],"transition":[19,139],"determine":[21],"if":[22],"health":[23,72,76,92,141,153,206],"insurance":[24,73,142,184],"instability":[25,74],"is":[26],"associated":[27],"with":[28,135,158],"changes":[29],"in":[30,46,140,168,198],"healthcare":[31],"utilization.":[32,79],"METHODS:":[33],"2000-2004":[34],"Medical":[35],"Expenditure":[36],"Panel":[37],"Survey":[38],"(MEPS)":[39],"was":[40],"used":[41],"identify":[43],"adults":[44],"enrolled":[45],"Medicaid":[47,116,179],"at":[48],"any":[49],"time":[50],"during":[51],"survey":[53],"period":[54,147],"(n":[55],"=":[56],"6,247).":[57],"We":[58,81],"estimate":[59],"both":[60],"static":[61],"dynamic":[63,98],"panel":[64],"data":[65],"models":[66],"examine":[68],"effect":[70],"on":[75],"care":[77,154],"resource":[78],"RESULTS:":[80],"find":[82],"that,":[83],"after":[84,95],"controlling":[85],"for":[86,178],"observed":[87],"factors":[88],"like":[89],"employment":[90],"status,":[93],"specifying":[96],"a":[97],"model":[99],"attempts":[101],"capture":[103],"time-dependent":[104],"unobserved":[105],"effects,":[106],"individuals":[107,157],"who":[108],"have":[109,117,151],"multiple":[110],"higher":[118,152],"emergency":[119],"room":[120],"utilization,":[121],"more":[122,125,136],"office":[123],"visits,":[124],"hospitalizations,":[126],"refill":[128],"their":[129],"prescriptions":[130],"less":[131],"often.":[132],"CONCLUSIONS:":[133],"Individuals":[134],"than":[137,156],"one":[138,159],"status":[143],"over":[144],"were":[148],"likely":[149],"utilization":[155],"or":[160],"fewer":[161],"transitions.":[162],"If":[163],"these":[164],"effects":[165],"are":[166,174],"causal,":[167],"addition":[169],"individual":[171],"benefits,":[172],"there":[173],"potentially":[175],"large":[176],"benefits":[177],"programs":[180,200],"from":[181],"reducing":[182],"avoidable":[183],"instability.":[185],"These":[186],"results":[187],"suggest":[188],"importance":[190],"including":[192],"provisions":[193],"facilitate":[195],"continuous":[196],"enrollment":[197],"public":[199],"as":[201],"United":[203],"States":[204],"pursues":[205],"reform.":[207]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":10},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}