Article ; Online: Potential inequities in access to in-person SHIP counseling services.
The American journal of managed care
2024 Volume 30, Issue 2, Page(s) e46–e51
Abstract: Objectives: 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.: Study design: Cross-sectional study.: ...
| Abstract | Objectives: 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. Study design: Cross-sectional study. Methods: 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. Results: 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. Conclusions: These results suggest that there are areas where in-person SHIP service expansion or other additional navigation support may be warranted. |
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| MeSH term(s) | Aged ; Humans ; United States ; Medicare ; Cross-Sectional Studies ; Insurance, Health ; Counseling ; Income ; Health Services Accessibility | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2024-02-01 | ||||||||||
| Publishing country | United States | ||||||||||
| Document type | Journal Article | ||||||||||
| ZDB-ID | 2035781-3 | ||||||||||
| ISSN | 1936-2692 ; 1088-0224 ; 1096-1860 | ||||||||||
| ISSN (online) | 1936-2692 | ||||||||||
| ISSN | 1088-0224 ; 1096-1860 | ||||||||||
| DOI | 10.37765/ajmc.2024.89500 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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