Continuous Eligibility Bibliography


Families USA. The Return of Churn: State Paperwork Barriers Caused More Than 1.5 Million Low-Income People to Lose Their Medicaid Coverage in 2018. April 2019.

Allison A et al. Reducing lapses in healthcare coverage in the Individual and Medicaid markets. McKinsey & Company,  2019.


Anthem Public Policy Institute. Continuity of Medicaid Coverage Improves Outcomes for Beneficiaries. June 2018.

Natzke, Brenda and Chao, Sandra.  Continuing with the Same Issuer in Transitions Between Medicaid and the Marketplace; Premium Assistance Models in Arkansas, Iowa and New Hampshire. Mathematica, 2018.

University of Michigan. Insurance Gaps Costly for Those with Type Type 1 Diabetes. Health Affairs, 2018.


Jamie R. Daw et al. Women In The United States Experience High Rates Of Coverage ‘Churn’ In Months Before And After ChildbirthHealth Affairs, 2017.


Allison, Andy et al. Transitions in coverage type are the norm for most consumers over time. McKinsey & Company, 2016.

Cardwell, Anita. Revisiting Churn: An Early Understanding of State-Level Health Coverage Transitions Under the ACA. NASHP, 2016.


Leighton Ku, Erika Steinmetz, Tyler Bysshe. George Washington University. Continuity of Medicaid Coverage in an Era of Transition. November 2015.

Pati S et al. Medicaid and CHIP Retention Among Children in 12 States. Academic Pediatrics, 2015.

Planalp C et al. Measuring and Monitoring Churn at the State Level: Methods and Data Sources. SHADAC, 2015.

Swartz K et al. Reducing Medicaid Churning: Extending Eligibility For Twelve Months Or To End Of Calendar Year Is Most Effective. H Affairs, 2015.

SHARE. Sub-Annual Income Fluctuations and Eligibility for Coverage Assistance Under the ACA. SHADAC, 2015.


Dawes AJ et al. The Impact of Continuous Medicaid Enrollment on Diagnosis, Treatment, and Survival in Six Surgical Cancers. HSR, 2014.

Planalp C et al. ACA Coverage Expansions: Measuring and Monitoring Churn at the State Level. SHADAC, 2014.

Addressing Churn: Coverage Dynamics in Oregon’s Insurance Affordability Programs. Oregon Medicaid Advisory Committee, 2014.

Hussey PS et al. Continuity and the Costs of Care for Chronic Disease. JAMA Internal Medicine, 2014.

Lines LM, Urato M, Halpern MT, Subramanian S. Insurance Coverage and Preventative Care Among Adults. RTI International, 2014.

Klineberg et al. What Accounts for Health Disparities? Findings from the Houston Surveys (2001-2013). Rice University, 2014.

Dietz M et al. The Ongoing Importance of Enrollment: Churn in Covered California and Medi-Cal. UC Berkeley, 2014.

Cowburn S et al. Insurance Continuity & Human Papillomavirus Vaccine Uptake in Oregon and California Federally Qualified Health Centers. AJPH, 2014.

Simon AE et al. Medicaid Enrollment Gap Length and Number of Medicaid Enrollment Periods Among US Children. AJPH, 2014.

Sommers B et al. Medicaid & Marketplace Eligibility Changes Will Occur Often in All States; Policy Options Can Ease Impact. Health Affairs, 2014.

Riley GF et al. Understanding Factors Associated With Loss Of Medicaid Coverage Among Duals Can Help Identify Vulnerable Enrollees. H Aff., 2014.

Rosenbaum S. Addressing Medicaid/Marketplace Churn through Multimarket Plans: Current State of Play. J Health Politics, Policy & Law, 2014.


Leighton Ku and Erika Steinmetz, George Washington University. Bridging the Gap: Continuity and Quality of Coverage in Medicaid. September 2013.

Leighton Ku and Erika Steinmetz, George Washington University. The Continuity of Medicaid Coverage: An Update. April 2013.

Baugh, David K and Shinu Verghese. Migration Patterns for Medicaid Enrollees 2005-2007. Medicare & Medicaid Research Review, 2013.

Bazinsky, Kate and Bailit, Michael. The Significant Lack of Alignment Across State and Regional Health Measure Sets. Bailit Health Purchasing, 2013.

Gov’t Accountability Office. Medicare: Continuous Insurance before Enrollment Associated with Better Health and Lower Program Spending. 2013.

Howard and Shearer. State Efforts to Promote Continuity of Coverage and Care under the Affordable Care Act. J Health Politics, Policy and Law, 2013.

Ku et al Continuous eligibility policies stabilize Medicaid coverage for children and could be extended to adults with similar results. H Aff, 2013.

Bouchery E. Utilization of Dental Services Among Medicaid Enrolled Children. Medicare & Medicaid Research Review, 2013.

Yamauchi M et al. Does health insurance continuity among low-income adults impact their childrens insurance coverage? Matern Child Health J, 2013.


Gov’t Accountability Office. States Made Multiple Program Changes and Beneficiaries Generally Reported Access Comparable to Private Insurance. 2012.

Hwang, A et al. Creation of State Basic Health Programs Would Lead To 4% Fewer People Churning Between Medicaid and the Exchanges. H Aff, 2012.

Buettgens M et al. Churning Under the ACA and State Policy Options for Mitigation. Urban and RWJF, 2012.

Ginde A et al. Health Insurance Status Change and Emergency Department Use Among US Adults. Arch Intern Med, 2012.

Wright, Bill and Matthew Carlson. The OHP Standard Disenrollment Study Final Report. 2012.

Wright, Bill and Matthew Carlson. The Healthy Kids Disenrollment Study Final Report. 2012.


Sommers B, Rosenbaum S. How Changes in Eligibility May Move Millions Back and Forth Between Medicaid and Insurance Exchanges. Health Affairs, 2011.

Kenney GM et al. Monitoring Duration of Coverage in Medicaid and CHIP to Assess Program Performance and Quality. Acad Pediatr, 2011.


Lavarreda SA et al. 12-Month Continuous Eligibility in Medicaid: Impact on Service Utilization. UCLA Center for Health Policy Research, 2010.

Sommers, Benjamin D. Enrolling Eligible Children in Medicaid and CHIP: A Research Update. Health Affairs, 2010.

Seifert R et al. Enrollment and Disenrollment in MassHealth and Commonwealth Care. Mass. Medicaid Policy Institute, 2010.

Banerjee et al. Impact of discontinuity in health insurance on resource utilization. BMC Health Services Research, 2010.

Guthrie et al. Health Plan Competition For Medicaid Enrollees Based On Performance Does Not Improve Quality Of Care. Health Affairs, 2010.


Leighton Ku et al, George Washington University. Improving Medicaid’s Continuity of Coverage and Quality of Care. July 2009.

Zhang, J et al. Insurance Status and Quality of Diabetes Care in Community Health Centers. American Journal of Public Health, 2009.

Gold R et al. Insurance Continuity and Receipt of Diabetes Preventive Care in a Network of Federally Qualified Health Centers. Med Care, 2009.

Cummings et al. The Effects of Varying Periods of Uninsurance on Children???s Access to Health Care. Pediatrics, 2009.

Perry, M. Reducing Enrollee Churning in Medicaid, Child Health Plus and Family Health Plus: Findings from Eight Focus Groups. NY Health Fdn., 2009.

Sommers, B. Loss Of Health Insurance Among Non-Elderly Adults In Medicaid. Journal of General Internal Medicine, 2009.

Czajka JL, Mabli J. Analysis of transition events in health insurance coverage: Final report. Mathematica Policy Research, 2009.


Hall AG et al. Lapses in Medicaid coverage: Impact on cost and utilization among individuals with diabetes. Medical Care, 2008.

Fairbrother G, Schuchter J. Stability and Churning in Medi-Cal and Healthy Families. The California Endowment, 2008.


Sommers BD. Why Millions of Children Eligible for Medicaid and SCHIP are Uninsured: Poor Retention Versus Poor Take-Up. Health Affairs, 2007.

Fairbrother GL, Emerson HP, Partridge L. How Stable Is Medicaid Coverage For Children? Health Affairs, 2007.


Harman JS, et al. Changes in health care use and costs after a break in Medicaid coverage among persons with depression. Psychiatric Services, 2008.

Shulmna S, Rosenbach M, Kuo S. SCHIP at 10: A Synthesis of the Evidence on Retention. Mathematica Policy Research, 2006.

Carlson et al. Short-Term Impacts of Coverage Loss in a Medicaid Population. Annals of Family Medicine, 2006.

Boozang P, Braslow L, Fiori A. Coverage Gaps Undermine the Managed Care System and Continuity of Care for the Chronically Ill. Manatt, 2006.


Boozang P, Braslow L, Fiori A. Coverage Gaps Undermine the Managed Care System and Continuity of Care for the Chronically Ill. Manatt, 2006.

Satchell MS, Pati S. Insurance Gaps Among Vulnerable Children in the United States, 1999-2001. Pediatrics, 2005.

Sommers, Benjamin D. The Impact of Program Structure on Childrens Disenrollment from Medicaid and SCHIP. Health Affairs, 2005.

Redmond, P. Medicaid & SCHIP Retention in Challenging Times: Strategies from Managed Care Organizations. Center on Budget & Policy Priorities, 2005.

Fairbrother, Gerry. How Much Does Churning in Medi-Cal Cost? The California Endowment and The Commonwealth Fund, 2005.

Sommers, Benjamin D. From Medicaid to Uninsured: Drop-Out among Children in Public Insurance Programs. Health Services Research, 2005.

Olson et al. Children in the United States with Discontinuous Health Insurance Coverage. NEJM, 2005.


Landon B, Schneider E, Tobias C, Epstein A. The Evolution of Quality Management in Medicaid Managed Care. Health Affairs, 2004.

Fairbrother G et al. Costs of Enrolling Children in Medicaid and SCHIP. Health Affairs, 2004.


Lipson K, et. al. Rethinking Recertification: Keeping Eligible Individuals Enrolled in N.Y.’s Public Health Ins. Program. Commonwealth Fund, 2003.


Irvin, C. et al. Discontinuous Coverage in Medicaid and Implications for 12-Month Continuous Coverage. Mathematica Policy Research, 2001.