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Evaluating Race and Hispanic Origin Responses of Medicaid Participants Using Census Data

Author

Listed:
  • Leticia E. Fernandez
  • Sonya Rastogi
  • Sharon R. Ennis
  • James M. Noon

Abstract

Health and health care disparities associated with race or Hispanic origin are complex and continue to challenge researchers and policy makers. With the intention of improving the measurement and monitoring of these disparities, provisions of the Patient Protection and Affordable Care Act (ACA) of 2010 require states to collect, report and analyze data on demographic characteristics of applicants and participants in Medicaid and other federally supported programs. By linking Medicaid records to 2010 Census, American Community Survey, and Census 2000, this new large-scale study examines and documents the extent to which pre-ACA Medicaid administrative records match self-reported race and Hispanic origin in Census data. Linked records allow comparisons between individuals with matching and non-matching race and Hispanic origin data across several demographic, socioeconomic and neighborhood characteristics, such as age, gender, language proficiency, education and Census tract variables. Identification of the groups most likely to have non-matching and missing race and Hispanic origin data in Medicaid relative to Census data can inform strategies to improve the quality of demographic data collected from Medicaid populations.

Suggested Citation

  • Leticia E. Fernandez & Sonya Rastogi & Sharon R. Ennis & James M. Noon, 2015. "Evaluating Race and Hispanic Origin Responses of Medicaid Participants Using Census Data," CARRA Working Papers 2015-01, Center for Economic Studies, U.S. Census Bureau.
    • Handle: RePEc:cen:cpaper:2015-01
    as

    Download full text from publisher

    File URL: https://www.census.gov/content/dam/Census/library/working-papers/2015/adrm/carra-wp-2015-01.pdf
    File Function: First version, 2015
    Download Restriction: no
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    References listed on IDEAS

    as
    1. Kressin, N.R. & Chang, B.-H. & Hendricks, A. & Kazis, L.E., 2003. "Agreement between Administrative Data and Patients' Self-Reports of Race/Ethnicity," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1734-1739.
    2. Mary E. Campbell & Christabel L. Rogalin, 2006. "Categorical Imperatives: The Interaction of Latino and Racial Identification," Social Science Quarterly, Southwestern Social Science Association, vol. 87(5), pages 1030-1052, December.
    3. Mary E. Campbell & Christabel L. Rogalin, 2006. "Categorical Imperatives: The Interaction of Latino and Racial Identification," Social Science Quarterly, Southwestern Social Science Association, vol. 87(s1), pages 1030-1052.
    4. J. Scott Brown & Steven Hitlin & Glen H. Elder, 2006. "The Greater Complexity of Lived Race: An Extension of Harris and Sim," Social Science Quarterly, Southwestern Social Science Association, vol. 87(2), pages 411-431, June.
    Full references (including those not matched with items on IDEAS)

    Citations

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    Cited by:

    1. Sharon R. Ennis & Sonya R. Porter & James M. Noon & Ellen Zapata, 2015. "When Race and Hispanic Origin Reporting are Discrepant Across Administrative Records and Third Party Sources: Exploring Methods to Assign Responses," CARRA Working Papers 2015-08, Center for Economic Studies, U.S. Census Bureau.

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