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Under-Reporting of Medicaid and Welfare in the Current Population Survey

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  • Jacob Alex Klerman
  • Jeanne S. Ringel
  • Elizabeth Roth

Abstract

Conventional estimates of the number of uninsured Californians are derived from the Current Population Survey (CPS). Unfortunately, CPS estimates of the number of people receiving Medi-Cal and welfare (AFDC/CalWORKs) are well below the numbers implied by official Medi-Cal records, suggesting that the conventional estimates of the number of uninsured Californians (and their characteristics) are seriously flawed. To improve understanding of these issues, the California HealthCare Foundation (through its then separate the Medi-Cal Policy Institute-MCPI) and the U.S. Department of Health and Human Services, Administration for Children and Families (DHHS-ACF) funded RAND to match CPS data to individual-level administrative data for the Medi-Cal program. With the cooperation of the California Department of Health Services (CDHS), the U.S. Bureau of the Census, and the California Census Research Data Center (CCRDC), that match was performed. This document describes the findings of the analysis of those matched data.

Suggested Citation

  • Jacob Alex Klerman & Jeanne S. Ringel & Elizabeth Roth, 2005. "Under-Reporting of Medicaid and Welfare in the Current Population Survey," Working Papers WR-169-3, RAND Corporation.
    • Handle: RePEc:ran:wpaper:wr-169-3
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    References listed on IDEAS

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    1. David Card & Andrew K. G. Hildreth & Lara D. Shore-Sheppard, 2001. "The Measurement of Medicaid Coverage in the SIPP: Evidence from California, 1990-1996," NBER Working Papers 8514, National Bureau of Economic Research, Inc.
    2. David M. Cutler & Jonathan Gruber, 1996. "Does Public Insurance Crowd out Private Insurance?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 391-430.
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    Cited by:

    1. Mark Duggan & Atul Gupta & Emilie Jackson, 2022. "The Impact of the Affordable Care Act: Evidence from California's Hospital Sector," American Economic Journal: Economic Policy, American Economic Association, vol. 14(1), pages 111-151, February.
    2. Chris Herbst & David Stevens, 2010. "The Impact of Local Labor Market Conditions on Work and Welfare Decisions: Revisiting an Old Question Using New Data," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 29(4), pages 453-479, August.
    3. Dobrescu, L.I. & Smith, J.P., 2016. "The HRS Around the World Surveys," Handbook of the Economics of Population Aging, in: Piggott, John & Woodland, Alan (ed.), Handbook of the Economics of Population Aging, edition 1, volume 1, chapter 0, pages 993-1018, Elsevier.
    4. Rosemary Hyson & Alice Zawacki, 2008. "Health-Related Research Using Confidential U.S. Census Bureau Data," Working Papers 08-21, Center for Economic Studies, U.S. Census Bureau.
    5. Tara Watson, 2014. "Inside the Refrigerator: Immigration Enforcement and Chilling Effects in Medicaid Participation," American Economic Journal: Economic Policy, American Economic Association, vol. 6(3), pages 313-338, August.
    6. Johnson, Anna D. & Herbst, Chris M., 2013. "Can we trust parental reports of child care subsidy receipt?," Children and Youth Services Review, Elsevier, vol. 35(6), pages 984-993.
    7. Nathan Berg & Todd Gabel, 2013. "Effects of New Welfare Reform Strategies on Welfare Participation: Microdata Estimates from Canada," Working Papers 1304, University of Otago, Department of Economics, revised Feb 2013.
    8. Renuka Bhaskar & James Noon & Brett O'Hara & Victoria Velkoff, 2016. "Medicare Coverage and Reporting," CARRA Working Papers 2016-12, Center for Economic Studies, U.S. Census Bureau.
    9. Xiaoning Huang & Neeraj Kaushal & Julia Shu-Huah Wang, 2021. "What Explains the Gap in Welfare Use Among Immigrants and Natives?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(4), pages 819-860, August.
    10. Stith Sarah S., 2022. "Effects of work requirements for food assistance eligibility on disability claiming," IZA Journal of Labor Economics, Sciendo & Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 11(1), pages 1-31, January.
    11. Xiaoning Huang & Neeraj Kaushal & Julia Shu-Huah Wang, 2020. "What Explains the Gap in Welfare Use among Immigrants and Natives?," NBER Working Papers 27811, National Bureau of Economic Research, Inc.
    12. Jeanne S. Ringel & Jacob Alex Klerman, 2005. "Today or Last Year? How Do Interviewees Answer the CPS Health Insurance Questions?," Working Papers 288, RAND Corporation.
    13. Jeanne S. Ringel & Jacob Alex Klerman, 2005. "Today or Last Year? How Do Interviewees Answer the CPS Health Insurance Questions?," Working Papers WR-288, RAND Corporation.
    14. James M. Noon & Leticia E. Fernandez & Sonya R. Porter, 2016. "Response Error & the Medicaid undercount in the CPS," CARRA Working Papers 2016-11, Center for Economic Studies, U.S. Census Bureau.
    15. Bilal Habib, 2018. "How CBO Adjusts for Survey Underreporting of Transfer Income in Its Distributional Analyses: Working Paper 2018-07," Working Papers 54234, Congressional Budget Office.

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