Medicaid Enrollment and Health Services Access by Latino Children in Inner-City Los Angeles

Published In: JAMA, The Journal of the American Medical Association, v. 227, no. 8, Feb. 26, 1997, p. 636-641

Posted on RAND.org on January 01, 1997

by Neal Halfon, David L. Wood, R. Burciaga Valdez, Margaret Pereyra, Naihua Duan

Read More

Access further information on this document at jama.jamanetwork.com

This article was published outside of RAND. The full text of the article can be found at the link above.

Using data on insurance, access, and utilization from a household survey of 817 families with young Latino children, the authors found that while most (84%) young Latino children in inner-city Los Angeles were eligible for Medicaid, a substantial proportion (39%) have episodic or no coverage. Insurance status and provider type were more consistently associated with access than were residency and language preference. In the aftermath of California's Proposition 187 and federal welfare reform, insurance status and access are likely to worsen for these young children.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/principles.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.