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| Name | Class |
|---|---|
| New Jersey Health Foundation | OTHER |
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The study introduces a bedside intervention assisting families with the enrollment or re-enrollment process through patient direct contact with NJFamily Care and financial departments, using an emergency department (ED)-based navigator tool. The primary objective is to identify the barriers contributing to the lack of insurance coverage through NJ Family Care coverage using a brief survey with the parents of children who are treated in the ED and identified as uninsured, and to study the effect of a bedside intervention designed to assist families with the enrollment or re-enrollment process.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bedside intervention and support | Experimental | A bedside intervention assisting families with the enrollment or re-enrollment process through patient direct contact with NJFamily Care and local financial departments, using an ED-based navigator tool. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Navigation through financial systems and linkage to resources | Other | Navigation through financial systems and linkage to resources to connect families and ultimately help them gain access to insurance for the pediatric patient. |
| Measure | Description | Time Frame |
|---|---|---|
| Barriers to medicaid enrollment or reenrollment | Outcome of questionnaire regarding barriers expressed as percentage of participants who identified each barrier | Survey is completed upon enrollment |
| Rate of Successful Medicaid Enrollment or Re-enrollment Approval | The proportion of the enrolled participants who reported approval for Medicaid coverage. This outcome measures the ultimate success of the intervention of re-establishing health insurance. | Assessed via participant follow-up call or review of the electronic health record at 90 days post-intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Enrollment in Temporary Insurance Coverage | The proportion of participants who, after receiving additional assistance, were successfully enrolled in a temporary or bridge insurance plan, known as presumptive eligibility. This measures the intervention's success in providing a safety net for families during the Medicaid application waiting period. | Assessed via participant follow-up within 10 days (+/- 5 days) post-intervention and/or chart review. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Daisy Negron, MBA, BSN, RN | Contact | 551-996-3206 | Daisy.Negron@hmhn.org |
| Name | Affiliation | Role |
|---|---|---|
| Karen Eigen, MD, MPH | Hackensack Meridian Health | Principal Investigator |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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