{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:27:29Z","timestamp":1789568849696,"version":"build-2803163510"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000905","name":"Commonwealth Fund","doi-asserted-by":"publisher","award":["20223884"],"award-info":[{"award-number":["20223884"]}],"id":[{"id":"10.13039\/100000905","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014848","name":"Arnold Ventures","doi-asserted-by":"publisher","award":["21-06541"],"award-info":[{"award-number":["21-06541"]}],"id":[{"id":"10.13039\/100014848","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Medicare enrollment is complex, particularly for low-income individuals who are dually eligible for Medicare and Medicaid, and the wrong plan choice can adversely impact beneficiaries\u2019 out-of-pocket costs and access to providers and medications. The State Health Insurance Assistance Program (SHIP) is a federal program that provides counseling on Medicare coverage, but the degree to which SHIP services are accessible to low-income beneficiaries is unknown. We interviewed SHIP counselors and coordinators to characterize factors affecting access to and quality of SHIP services for low-income beneficiaries. Availability of volunteers was cited as the primary barrier to SHIP services. Topics related to dual eligibility for Medicare and Medicaid were frequently covered in counseling sessions, and staff expressed a desire for more training related to Medicaid and integrated-care programs. Our results suggest that additional counselors and increased training on topics relevant to dually eligible individuals may improve SHIP's ability to provide health insurance\u2013related information to low-income Medicare beneficiaries.<\/jats:p>","DOI":"10.1093\/haschl\/qxae072","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T15:59:58Z","timestamp":1716307198000},"source":"Crossref","is-referenced-by-count":5,"title":["Access to insurance navigation support through the State Health Insurance Assistance Program (SHIP)"],"prefix":"10.1093","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8986-3536","authenticated-orcid":false,"given":"Melissa M","family":"Garrido","sequence":"first","affiliation":[{"name":"Partnered Evidence-based Policy Resource Center, Boston VA Healthcare System , Boston, MA 02130 , United States"},{"name":"Department of Health Law, Policy & Management, Boston University School of Public Health , Boston, MA 02118 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5322-6489","authenticated-orcid":false,"given":"David","family":"Biko","sequence":"additional","affiliation":[{"name":"Partnered Evidence-based Policy Resource Center, Boston VA Healthcare System , Boston, MA 02130 , United States"},{"name":"Department of Health Law, Policy & Management, Boston University School of Public Health , Boston, MA 02118 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0307-3853","authenticated-orcid":false,"given":"Allison","family":"Dorneo","sequence":"additional","affiliation":[{"name":"Partnered Evidence-based Policy Resource Center, Boston VA Healthcare System , Boston, MA 02130 , United States"},{"name":"Department of Health Law, Policy & Management, Boston University School of Public Health , Boston, MA 02118 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0654-5821","authenticated-orcid":false,"given":"Paul R","family":"Shafer","sequence":"additional","affiliation":[{"name":"Partnered Evidence-based Policy Resource Center, Boston VA Healthcare System , Boston, MA 02130 , United States"},{"name":"Department of Health Law, Policy & Management, Boston University School of Public Health , Boston, MA 02118 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin B","family":"Frakt","sequence":"additional","affiliation":[{"name":"Partnered Evidence-based Policy Resource Center, Boston VA Healthcare System , Boston, MA 02130 , United States"},{"name":"Department of Health Law, Policy & Management, Boston University School of Public Health , Boston, MA 02118 , United States"},{"name":"Department of Health Policy and Management, Harvard TH Chan School of Public Health , Boston, MA 02115 , United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"2024062116472381300_qxae072-B1"},{"issue":"4","key":"2024062116472381300_qxae072-B2","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1093\/ppar\/prab021","article-title":"Making Medicare complicated: how privatizing Medicare is increasing administrative burden for beneficiaries","volume":"31","author":"Herd","year":"2021","journal-title":"Public Policy Aging Rep"},{"key":"2024062116472381300_qxae072-B3","author":"Administration for Community Living"},{"key":"2024062116472381300_qxae072-B4","author":"Colello"},{"key":"2024062116472381300_qxae072-B5"},{"key":"2024062116472381300_qxae072-B6"},{"key":"2024062116472381300_qxae072-B7","author":"Janoski"},{"issue":"2","key":"2024062116472381300_qxae072-B8","doi-asserted-by":"crossref","first-page":"e46","DOI":"10.37765\/ajmc.2024.89500","article-title":"Potential inequities in access to 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Interview Survey, 1997\u20132017","volume":"110","author":"Wolfe","year":"2020","journal-title":"Am J Public Health"},{"key":"2024062116472381300_qxae072-B17","author":"Henning-Smith"},{"issue":"5","key":"2024062116472381300_qxae072-B18","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1377\/hlthaff.2022.01321","article-title":"Enrollment and characteristics of dual-eligible Medicare and Medicaid beneficiaries in integrated care programs","volume":"42","author":"Velasquez","year":"2023","journal-title":"Health Aff (Millwood)"},{"key":"2024062116472381300_qxae072-B19","volume-title":"Report to Congress on Medicaid and CHIP","author":"Medicaid and CHIP Payment and Access Commission","year":"2020"}],"container-title":["Health Affairs 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