Predicting Eligibility Gaps in CHIP Using BigQuery ML and Snowflake External Functions

Authors

  • Parth Jani IT Project Manager at Molina HealthCare, USA. Author

DOI:

https://doi.org/10.63282/3050-9246.IJETCSIT-V3I2P105

Keywords:

CHIP, eligibility gaps, BigQuery ML, Snowflake, external functions, SQL-based ML, gap-filling models, predictive analytics, healthcare lapses, Medicaid churn

Abstract

Using SQL-based ML technologies specifically, Google Big Query ML & Snowflake External Functions this study explores the latest approach for identifying & projecting their eligibility gaps in the Children's Health Insurance Program (CHIP). The primary goal is to enhance their public health projections by means of their proactive identification of those at risk of losing CHIP coverage resulting from administrative mistakes, changeable income, or inadequate documentation. By integrating demographic data and structured healthcare into Big Query, one may immediately train machine learning models within SQL environments, hence removing traditional data engineering limitations and accelerating model deployment. Concurrent with this, Snowflake External Functions enabled simple access to third-party APIs and cloud services, hence improving contextual insights and supporting dynamic rule application. By means of their combined usage, these systems provide a scalable and affordable method to expose trends and risk indicators often hidden within large-scale statistics. Our results suggest that this paradigm might effectively predict potential eligibility interruptions, hence allowing more timely interventions and legislative changes. The study emphasizes the increasing importance of SQL-based ML technology in public sector projects, especially in situations where time-sensitive decisions influence their vulnerable groups. By allowing data analysts to work within familiar environments, these technologies democratize their access to advanced analytics & thereby support fast & informed decision-making in healthcare systems. This work argues for data-native, ML-driven approaches in public health management, therefore improving a proactive, data-informed model of care continuity

Downloads

Download data is not yet available.

References

[1] Dageville, Benoit, et al. "The snowflake elastic data warehouse." Proceedings of the 2016 International Conference on Management of Data. 2016.

[2] Mucchetti, Mark. BigQuery for Data Warehousing. 2020.

[3] Ali Asghar Mehdi Syed. “Impact of DevOps Automation on IT Infrastructure Management: Evaluating the Role of Ansible in Modern DevOps Pipelines”. JOURNAL OF RECENT TRENDS IN COMPUTER SCIENCE AND ENGINEERING ( JRTCSE), vol. 9, no. 1, May 2021, pp. 56–

[4] Goss, Raymond, and Lokesh Subramany. "Journey to a Big Data Analysis Platform: Are we there yet?." 2021 32nd Annual SEMI Advanced Semiconductor Manufacturing Conference (ASMC). IEEE, 2021.

[5] Jain, Shrainik. Learning from SQL: Database Agnostic Workload Management. Diss. 2019.

[6] Cloud, Securing Your Snowflake Data, Ben Herzberg, and Yoav Cohen. "Snowflake Security."

[7] Atluri, Anusha. “The Autonomous HR Department: Oracle HCM’s Cutting-Edge Automation Capabilities”. International Journal of Emerging Trends in Computer Science and Information Technology, vol. 3, no. 1, Mar. 2022, pp. 47-54

[8] Ronthal, A. M., Roxane Edjlali, and Rick Greenwald. "Magic Quadrant for Data Management Solutions for Analytics." Gartner, Inc. ID: G00326691 (2018): 1-39.

[9] Anand, Sangeeta, and Sumeet Sharma. “Hybrid Cloud Approaches for Large-Scale Medicaid Data Engineering Using AWS and Hadoop”. International Journal of Emerging Trends in Computer Science and Information Technology, vol. 3, no. 1, Mar. 2022, pp. 20-28

[10] Tang, Chunxu, et al. "Forecasting SQL query cost at Twitter." 2021 IEEE International Conference on Cloud Engineering (IC2E). IEEE, 2021.

[11] Beygenov, Askhat, et al. "Audubon Data Project Final Report." (2018).

[12] Armbrust, Michael, et al. "Delta lake: high-performance ACID table storage over cloud object stores." Proceedings of the VLDB Endowment 13.12 (2020): 3411-3424.

[13] Ali Asghar Mehdi Syed, and Shujat Ali. “Evolution of Backup and Disaster Recovery Solutions in Cloud Computing: Trends, Challenges, and Future Directions”. JOURNAL OF RECENT TRENDS IN COMPUTER SCIENCE AND ENGINEERING ( JRTCSE), vol. 9, no. 2, Sept. 2021, pp. 56-71

[14] Miranda, Serge. "FROM DATA BASE TO BIG DATA MANAGEMENT." (2019).

[15] Kenney, Genevieve M., et al. "Children eligible for Medicaid or CHIP: who remains uninsured, and why?." Academic Pediatrics 15.3 (2015): S36-S43.

[16] Vasanta Kumar Tarra, and Arun Kumar Mittapelly. “Future of AI & Blockchain in Insurance CRM”. JOURNAL OF RECENT TRENDS IN COMPUTER SCIENCE AND ENGINEERING ( JRTCSE), vol. 10, no. 1, Mar. 2022, pp. 60-77

[17] Gresenz, Carole Roan, et al. "Income eligibility thresholds, premium contributions, and children's coverage outcomes: a study of CHIP expansions." Health Services Research 48.2pt2 (2013): 884-904.

[18] Atluri, Anusha. “Extending Oracle HCM Cloud With Visual Builder Studio: A Guide for Technical Consultants ”. Newark Journal of Human-Centric AI and Robotics Interaction, vol. 2, Feb. 2022, pp. 263-81

[19] Saloner, Brendan, Stephanie Hochhalter, and Lindsay Sabik. "Medicaid and CHIP premiums and access to care: a systematic review." Pediatrics 137.3 (2016).

[20] Yasodhara Varma Rangineeni. “End-to-End MLOps: Automating Model Training, Deployment, and Monitoring”. JOURNAL OF RECENT TRENDS IN COMPUTER SCIENCE AND ENGINEERING ( JRTCSE), vol. 7, no. 2, Sept. 2019, pp. 60-76

[21] Brooks, Tricia, et al. "Medicaid and chip eligibility, enrollment, renewal, and cost sharing policies as of january 2017: Findings from a 50-state survey." Kaiser Family Foundation Report (2017).

[22] Pei, Zhuan. "Eligibility recertification and dynamic opt-in incentives in income-tested social programs: Evidence from Medicaid/CHIP." American Economic Journal: Economic Policy 9.1 (2017): 241-276.

Published

2022-06-30

Issue

Section

Articles

How to Cite

1.
Jani P. Predicting Eligibility Gaps in CHIP Using BigQuery ML and Snowflake External Functions. IJETCSIT [Internet]. 2022 Jun. 30 [cited 2025 Sep. 12];3(2):42-5. Available from: https://ijetcsit.org/index.php/ijetcsit/article/view/206

Similar Articles

11-20 of 213

You may also start an advanced similarity search for this article.