Trends: Why millions of children eligible for medicaid and SCHIP are uninsured: Poor retention versus poor take-up

Health Affairs

Volumn 26, Issue 5, 2007, Pages

  Sommers, Benjamin D ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ARTICLE; CHILD; CHILD HEALTH CARE; ECONOMICS; EPIDEMIOLOGY; HEALTH CARE POLICY; HUMAN; INFANT; MEDICAID; ORGANIZATION AND MANAGEMENT; PATIENT; PRESCHOOL CHILD; SOCIAL SECURITY; SOCIOECONOMICS; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ADOLESCENT; AID TO FAMILIES WITH DEPENDENT CHILDREN; CHILD; CHILD HEALTH SERVICES; CHILD, PRESCHOOL; ELIGIBILITY DETERMINATION; HEALTH CARE SURVEYS; HEALTH POLICY; HUMANS; INFANT; MEDICAID; MEDICALLY UNINSURED; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 35148825468     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.26.5.w560     Document Type: Article

References (34)

1. Office of Senator Orrin Hatch, "Hatch: 'CHIP Must Be Reauthorized," Press Release, 16 November 2006, http://hatch.senate.gov/ index.cfm?FuseAction=PressReleases.View&PressRelease_id=1688 (accessed 7 March 2007).
2. For example: "We hope to identify children and families eligible for Badger Care or Medical Assistance, and get them signed up," Wisconsin Gov. Jim Doyle, in Office of the Governor, "Governor Doyle, Well Point Foundation Launch Insuring Health Futures Initiative to Find Innovative Ways to Help Wisconsin's Uninsured," Press Release, 15 June 2004, http://www.wisgov.state.wi.us/journal_media_detail.asp?locid=19&prid=590 (accessed 7 March 2007).
3. "These 6 million eligible but unenrolled children are the target population for Medicaid and SCHIP outreach and enrollment activities. Because most live in working families, awareness of and experience with government programs may be limited. Streamlined and convenient enrollment procedures are essential," in J. Holahan, A. Cook, L. Dubay, "Characteristics of the Uninsured: Who Is Eligible for Public Coverage and Who Needs Help Affording Coverage?" (Menlo Park, Calif.: Henry J. Kaiser Family Foundation, 2007).
4. A 2007 congressional report recommends that states "conduct greater outreach and simplify their enrollment procedures" to "enroll eligible children who are uninsured;" the report does not mention SCHIP retention. Congressional Budget Office, "The State Children's Health Insurance Program" (Washington: CBO, 2007).
5. T.M. Selden, J.L. Hudson, and J.S. Banthin, "Tracking Changes in Eligibility and Coverage among Children, 1996-2002," Health Affairs 23, no. 5 (2004): 39-50;
6. and Holahan et al., "Characteristics of the Uninsured."
7. M. Ellwood and K. Lewis, "On and Off Medicaid: Enrollment Patterns for California and Florida in 1995" (Washington: Urban Institute, 1999);
8. E. Shenkman et al., "Disenrollment and Re-Enrollment Patterns in a SCHIP," Health Care Financing Review 23, no. 3 (2002): 47-63;
9. B.D. Sommers, "From Medicaid to Uninsured: Drop-Out among Children in Public Insurance Programs," Health Services Research 40, no. 1 (2005): 59-78;
10. and G.L. Fairbrother, H.P. Emerson, and L. Partridge, "How Stable Is Medicaid Coverage for Children?" Health Affairs 26, no. 2 (2007): 520-528.
11. Disenrollment is defined as loss of Medicaid/SCHIP coverage. It can be subdivided into three categories: acquiring other insurance, loss of eligibility, or "dropout" - becoming uninsured despite ongoing eligibility. Sommers, "From Medicaid to Uninsured."
12. L.M. Olson, S.F. Tang, and P.W. Newacheck, "Children in the United States with Discontinuous Health Insurance Coverage," New England Journal of Medicine 353, no. 4 (2005): 382-391;
13. J.R. Lave et al., "Impact of a Children's Health Insurance Program on Newly Enrolled Children," Journal of the American Medical Association 279, no. 22 (1998): 1820-1825;
14. and P.W. Newacheck et al., "Health Insurance and Access to Primary Care for Children," New England Journal of Medicine 338, no. 8 (1998): 513-519.
15. A. Burton, I. Friedenzohn, and E. Martinez-Vidal, "State Strategies to Expand Health Insurance Coverage" (New York: Commonwealth Fund, 2007).
16. Sommers, "FromMedicaid to Uninsured."
17. National Governors Association, "Maternal and Child Health Update" (Washington: NGA Center for Best Practices, 2000, 2001, 2002, and 2005);
18. D.C. Ross and L. Cox, "Preserving Recent Progress on Health Coverage for Children and Families: New Tensions Emerge" (Menlo Park, Calif.: Kaiser Family Foundation, 2003);
19. D.C. Ross and L. Cox, "Beneath the Surface: Barriers Threaten to Slow Progress on Expanding Health Coverage to Children and Families" (Menlo Park, Calif.: Kaiser Family Foundation, 2004);
20. and D.C. Ross and L. Cox, "In a Time of Growing Need: State Choices Influence Health Coverage Access for Children and Families" (Menlo Park, Calif.: Kaiser Family Foundation, 2005).
21. C.DeNavas-Walt, B.D. Proctor, and C.H. Lee, Income, Poverty, and Health Insurance Coverage in the United States: 2005 (Washington: U.S. Census Bureau, 2006).
22. D.C. Ross and L. Cox, "Making It Simple: Medicaid for Children and CHIP Income Eligibility Guidelines and Enrollment Procedures" (Menlo Park, Calif.: Kaiser Family Foundation, 2000);
23. and Ross and Cox, "Beneath the Surface."
24. B.D. Sommers, "The Impact of Program Structure on Children's Disenrollment from Medicaid and SCHIP," Health Affairs 24, no. 6 (2005): 1611-1618.
25. Ross and Cox, "Beneath the Surface."
26. D.C. Ross, "New Medicaid Citizenship Documentation Requirement Is Taking a Toll"(Washington: Center on Budget and Policy Priorities, 2007).
27. Selden et al., "Tracking Changes in Eligibility and Coverage";
28. and Holahan et al., "Characteristics of the Uninsured."
29. Ross and Cox, "In a Time of Growing Need."
30. A.W. Dick et al., "Consequences of States' Policies for SCHIP Disenrollment," Health CareFinancing Review 23, no. 3 (2002): 65-88.
31. Sommers, "From Medicaid to Uninsured."
32. Sommers, "The Impact of Program Structure."
33. B.D. Sommers, "Insuring Children or Insuring Families: Do Parental and Sibling Coverage Lead to Improved Retentionof Children in Medicaid?" Journal of Health Economics 25, no. 6 (2006): 1154-1169.
34. DeNavas-Walt et al., Income, Poverty, and Health Insurance Coverage.