Many families may face sharply higher costs if public health insurance for their children is rolled back

Health Affairs

Volumn 34, Issue 4, 2015, Pages 697-706

  Selden, Thomas M ^a   Dubay, Lisa ^b   Edward Miller, G ^a   Vistnes, Jessica ^c   Buettgens, Matthew ^b   Kenney, Genevieve M ^b  

^a AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

^b URBAN INSTITUTE   (United States)

^c Center for Financing Access and Cost Trends   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CHILD; EMPLOYEE; EMPLOYER; GOVERNMENT; HEALTH CARE COST; HEALTH CARE POLICY; HUMAN; INCOME; MEDICAID; PARENT; POVERTY; PUBLIC HEALTH INSURANCE; CHILD HEALTH CARE; ECONOMICS; HEALTH CARE DELIVERY; HEALTH INSURANCE; LEGISLATION AND JURISPRUDENCE; ORGANIZATION AND MANAGEMENT; UNITED STATES; UTILIZATION;

CHILD; CHILD HEALTH SERVICES; ELIGIBILITY DETERMINATION; HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE, HEALTH; MEDICAID; PARENTS; PATIENT PROTECTION AND AFFORDABLE CARE ACT; UNITED STATES;

EID: 84929623153     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2015.0003     Document Type: Article

References (24)

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2. It is generally assumed that CHIPfunded Medicaid programs for children will continue as Medicaid programs. See, for example, Notes 1 and 3.
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16. These estimates were based on the June 2014 report by the Medicaid and CHIP Payment and Access Commission (MACPAC; see Note 1) and were produced for MACPAC by AHRQ using 2005-10 data from MEPS with 2014 eligibility simulated with PUBSIM. For a more detailed treatment, see Hudson J, Hill SC, Selden TM. If rollbacks go forward, up to fourteen million children could become ineligible for public or subsidized coverage by 2019. Health Aff (Millwood). 2015;34(5). Forthcoming.
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20. These children could enroll in Marketplace coverage. However, their families would have to pay for both the employee contribution to selfonly coverage and premiums for coverage in the Marketplace. The families' costs are limited in the Marketplace to a certain percentage of income, but the premiums paid for employer coverage do not count toward that total. Thus, those with such split coverage would sometimes pay more than they would if the whole family were enrolled in Marketplace coverage.
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