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The devil may be in the details: How the characteristics of SCHIP programs affect take-up

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  • Barbara Wolfe

    (University of Wisconsin-Madison)

  • Scott Scrivner

    (Public|Private Ventures)

Abstract

In this paper, we explore whether the specific design of a state's program has contributed to its success in meeting two objectives of the Children's Health Insurance Program (SCHIP): increasing the health insurance coverage of children in lowerincome families and doing so with a minimum reduction in their private health insurance coverage (crowd-out). In our analysis, we use two years of Current Population Survey data, 2000 and 2001, matched with detailed data on state programs. We focus on two populations: the eligible population of children, broadly defined-those living in families with incomes below 300 percent of the federal poverty line (FPL)-and a narrower group of children, those who we estimate are eligible for Medicaid or SCHIP. Unique state program characteristics in the analysis include whether the state plan covers families; whether the state uses presumptive eligibility; the number of months without private coverage that are required for eligibility; whether there is an asset test; whether a face-to-face interview is required; and specific outreach activities. Our results provide evidence that state program characteristics are significant determinants of program success. © 2005 by the Association for Public Policy Analysis and Management

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Bibliographic Info

Article provided by John Wiley & Sons, Ltd. in its journal Journal of Policy Analysis and Management.

Volume (Year): 24 (2005)
Issue (Month): 3 ()
Pages: 499-522

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Handle: RePEc:wly:jpamgt:v:24:y:2005:i:3:p:499-522

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Web page: http://www3.interscience.wiley.com/journal/34787/home

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Cited by:
  1. James Marton & Patricia G. Ketsche & Mei Zhou, 2010. "SCHIP premiums, enrollment, and expenditures: a two state, competing risk analysis," Health Economics, John Wiley & Sons, Ltd., vol. 19(7), pages 772-791.
  2. Cynthia Bansak & Steven Raphael, 2007. "The effects of state policy design features on take-up and crowd-out rates for the state children's health insurance program," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 26(1), pages 149-175.
  3. David Zimmer, 2011. "The Effects of the State Children’s Health Insurance Program on Insurance Status and Health Care Utilization of Children," Journal of Family and Economic Issues, Springer, Springer, vol. 32(2), pages 373-383, June.
  4. Thomas Buchmueller & Anthony Lo Sasso & Kathleen Wong, 2007. "How Did SCHIP Affect the Insurance Coverage of Immigrant Children?," NBER Working Papers 13261, National Bureau of Economic Research, Inc.
  5. Sean Orzol & Linda Barterian & Michael Barna, 2012. "Proven Strategies in Health Care Coverage Program Outreach and Enrollment," Mathematica Policy Research Reports, Mathematica Policy Research 7819, Mathematica Policy Research.
  6. Marton, James & Yelowitz, Aaron, 2014. "Health Insurance Generosity and Conditional Coverage: Evidence from Medicaid Managed Care in Kentucky," MPRA Paper 57412, University Library of Munich, Germany.
  7. Sean Orzol, 2013. "Proven Strategies for Missouri Health Care Covergage: Program Outreach and Enrollment," Mathematica Policy Research Reports, Mathematica Policy Research 7810, Mathematica Policy Research.

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