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The Reality of SCHIP and Uninsureds: Do SCHIP Mandatory Wait Periods Increase the Uninsured Rolls?

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  • Nichols Donald

    (IMPAQ International)

  • Plotzke Michael

    (Abt Associates Inc.)

Abstract

Due to the low risk of not insuring a healthy child for a short, finite period of time, it's plausible that SCHIP mandatory wait periods, where a child must forgo private insurance for several months before enrolling in SCHIP, do not provide enough incentive for parents to keep their children enrolled in private insurance. Using data from the 1996 Survey of Income and Program Participation (SIPP), we find that children eligible for SCHIP in states with shorter mandatory wait periods are more likely to be uninsured during the six months following the implementation of SCHIP than children in states with no mandatory wait periods. These children also have lower preventative care utilization, but there is no difference in their acute care utilization or health after one year.

Suggested Citation

  • Nichols Donald & Plotzke Michael, 2008. "The Reality of SCHIP and Uninsureds: Do SCHIP Mandatory Wait Periods Increase the Uninsured Rolls?," Forum for Health Economics & Policy, De Gruyter, vol. 11(2), pages 1-32, October.
  • Handle: RePEc:bpj:fhecpo:v:11:y:2008:i:2:n:6
    DOI: 10.2202/1558-9544.1108
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    References listed on IDEAS

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    1. Blumberg, Linda J. & Dubay, Lisa & Norton, Stephen A., 2000. "Did the Medicaid expansions for children displace private insurance? An analysis using the SIPP," Journal of Health Economics, Elsevier, vol. 19(1), pages 33-60, January.
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    4. Glied, Sherry & Stabile, Mark, 2001. "Avoiding health insurance crowd-out: evidence from the medicare as secondary payer legislation," Journal of Health Economics, Elsevier, vol. 20(2), pages 239-260, March.
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    Keywords

    SCHIP; uninsured; crowd-out;
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