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

  • Barbara Wolfe

    (University of Wisconsin-Madison)

  • Scott Scrivner

    (Public|Private Ventures)

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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File URL: http://hdl.handle.net/10.1002/pam.20112
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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
Contact details of provider: Web page: http://www3.interscience.wiley.com/journal/34787/home

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