Download Data Needs for the State Children's Health Insurance Program by National Research Council, Division of Behavioral and Social PDF

By National Research Council, Division of Behavioral and Social Sciences and Education, Committee on National Statistics, Panel for the Workshop on the State Children's Health Insurance Program, Earl S. Pollack, Arleen Leibowitz

ISBN-10: 0309084636

ISBN-13: 9780309084635

ISBN-10: 030950239X

ISBN-13: 9780309502399

The kingdom kid's medical health insurance software (SCHIP) used to be validated through Congress to supply medical health insurance to uninsured childrens whose kin source of revenue was once too excessive for Medicaid assurance yet too low to permit the relatives to acquire deepest medical health insurance assurance. The permitting laws for SCHIP, integrated within the Balanced funds Act of 1997, made to be had to states (and the District of Columbia) virtually $40 billion over a 10-year interval for this application. Like Medicaid, SCHIP is a joint federal-state software, with investment from either resources, however it is carried out via the states. therefore, there are SCHIP courses in all the states and the District of Columbia.

The nationwide learn Council, in the course of the Committee on nationwide information, used to be requested to discover a number of the ways that information research might be used to advertise fulfillment of the SCHIP objective of increasing medical insurance assurance for uninsured little ones from low-income households. to notify its paintings, the panel for this venture held a workshop to compile kingdom SCHIP officers and researchers to percentage findings and techniques that might tell the layout, implementation, and evaluate of SCHIP on the country and nationwide degrees. based on this cost, this document is proscribed to discussions on the workshop. It doesn't try to supply a precis of all of the kingdom courses nor a finished evaluate of the literature.

Data wishes for the nation kid's medical health insurance Program concludes that info are inadequate within the person states to supply a transparent photo of the effect of SCHIP at the variety of teenagers who're eligible for this system, the speed at which eligible childrens are enrolled within the application, and the speed at which they're retained within the software as soon as enrolled. this case is due, partially, to the truth that pattern sizes in nationwide surveys are too small to supply designated info for person states. furthermore, the nice volume of circulate of youngsters between medical health insurance categories-Medicaid, SCHIP, deepest assurance, or no coverage at all-makes it tricky for states to count number the variety of kids in particular different types at a specific element in time.

The panel specifies a couple of practices which may be carried out to enhance the general functioning of SCHIP and the power of coverage makers to judge this system. most excellent between those are: (1) constructing extra uniform methods of estimating eligibility and medical insurance insurance one of the states; (2) sharing one of the states powerful equipment for outreach; (3) taking qualitative details under consideration, as well as quantitative info, in assessing version between states in enrollment and disenrollment; and (4) enforcing longitudinal reviews to trace the circulate of kids one of the quite a few assurance statuses.

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5 Cross-Cutting Issues C ollaboration among state SCHIP programs is an important way to expand knowledge about effective ways of, and problems in, administering SCHIP programs. The workshop itself was evidence of this. More generally, a number of issues common to most SCHIP programs would be informed by cross-fertilization among the states. The development of common approaches could benefit many of the state programs. ANALYTICAL ISSUES Estimating eligibility, enrollment, disenrollment, and more generally, understanding how children (and families) move among the different insurance categories—SCHIP, Medicaid, private insurance, or no insurance at all—are common goals of the SCHIP programs across the states.

Implementing presumptive eligibility on the basis of self-reporting of income, with income auditing, using sample-based auditing as a way to measure and limit error rates in enrollment. • Continuing to apply lessons learned in SCHIP outreach to improve Medicaid outreach. • States should consider using the school lunch program and the Special Supplemental Nutrition Program for Women, Infants, and Children to target SCHIP-eligible children. 4 Disenrollment M any states are experiencing high rates of disenrollment from their SCHIP programs, yet it is not clear if these rates reflect dissatisfaction with the program by participants, changes in income limits that cause participants to lose SCHIP eligibility, participants moving to private insurance, or deficiencies in the administration of the program.

Thus, there is much movement among the insurance statuses. Marilyn Ellwood cautioned that, while assessing retention in SCHIP is important, the problems of retention in Medicaid should not be ignored. She points out that there are seven times as many children on Medicaid than are covered by SCHIP. The churning of applicants among insurance statuses is not tracked by most states, and longitudinal record systems do not appear to be prevalent. Holmes reported that Michigan has begun selecting monthly samples of new enrollees and then following them over time to be able to track changes in their insurance status and changes in factors that affect insurance eligibility, such as increases or decreases in income.

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