scholarly journals How Did SCHIP Affect the Insurance Coverage of Immigrant Children?

2008 ◽  
Vol 8 (2) ◽  
Author(s):  
Thomas C Buchmueller ◽  
Anthony T Lo Sasso ◽  
Kathleen N Wong
Keyword(s):  
Insurance Coverage ◽  
Children Of Immigrants ◽  
Foreign Born ◽  
Public Insurance ◽  
Important Group ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Poor Families ◽  
Uninsured Children ◽  
Medicaid Expansions

Abstract The State Children's Health Insurance Program (SCHIP) significantly expanded public insurance eligibility and coverage for children in ``working poor" families. Despite this success, it is estimated that over 6 million children who are eligible for public insurance remain uninsured. An important first step for designing strategies to increase enrollment of eligible but uninsured children is to determine how the take-up of public coverage varies within the population. Because of their low rates of insurance coverage and unique enrollment barriers, children of immigrants are an especially important group to consider. We compare the effect of SCHIP eligibility on the insurance coverage of children of foreign-born and native-born parents. In contrast to research on the earlier Medicaid expansions, we find similar take-up rates for the two groups. This suggests that state outreach strategies were not only effective at increasing take-up overall, but were successful in reducing disparities in access to coverage.

scholarly journals The Impact of SCHIP on Insurance Coverage of Children

2005 ◽  
Vol 42 (3) ◽  
pp. 232-254 ◽  
Author(s):  
Julie L. Hudson ◽  
Thomas M. Selden ◽  
Jessica S. Banthin
Keyword(s):  
Medical Expenditure Panel Survey ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Medical Expenditure ◽  
Panel Survey ◽  
Public Insurance ◽  
Estimation Strategy ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Impact

In this paper we use the Medical Expenditure Panel Survey between 1996 and 2002 to investigate the impact of the State Children's Health Insurance Program (SCHIP) on insurance coverage for children. We explore a range of alternative estimation strategies, including instrumental variables and difference-in-trends models. We find that SCHIP had a significant impact in decreasing uninsurance and increasing public insurance for both children targeted by SCHIP and those eligible for Medicaid. With respect to changes in private coverage our results are less conclusive: some specifications resulted in no significant effect of SCHIP on private insurance coverage, while others showed significant decreases in private insurance. Associated estimates of SCHIP crowd-out had wide confidence intervals and were sensitive to estimation strategy.

scholarly journals Masyarakat Miskin dan Pelayanan Kesehatan di Kabupaten Bolaang Mongondow

Populasi ◽  
2016 ◽  
Vol 22 (1) ◽  
pp. 19-37
Author(s):  
Ferdinandus Kainakaimu
Keyword(s):  
Community Health Center ◽  
Health Condition ◽  
Access To Healthcare ◽  
Poor People ◽  
Internal Factors ◽  
Private Hospitals ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Poor Families ◽  
Rich People

Health condition in Bolaang Mongondow District specialy is categorized low compared to other more advanced regions. By using qualitative methods, this article clarifies poor families’ access to healthcare in Bolaang Mongondow and identifying internal and external difficulties in accessing one. The informants are categorizedas providers and clients of healthcare, specially poor families holding Askeskin (health insurance program for poor people) card that have experience in accessing healthcare in puskesmas (community health center). The result indicates that 1)poor family’s access to healthcare in Bolaang Mongondow is not yet optimum. When they were ill, the Askeskin holders should decide either to take care of themselves or seek for medical treatment from private hospitals. Ironically, some rich people get the Askeskin card also. The poor families sometimes were charged additional fees to cover such healthcare as childbearing and maternal and infant healthcare; 2) internal factors in accessing the healthcare (from Askeskin card holders themselves) and external factors that came from the providers of healthcare in giving services to poor families.Kondisi kesehatan di Kabupaten Bolaang Mongondow tergolong rendah dibandingkan dengan daerah lainnya. Dengan menggunakan metode kualitatif, artikel ini menjelaskan akses keluarga miskin terhadap layanan kesehatan di Kabupaten Bolaang Mongondow dan mengidentifikasi kesulitan internal dan eksternal ketika mengaksesnya. Informan adalah penyedia layanan dan kliennya, khususnya keluarga miskin pemegang Askeskin (program asuransi kesehatan untuk orang miskin). Hasil penelitian menunjukkan bahwa 1) akses keluarga miskin terhadap kesehatan di Bolaang Mongondow belum optimal. Ketika mereka sakit, pemegang Askeskin harus memutuskan apakah mengobati sendiri atau berobat rumah sakit swasta. Ironisnya, beberapa orang kaya mendapatkan kartu Askeskin juga. Keluarga miskin kadang-kadang dibebani biaya tambahan untuk menutup kesehatan, seperti kesehatan melahirkan anak dan ibu dan bayi. 2) Faktor internal dalam mengakses pelayanan kesehatan (dari pemegang kartu Askeskin) dan faktor eksternal yang berasal dari penyedia layanan kesehatan dalam memberikan pelayanan kepada masyarakat miskin keluarga

OMB Estimates Indicate That 900,000 Children Will Lose Health Insurance Due to Reductions in Federal Schip Funding

2003 ◽  
Vol 33 (2) ◽  
pp. 369-381 ◽  
Author(s):  
Edwin Park ◽  
Leighton Ku ◽  
Matthew Broaddus
Keyword(s):  
Health Insurance ◽  
Federal Funding ◽  
Bush Administration ◽  
The State ◽  
The Other ◽  
Fiscal Year ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Enrollment Decline ◽  
Uninsured Children

Despite the success of the State Children's Health Insurance Program (SCHIP) in reducing the ranks of uninsured children, the program now faces significant financing challenges. Analysis based on a model developed by the Centers for Medicare and Medicaid Services indicates that by 2007, 20 states will have insufficient federal funding to sustain their current programs, with the first states affected in 2004. As a result, the Office of Management and Budget projected last year that SCHIP enrollment will fall by 900,000 children between 2003 and 2007. The funding shortfalls are the result of several factors. Federal SCHIP funding fell by 26 percent—by more than $1 billion—in each of fiscal years 2002, 2003, and 2004; $1.2 billion in SCHIP funds has already expired and reverted to the Treasury at the end of fiscal year 2002, and another $1.5 billion will expire at the end of 2003. The SCHIP program also has a redistribution system with targeting and timing problems. However, proposed Congressional legislation restoring federal funding, extending the $2.7 billion in expiring funds, and targeting the funds to the states that most need them could avert most, if not all, of the projected enrollment decline. On the other hand, the Bush administration proposed to extend the expiring funds but does not target them to needy states; the proposal will do little to reduce the magnitude of the decline.

scholarly journals Insuring the Uninsured: Reducing the Barriers to Public Insurance

2015 ◽  
Author(s):  
Cynthia Saunders
Keyword(s):  
Health Insurance ◽  
Customer Service ◽  
Public Insurance ◽  
Public Programs ◽  
Benefit Design ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Barriers To Enrollment ◽  
Access To Medical Care ◽  
Gain Access

Health insurance is one of the essential enabling resources to gain access to medical care and ultimately increase health status. Over 11 million or one quarter of the nation’s uninsured individuals are eligible for Medicaid or the State Children’s Health Insurance Program (SCHIP), but are not enrolled. Interviews with 368 individuals from 1999 through 2003 identify eight primary barriers to enrollment in public insurance. These include: economic aspects of qualifying, lack of knowledge, benefit design of public programs, poor experiences and stigma, complexity and literacy, immigration status, poor customer service, and fear of fraud. These results suggest policy options alone are unlikely to result in reaching eligible uninsured individuals unless knowledge and instrumental support are offered to them about insurance.

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