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

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

The country kid's medical insurance application (SCHIP) used to be verified through Congress to supply medical health insurance to uninsured little ones whose kinfolk source of revenue used to be too excessive for Medicaid insurance yet too low to permit the family members to procure deepest medical health insurance assurance. The allowing laws for SCHIP, integrated within the Balanced price range Act of 1997, made to be had to states (and the District of Columbia) nearly $40 billion over a 10-year interval for this application. Like Medicaid, SCHIP is a joint federal-state application, with investment from either resources, however it is applied via the states. therefore, there are SCHIP courses in all the states and the District of Columbia.

The nationwide learn Council, during the Committee on nationwide information, was once 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 youngsters from low-income households. to notify its paintings, the panel for this undertaking held a workshop to compile nation SCHIP officers and researchers to percentage findings and techniques that may tell the layout, implementation, and review of SCHIP on the nation and nationwide degrees. according to this cost, this record is restricted to discussions on the workshop. It doesn't try to supply a precis of all of the nation courses nor a finished evaluate of the literature.

Data wishes for the country kid's medical health insurance Program concludes that facts are inadequate within the person states to supply a transparent photo of the effect of SCHIP at the variety of young children 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 application as soon as enrolled. this example is due, partly, to the truth that pattern sizes in nationwide surveys are too small to supply targeted facts for person states. moreover, the nice volume of circulate of kids between medical health insurance categories-Medicaid, SCHIP, inner most coverage, or no assurance at all-makes it tough for states to count number the variety of childrens in particular different types at a specific element in time.

The panel specifies a few practices that may be applied to enhance the final functioning of SCHIP and the power of coverage makers to judge this system. best between those are: (1) constructing extra uniform methods of estimating eligibility and medical insurance assurance one of the states; (2) sharing one of the states potent equipment for outreach; (3) taking qualitative info under consideration, as well as quantitative info, in assessing edition between states in enrollment and disenrollment; and (4) enforcing longitudinal stories to trace the circulation of kids one of the a number of coverage statuses.

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Department of Health and Human Services. A total of 51 focus groups were to be conducted in 9 states throughout summer 2001. Focus groups were to be conducted with parents of children who were eligible for Medicaid or SCHIP but not enrolled, those who were enrolled, and those who disenrolled from these programs. The study also included focus groups with low-income privately insured families. The complex study design was presented, emphasizing the focus groups convened with parents of children who have disenrolled from Medicaid and SCHIP programs.

As a result, Michigan has refined its efforts toward media blitzes and coordinates efforts among different departments. Mary Alice Lee, Children’s Health Council Title: Connecticut’s HUSKY Program: Using Data to Improve Enrollment and Retention As lead agency for the Robert Wood Johnson Foundation-funded Covering Kids initiative, the Children’s Health Council tracks enrollment in Connecticut’s children’s health insurance program, Healthcare for UninSured Kids and Youth (HUSKY). HUSKY Part A is a Medicaid managed care program that covers children under 19 in families with income under 185 percent of the federal poverty level.

EVALUATION ISSUES In December 2000, the Office of the Assistant Secretary for Planning and Evaluation of the Department of Health and Human services issued a contract for a congressionally mandated study to evaluate the impact of the SCHIP (Mathematica Policy Research, 2002). The study was to include 26 DATA NEEDS FOR STATE CHILDREN’S HEALTH INSURANCE PROGRAM 10 states that would have some degree of national representation. , it also includes plans to address access to health care and utilization of health services.

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