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The devil may be in the details: How the characteristics of SCHIP programs affect take‐up
Author(s) -
Wolfe Barbara,
Scrivner Scott
Publication year - 2005
Publication title -
journal of policy analysis and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.898
H-Index - 84
eISSN - 1520-6688
pISSN - 0276-8739
DOI - 10.1002/pam.20112
Subject(s) - medicaid , outreach , affect (linguistics) , asset (computer security) , current population survey , population , poverty , business , state (computer science) , actuarial science , psychology , medicine , economic growth , environmental health , economics , health care , computer security , communication , algorithm , computer science
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