Resources
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Research
Continuing the Progress: Enrolling and Retaining Low-Income Families and Children in Health Care Coverage (PDF)
This guide by the Centers for Medicare and Medicaid Services (CMS)
provides information on federal rules to enroll and retain low-income
families and children in health care coverage.
- New Research Shows Simplifying Medicaid Can Reduce Children’s Hospitalizations
Leighton Ku, Center On Budget And Policy Priorities
June 2007
This brief reports on new research that indicates that increasing the continuity of children’s Medicaid coverage reduces subsequent hospitalizations for chronic health conditions like asthma or diabetes. The research—a new study conducted by Dr. Andrew Bindman and his associates at the University of California at San Francisco—indicates that improving the continuity of Medicaid coverage through 12-month continuous eligibility can improve children’s health and avert unnecessary hospitalization costs.
- The Impact of Program Structure on Children’s Disenrollment from Medicaid and SCHIP
Benjamin D. Sommers, Health Affairs
November 2005
This report reviews the impact of program structure on children’s disenrollment from Medicaid and SCHIP. It finds that states with combined Medicaid/SCHIP programs experience an annual dropout rate of 9.6 percent, compared with 13.9 percent in states with separate programs. Having separate programs increases the risk of drop out by 45 percent. The attached file is an abstract of the article. Order the publication on the publisher's Web site.
- The Effects of State Policy Design Features on Take-UP and Crowd-Out Rates for the State Children’s Health Insurance Program
Cynthia Bansak and Steven Raphael , Journal of Policy Analysis and Management
June 2005
This report reviews whether SCHIP programs that are separate from the state Medicaid program is associated have lower take-up rates. The authors found that separate programs were associated with take-up rates 8 to 10 percentage points lower than those for combined programs. The attached file is an abstract of the article. Order the publication on the publisher's Web site.
- Simplifying Children’s Medicaid And SCHIP
Karl Kronebusch and Brian Elbel, Health Affairs
May 2004
This report reviews whether a state using SCHIP funds for a Medicaid expansion has an enrollment advantage over a state that has a combination Medicaid/SCHIP program or a separate SCHIP program. The authors find that states using Medicaid expansions have higher enrollment levels—an increase of 2.7 percentage points compared with combination programs and 2 percentage points compared with separate SCHIP programs. These results may be due to the advantages Medicaid affords as an administrative model including the potential for better continuity and more seamless integration of enrollment for agency staff, who are required to screen SCHIP applicants for Medicaid eligibility, as well as for recipients who potentially shift between programs when family income changes. Finally, outreach efforts oriented around SCHIP will automatically apply to Medicaid under a Medicaid expansion.
- Enrolling Children in Public Insurance: SCHIP, Medicaid, and State Implementation
Karl Kronebusch and Brian Elbel, Journal of Health Politics, Policy and Law
January 2004
This report finds that states utilizing Medicaid expansions have higher enrollment levels—an increase of 2.7 percentage points compared to combination programs and an increase of 3.3 percentage points compared to separate SCHIP programs. The advantage for the Medicaid expansion is found at all levels of income and is a little larger for those with relatively higher incomes (i.e., between 50 and 250 percent of the federal poverty level), which is the opposite of the fear that higher income recipients would feel more anti-Medicaid stigma.
The attached file is an abstract of the article. Order the publication on the publisher's Web site.
- Making the Link: Strategies for Coordinating Publicly Funded Health Care Coverage for Children
Cindy Mann, Donna Cohen Ross and Laura Cox, Center on Budget and Policy Priorities
February 2000
Many states have expanded SCHIP coverage for children through a separate child health program, either exclusively or in combination with a Medicaid expansion. Each of these states, as well as those that create separate child health programs, needs to devise strategies for coordinating the new coverage program with Medicaid. This report discusses some administrative strategies, including one program name and enrollment simplifications, which could promote coordination.
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