Crowd-Out in the State Children's Health Insurance Program (SCHIP): Incidence, Enrollee Characteristics and Experiences, and Potential Impact on New York's SCHIP
dc.contributor.author | Shone, Laura P. | en_US |
dc.contributor.author | Lantz, Paula M. | en_US |
dc.contributor.author | Dick, Andrew W. | en_US |
dc.contributor.author | Chernew, Michael E. | en_US |
dc.contributor.author | Szilagyi, Peter G. | en_US |
dc.date.accessioned | 2010-06-01T21:24:24Z | |
dc.date.available | 2010-06-01T21:24:24Z | |
dc.date.issued | 2008-02 | en_US |
dc.identifier.citation | Shone, Laura P.; Lantz, Paula M.; Dick, Andrew W.; Chernew, Michael E.; Szilagyi, Peter G. (2008). "Crowd-Out in the State Children's Health Insurance Program (SCHIP): Incidence, Enrollee Characteristics and Experiences, and Potential Impact on New York's SCHIP." Health Services Research 43(1p2): 419-434. <http://hdl.handle.net/2027.42/74467> | en_US |
dc.identifier.issn | 0017-9124 | en_US |
dc.identifier.issn | 1475-6773 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/74467 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18199194&dopt=citation | en_US |
dc.description.abstract | The extent to which the State Children's Health Insurance Program (SCHIP) crowds our private insurance is poorly understood. Objective . To assess the incidence of crowd-out and enrollee characteristics associated with crowd-out. Data . Parent telephone survey for 2,644 children after enrollment in NY SCHIP. Measures and Analyses . Crowd-out is measured based on enrollee reports of coverage (and loss of coverage) before SCHIP. Multivariate logistic regression is used to relate crowd-out to enrollee characteristics. Principal Findings . Only 7.1 percent of SCHIP enrollees dropped private coverage ≤6 months before SCHIP, suggesting relatively modest crowd-out. Crowd-out was associated with some enrollee traits including income, but not with health status. Implications . Most movement from private to public insurance in NY was not crowd-out. Under current program structure in NY, crowd-out concerns should not dampen enthusiasm for SCHIP. | en_US |
dc.format.extent | 116705 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.rights | © 2007 Health Research and Educational Trust | en_US |
dc.subject.other | Waiting Periods | en_US |
dc.subject.other | Crowd-out | en_US |
dc.subject.other | Substitution | en_US |
dc.subject.other | Uninsured Children | en_US |
dc.subject.other | Children's Health Insurance | en_US |
dc.subject.other | State Children's Health Insurance Program | en_US |
dc.subject.other | SCHIP | en_US |
dc.title | Crowd-Out in the State Children's Health Insurance Program (SCHIP): Incidence, Enrollee Characteristics and Experiences, and Potential Impact on New York's SCHIP | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Health Management and Policy, Faculty Associate, Institute for Social Research, University of Michigan, Ann Arbor, MI , | en_US |
dc.contributor.affiliationother | Pediatrics and Clinical Nursing, Department of Pediatrics, School of Nursing, and the Robert J. Haggerty Health Services Research Laboratories, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 777, Rochester, NY , | en_US |
dc.contributor.affiliationother | RAND Corporation, Pittsburgh, PA , | en_US |
dc.contributor.affiliationother | Department of Health Care Policy, Boston, MA and | en_US |
dc.contributor.affiliationother | Department of Pediatrics and Strong Children's Research Center, Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY | en_US |
dc.identifier.pmid | 18199194 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/74467/1/j.1475-6773.2007.00819.x.pdf | |
dc.identifier.doi | 10.1111/j.1475-6773.2007.00819.x | en_US |
dc.identifier.source | Health Services Research | en_US |
dc.identifier.citedreference | Agency for Healthcare Research and Quality. 1998a. “When Does Crowd-Out Occur?” [accessed May 2003]. Available at http://www.ahrq.gov/chip/content/crowd_out/crowd_out_define.htm | en_US |
dc.identifier.citedreference | Agency for Healthcare Research and Quality. 1998b. “Regulatory Guidance Regarding Crowd-Out under SCHIP” [accessed October 2002]. Available at http://www.ahrq.gov/chip/content/crowd_out/crowd_out_regulations.htm | en_US |
dc.identifier.citedreference | Allison, R. A., R. F. St Peter, C. C. Huang, and B. LaClair. 2003. Kansas Health Institute Research Brief: Do Children Enrolling in Public Health Insurance Have Other Options? Findings from the HealthWave Evaluation Project. KHI/RB 03-2. Topeka, KS: Kansas Health Institute. | en_US |
dc.identifier.citedreference | Alteras, T. T. 2001, “Understanding the Dynamics of Crowd-out: Defining Public/Private Coverage Substitution for Policy and Research” [accessed June 2003]. Available at http://www.hcfo.net/pdf/crowdout.pdf | en_US |
dc.identifier.citedreference | Balanced Budget Act of 1997—State Children's Health Insurance Program. Public Law 105-33 and 105-34. 10-1-1997. Title XXI of the Social Security Act. 4-8-2003. | en_US |
dc.identifier.citedreference | Blumberg, L. J. 2003. “ Balancing Efficiency and Equity in the Design of Coverage Expansions for Children.” Future of Children 13 ( 1 ): 205 – 211. | en_US |
dc.identifier.citedreference | Brach, C., E. M. Lewit, K. Van Landeghem, J. Bronstein, A. W. Dick, K. S. Kimminau, B. Laclair, E. Shenkman, L. P. Shone, N. Swigonski, P. G. Szilagy, and the Child Health Insurance Research Initiative. 2003. “ Who's Enrolled in the State Children's Health Insurance Program (SCHIP)? An Overview of Findings from the Child Health Insurance Research Initiative (CHIRI).” Pediatrics 112 ( 6, pt 2 ): e499. | en_US |
dc.identifier.citedreference | Call, K. T., N. Lurie, Y. Jonk, R. Feldman, and M. D. Finch. 1997. “ Who Is Still Uninsured in Minnesota? ” Journal of the American Medical Association 278 ( 14 ): 1191 – 1195. | en_US |
dc.identifier.citedreference | Centers for Medicare and Medicaid Services. 2003. “State Children's Health Insurance Program—Approved Plan Files” [accessed on September 20, 2007]. Available at http://www.cms.hhs.gov/LowCostHealthInsFamChild/SCHIPASPI/ | en_US |
dc.identifier.citedreference | Centers for Medicare and Medicaid Services. 2007. “New York Title XXI Program Fact Sheet, November 1997 to April 2007, Inclusive” [accessed on October 15, 2007]. Available at http://www.cms.hhs.gov/LowCostHealthInsFamChild/downloads/NYCurrentFactsheet.pdf | en_US |
dc.identifier.citedreference | Child and Adolescent Health Measurement Initiative (CAHMI). 2003. “Children with Special Health Care Needs: The CSHCN Screener” [accessed on November 13, 2007]. FAACT Legacy Documents, FAACT–The Foundation for Accountability, Portland, OR. Available at http://www.markle.org/resources/faact/doclibFiles/documentFile_466.pdf | en_US |
dc.identifier.citedreference | Congressional Budget Office. 2007. “Resuming the Path to Health Coverage for Children and Parents.” State Children's Health Insurance Program. Publication no. 2970; May; Kaiser Commission on Medicaid and the Uninsured. Available at http://www.kff.org/medicaid/upload/7608.pdf | en_US |
dc.identifier.citedreference | Davidson, G., L. A. Blewett, and K. T. Call. 2004. “Research Synthesis Report No. 5. Public Program Crowd-Out of Private Coverage: What Are the Issues?” [accessed August 2004]. Available at http://www.rwjf.org/publications/synthesis/reports_and_briefs/issue5.html | en_US |
dc.identifier.citedreference | Dick, A. W., R. A. Allison, S. G. Haber, C. Brach, and E. Shenkman. 2002. “ Consequences of States' Policies for SCHIP Disenrollment.” Health Care Financing Review 23 ( 3 ): 65 – 88. | en_US |
dc.identifier.citedreference | Dubay, L. 1999. Expansions in Public Health Insurance and Crowd Out: What the Evidence Says. The Kaiser Project on Incremental Health Reform. Washington, DC: The Urban Institute. | en_US |
dc.identifier.citedreference | Feinberg, E., K. Swartz, A. Zaslavsky, J. Gardner, and D. Klein Walker. 2001. “ Family Income and Crowd Out among Children Enrolled in Massachusetts Children's Medical Security Plan.” Health Services Research 36 ( 6, part II ): 45 – 63. | en_US |
dc.identifier.citedreference | Glied, S. 2002. “ ‘Crowd-Out and Public–Private Substitution,’ A Review of the Literature on Crowd-Out” [accessed July 2003]. Available at http://www.ins.state.il.us/spg/Qualitative_Research_Activities.htm | en_US |
dc.identifier.citedreference | Hughes, D., J. Angeles, and E. Stilling. 2002. Crowd-Out in the Healthy Families Program: Does It Exist? San Francisco: University of California Institute for Health Policy Studies. | en_US |
dc.identifier.citedreference | Ku, L., and D. C. Ross. 2002. Staying Covered: The Importance of Retaining Health Insurance for Low-Income Families. New York: The Commonwealth Fund. | en_US |
dc.identifier.citedreference | Landgraf, J. M., L. Abaetz, and J. E. Ware. 1996. The CHQ User's Manual. First Edition. Boston: The Health Institute, New England Medical Center. | en_US |
dc.identifier.citedreference | National Conference of State Legislatures. 2003. “Crowd-Out Provisions in Non-Medicaid SCHIP Plans” [updated September 30, 2003; accessed on July 10, 2005]. Available at http://www.ncsl.org/programs/health/schiptable09.htm | en_US |
dc.identifier.citedreference | National Heart, Lung, Blood Institute. 1997. “National Asthma Education and Prevention Program Expert Panel Report #2: Guidelines for the Diagnosis and Management of Asthma.” NIH Pub. 97-4051. | en_US |
dc.identifier.citedreference | Nogle, J., and E. Shenkman. 2004. “Florida KidCare Evaluation Report, 2003” [accessed on July 25, 2007]. Available at http://www.ichp.ufl.edu/documents/KidCareReportYear5Final.pdf | en_US |
dc.identifier.citedreference | Olson, L. M., S. S. Tang, and P. W. Newacheck. 2005. “ Children in the United States with Discontinuous Insurance Coverage.” New England Journal of Medicine 353: 382 – 391. | en_US |
dc.identifier.citedreference | Rosenbach, M., M. Ellwood, C. Irvin, C. Young, W. Conroy, B. Quinn, and M. Kell. 2003. Implementation of the State Children's Health Insurance Program: Synthesis of State Evaluations. Background for the Report to Congress. MPR Reference No.: 8644-100 Mathematica Policy Research, Cambridge, MA. | en_US |
dc.identifier.citedreference | Satchell, M., and S. Pati. 2005. “ Insurance Gaps among Vulnerable Children in the United States, 1991–2001.” Pediatrics 116 ( 5 ): 1155 – 1161. | en_US |
dc.identifier.citedreference | Shenkman, E., R. Bucciarelli, D. H. Wegener, R. Naff, and S. Freedman. 1999. “ Crowd Out: Evidence from the Florida Healthy Kids Program.” Pediatrics 104 3: 507 – 513. | en_US |
dc.identifier.citedreference | Shone, L. P., and P. G. Szilagyi. 2005. “ The State Children's Health Insurance Program (Review).” Current Opinion in Pediatrics Vol. 17: 764 – 772. | en_US |
dc.identifier.citedreference | Silberman, P., J. Walsh, R. Slifkin, and S. Poley. 2003. The North Carolina Health Choice Enrollment Freeze of 2001: Health Risks and Financial Hardships for Working Families. Chapel Hill, NC: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill. | en_US |
dc.identifier.citedreference | Sommers, A., S. Zuckerman, L. Dubay, and G. Kenney. 2006. “ Substitution of SCHIP for Private Coverage: Results from a 2002 Evaluation in Ten States.” Health Affairs 26 ( 2 ): 529 – 537. | en_US |
dc.identifier.citedreference | StataCorp. 2007. Stata Statistical Software: Release 10. College Station, TX: StataCorp. | en_US |
dc.identifier.citedreference | Strom, S. 2003. “For Middle Class, Health Insurance Becomes a Luxury” [accessed on November 16, 2003]. The New York Times, 11/16/2003. Available at http://www.nytimes.com | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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