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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.authorShone, Laura P.en_US
dc.contributor.authorLantz, Paula M.en_US
dc.contributor.authorDick, Andrew W.en_US
dc.contributor.authorChernew, Michael E.en_US
dc.contributor.authorSzilagyi, Peter G.en_US
dc.date.accessioned2010-06-01T21:24:24Z
dc.date.available2010-06-01T21:24:24Z
dc.date.issued2008-02en_US
dc.identifier.citationShone, 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.issn0017-9124en_US
dc.identifier.issn1475-6773en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/74467
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18199194&dopt=citationen_US
dc.description.abstractThe 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.extent116705 bytes
dc.format.extent3109 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Incen_US
dc.rights© 2007 Health Research and Educational Trusten_US
dc.subject.otherWaiting Periodsen_US
dc.subject.otherCrowd-outen_US
dc.subject.otherSubstitutionen_US
dc.subject.otherUninsured Childrenen_US
dc.subject.otherChildren's Health Insuranceen_US
dc.subject.otherState Children's Health Insurance Programen_US
dc.subject.otherSCHIPen_US
dc.titleCrowd-Out in the State Children's Health Insurance Program (SCHIP): Incidence, Enrollee Characteristics and Experiences, and Potential Impact on New York's SCHIPen_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumDepartment of Health Management and Policy, Faculty Associate, Institute for Social Research, University of Michigan, Ann Arbor, MI ,en_US
dc.contributor.affiliationotherPediatrics 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.affiliationotherRAND Corporation, Pittsburgh, PA ,en_US
dc.contributor.affiliationotherDepartment of Health Care Policy, Boston, MA anden_US
dc.contributor.affiliationotherDepartment of Pediatrics and Strong Children's Research Center, Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NYen_US
dc.identifier.pmid18199194en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/74467/1/j.1475-6773.2007.00819.x.pdf
dc.identifier.doi10.1111/j.1475-6773.2007.00819.xen_US
dc.identifier.sourceHealth Services Researchen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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