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
Laura P ShonePeter G Szilagyi

Abstract

The extent to which the State Children's Health Insurance Program (SCHIP) crowds our private insurance is poorly understood. To assess the incidence of crowd-out and enrollee characteristics associated with crowd-out. 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. Only 7.1 percent of SCHIP enrollees dropped private coverage < or =6 months before SCHIP, suggesting relatively modest crowd-out. Crowd-out was associated with some enrollee traits including income, but not with health status. 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.

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Citations

Sep 19, 2006·Journal of Medical Systems·Daniel P LorenceSusannah Fox
Feb 22, 2012·Medicare & Medicaid Research Review·Eric E Seiber, Timothy R Sahr
Oct 21, 2009·Health Services Research·Eric E Seiber, Curtis S Florence
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