Work

Crowd‐Out in the State Children's Health Insurance Program (SCHIP): Incidence, Enrollee Characteristics and Experiences, and Potential Impact on New York's SCHIP

Year: 2007

Type: article

Abstract: BACKGROUND: 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 < 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. 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.

Source: Health Services Research

DOI: 10.1111/j.1475-6773.2007.00819.x

Authors: Laura P. Shone, Paula M. Lantz, Andrew W. Dick, Michael E. Chernew, Peter G. Szilagyi

Institutions: University of Rochester Medicine, University of Rochester, University of Michigan, Institute for Social Research, RAND Corporation

Language: English

Topic: Healthcare Policy and Management

Subfield: Economics and Econometrics

Field: Economics, Econometrics and Finance

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: green

Funders: U.S. Department of Health and Human Services, AcademyHealth, Health Resources and Services Administration, Agency for Healthcare Research and Quality