IMPLEMENTATION OF THE STATE CHILDREN'S HEALTH INS. PROG.... HRG.... S. HRG. 106-111... COM. ON FINANCE, U.S. SEN.... 106TH CONG., 1ST SESS.

IMPLEMENTATION OF THE STATE CHILDREN'S HEALTH INS. PROG.... HRG.... S. HRG. 106-111... COM. ON FINANCE, U.S. SEN.... 106TH CONG., 1ST SESS. PDF Author:
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Languages : en
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Implementation of the State Children's Health Insurance Program

Implementation of the State Children's Health Insurance Program PDF Author: United States. Congress. Senate. Committee on Finance
Publisher:
ISBN:
Category : Child health services
Languages : en
Pages : 68

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Data Needs for the State Children's Health Insurance Program

Data Needs for the State Children's Health Insurance Program PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309182948
Category : Medical
Languages : en
Pages : 72

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The State Children's Health Insurance Program (SCHIP) was established by Congress to provide health insurance to uninsured children whose family income was too high for Medicaid coverage but too low to allow the family to obtain private health insurance coverage. The enabling legislation for SCHIP, included in the Balanced Budget Act of 1997, made available to states (and the District of Columbia) almost $40 billion over a 10-year period for this program. Like Medicaid, SCHIP is a joint federal-state program, with funding from both sources, but it is implemented by the states. Thus, there are SCHIP programs in all of the states and the District of Columbia. The National Research Council, through the Committee on National Statistics, was asked to explore some of the ways in which data analysis could be used to promote achievement of the SCHIP goal of expanding health insurance coverage for uninsured children from low-income families. To inform its work, the panel for this project held a workshop to bring together state SCHIP officials and researchers to share findings and methods that would inform the design, implementation, and evaluation of SCHIP at the state and national levels. In keeping with this charge, this report is limited to discussions at the workshop. It does not attempt to provide a summary of all the state programs nor a comprehensive review of the literature. Data Needs for the State Children's Health Insurance Program concludes that data are insufficient in the individual states to provide a clear picture of the impact of SCHIP on the number of children who are eligible for the program, the rate at which eligible children are enrolled in the program, and the rate at which they are retained in the program once enrolled. This situation is due, in part, to the fact that sample sizes in national surveys are too small to provide detailed data for individual states. In addition, the great amount of movement of children among health insurance categories-Medicaid, SCHIP, private insurance, or no insurance at all-makes it difficult for states to count the number of children in specific categories at a particular point in time. The panel specifies a number of practices that could be implemented to improve the overall functioning of SCHIP and the ability of policy makers to evaluate the program. Foremost among these are: (1) developing more uniform ways of estimating eligibility and health insurance coverage among the states; (2) sharing among the states effective methods for outreach; (3) taking qualitative information into account, in addition to quantitative information, in assessing variation among states in enrollment and disenrollment; and (4) implementing longitudinal studies to track the movement of children among the various insurance statuses.

Children's Health Insurance Program in Action

Children's Health Insurance Program in Action PDF Author: United States. Congress. Senate. Committee on Finance
Publisher:
ISBN:
Category : Child health insurance
Languages : en
Pages : 120

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The State Children's Health Insurance Program

The State Children's Health Insurance Program PDF Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher:
ISBN: 9780788189586
Category : Child health services
Languages : en
Pages : 94

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Hearing on the State Children's Health Insurance Program, or S-Chip, which was created in response to the pressing problem of uninsured children. Witnesses include: Claude A. Allen, Sec. of Health & Human Resources, the Commonwealth of Virginia; Douglas M. Cook, Dir., Agency for Health Care Admin., State of Florida; Barbara A. DeBuono, Commissioner, Dept. of Health, the State of New York; Hon. Nancy-Ann DeParle, Admin., Health Care Financing Admin.; Barbara Edwards, Dir. of Medicaid, State of Ohio; & James Haveman, Dir., Dept. of Community Health, State of Michigan. Charts & tables.

MEDICAID FUNDING FOR SCHOOL-BASED SERVICES... HRG.... S. HRG. 106-138... COM. ON FINANCE, U.S. SEN.... 106TH CONG., 1ST SESS., JUNE 17, 1999

MEDICAID FUNDING FOR SCHOOL-BASED SERVICES... HRG.... S. HRG. 106-138... COM. ON FINANCE, U.S. SEN.... 106TH CONG., 1ST SESS., JUNE 17, 1999 PDF Author: United States. Congress. Senate. Committee on Finance
Publisher:
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Category :
Languages : en
Pages :

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The State Children's Health Insurance Program

The State Children's Health Insurance Program PDF Author:
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Category :
Languages : en
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State Children's Health Insurance Program. CMS Should Improve Efforts to Assess Whether SCHIP is Substituting for Private Insurance

State Children's Health Insurance Program. CMS Should Improve Efforts to Assess Whether SCHIP is Substituting for Private Insurance PDF Author: US Government Accountability Office
Publisher:
ISBN:
Category :
Languages : en
Pages : 40

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Congress created the State Children's Health Insurance Program (SCHIP) to reduce the number of uninsured children in low-income families that do not qualify for Medicaid. States have flexibility in structuring their SCHIP programs, and their income eligibility limits vary. Concerns have been raised that individuals might substitute SCHIP for private health insurance--known as crowd-out. GAO was asked to examine the Centers for Medicare & Medicaid Services' (CMS) and states' efforts to minimize crowd-out and determine whether it should be a concern. GAO examined (1) CMS's guidance to states for minimizing crowd-out and assessment of whether it should be a concern and (2) states' policies to minimize crowd-out and how they assess whether it should be a concern. To do the work, GAO reviewed federal laws and guidance, examined state annual reports, and interviewed CMS officials. GAO also interviewed SCHIP officials from nine states. To improve information on whether crowd-out should be a concern in SCHIP, GAO recommends that the Acting Administrator of CMS ensure that states (1) collect and report consistent information on the extent to which SCHIP applicants have private insurance available to them and (2) take appropriate steps to determine whether available private health insurance is affordable for SCHIP applicants. (Contains 5 tables, 5 figures, and 55 footnotes.).

Innovations In Child Care... Hrg.... S. Hrg. 106-213... Com. On Health, Education, Labor, & Pensions, U.S. Senate... 106th Cong., 1st Sess., July 27, 1999

Innovations In Child Care... Hrg.... S. Hrg. 106-213... Com. On Health, Education, Labor, & Pensions, U.S. Senate... 106th Cong., 1st Sess., July 27, 1999 PDF Author:
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Category :
Languages : en
Pages :

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State Children's Health Insurance Program

State Children's Health Insurance Program PDF Author: James C. Cosgrove
Publisher:
ISBN:
Category : Child health insurance
Languages : en
Pages : 0

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Congress created the State Children's Health Insurance Program (SCHIP) to reduce the number of uninsured children in low-income families that do not qualify for Medicaid. States have flexibility in structuring their SCHIP programs, and their income eligibility limits vary. Concerns have been raised that individuals might substitute SCHIP for private health insurance--known as crowd-out. GAO was asked to examine the Centers for Medicare & Medicaid Services' (CMS) and states' efforts to minimize crowd-out and determine whether it should be a concern. GAO examined (1) CMS's guidance to states for minimizing crowd-out and assessment of whether it should be a concern and (2) states' policies to minimize crowd-out and how they assess whether it should be a concern. To do the work, GAO reviewed federal laws and guidance, examined state annual reports, and interviewed CMS officials. GAO also interviewed SCHIP officials from nine states.