Health Affairs, 24, no. 6 (2005): 1611-1618 doi: 10.1377/hlthaff.24.6.1611 © 2005 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

This Article Full Text (HTML) Reprint (PDF) Technical Appendix Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (7) Citing Articles via Google Scholar Google Scholar Articles by Sommers, B. D. Search for Related Content PubMed PubMed Citation Articles by Sommers, B. D. Related Collections Access To Care Business Of Health Consumer Issues Health Reform Managed Care - Medicaid Maternal And Child Health Medicaid Safety-Net Systems State/Local Issues

Health Tracking

TRENDS

The Impact Of Program Structure On Children’s Disenrollment From Medicaid And SCHIP

Program fragmentation might exacerbate disenrollment of children from Medicaid and the State Children’s Health Insurance Program (SCHIP). Using data from 2001–2004, I estimated the number of children who switched programs and the number who "dropped out" of public insurance—becoming uninsured despite continuing eligibility. Roughly two million children a year switched programs; 12.5 percent a year dropped out of Medicaid, and 15.6 percent a year dropped out of SCHIP. Children in states with separate SCHIP and Medicaid programs were 45 percent more likely to drop out. This effect persisted after controlling for demographic and policy variables. Administering multiple distinct public insurance programs appears to be counterproductive in terms of retention.

                      What's this?

This article has been cited by other articles:

				B. D. Sommers Why Millions Of Children Eligible For Medicaid And SCHIP Are Uninsured: Poor Retention Versus Poor Take-Up Health Aff., September 1, 2007; 26(5): w560 - w567. [Abstract] [Full Text] [PDF]

				A. S. Sommers, L. Dubay, L. J. Blumberg, F. E. Blavin, and J. L. Czajka Dynamics In Medicaid And SCHIP Eligibility Among Children In SCHIP's Early Years: Implications For Reauthorization Health Aff., September 1, 2007; 26(5): w598 - w607. [Abstract] [Full Text] [PDF]