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TRENDS
The Impact Of Program Structure On Childrens Disenrollment From Medicaid And SCHIP
Benjamin D. Sommers
Program fragmentation might exacerbate disenrollment of children from Medicaid and the State Childrens Health Insurance Program (SCHIP). Using data from 20012004, I estimated the number of children who switched programs and the number who "dropped out" of public insurancebecoming 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.

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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]
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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]
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