View Research by Author - Deborah Chang

Publications

This paper examines successes and shortcomings of the SCHIP program. SCHIP is a source of coverage for millions of children, improving their access to health care and sparking innovation in program design and improvements in Medicaid. Concurrently, SCHIP has added to the complexity of the insurance system and introduced new inequities in access to insurance. It is imperfectly targeting eligible uninsured children, and the financing of the program is problematic because of the block-grant funding structure and the use of SCHIP funds to cover adults. These issues need to be addressed during the SCHIP reauthorization process, which is scheduled to begin in federal fiscal year 2006. (Kenney, Genevieve, and Debbie Chang. September/October 2004. "The State Children's Health Insurance Program: Successes, Shortcomings, and Challenges." Health Affairs 23(5): 51-62.)

Assesses the trends since 1984 in total Medicaid spending, access to services, and types of services covered, to document the current state of Medicaid in light of recent federal and state legislative and regulatory changes. Also reviews those policy changes to better understand the changing patterns of different covered services and groups. The study is based on detailed state-level Health Care Financing Administration records on Medicaid recipients and expenditures, by service and eligibility group.

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