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State Children's Health Insurance Program

 

 
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CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings (Research Report)
Genevieve M. Kenney, Lisa Clemans-Cope, Ian Hill, Stacey McMorrow, Jennifer M. Haley, Timothy Waidmann, Sarah Benatar, Matthew Buettgens, Victoria Lynch, Nathaniel Anderson, Additional Authors

This report presents findings from an evaluation of CHIP mandated by CHIPRA and patterned after an earlier evaluation. Some of the evaluation findings are at the national level, while others focus on the 10 states selected for more intensive study: Alabama, California, Florida, Louisiana, Michigan, New York, Ohio, Texas, Utah, and Virginia. The evaluation included a large survey conducted in 2012 of CHIP enrollees and disenrollees in the 10 states, and Medicaid enrollees and disenrollees in three of these states. It also included case studies conducted in each of the 10 survey states in 2012 and a national telephone survey of CHIP administrators conducted in early 2013.

Posted to Web: October 24, 2014Publication Date: August 01, 2014

CHIPRA Express Lane Eligibility Evaluation: Case Study of Louisiana's Express Lane Eligibility (Research Report)
Stan Dorn, Margaret Wilkinson, Sarah Benatar

With Express Lane Eligibility (ELE), a state's Medicaid and CHIP programs can rely on another agency's eligibility findings to qualify children for health coverage. This report examines Louisiana's experience with ELE, finding that Louisiana increased children's coverage and saved significant administrative costs. The first state to implement ELE's auto-enrollment option, Louisiana found that almost the same percentage of children obtained care, whether they enrolled (1) via standard Medicaid methods or (2) via ELE, with parents who consented to enrollment by accessing services. When the state changed procedures and required parents to consent by checking a box, enrollment declined by 62%.

Posted to Web: October 22, 2014Publication Date: January 12, 2014

Factors that Influence Preventive Service Utilization among Children Covered by Medicaid and CHIP: Environmental Scan and Literature Review (Research Report)
Vanessa C. Forsberg, Rebecca Peters, Amanda I. Napoles, Arnav Shah, Christal Ramos, Kelly J. Devers

This environmental scan report compiles and assesses the available literature from the last 5 years on preventive health care services for child beneficiaries (including adolescents) in Medicaid and the Children's Health Insurance Program (CHIP). It addresses preventive service utilization patterns and barriers, cost and health outcomes associated with prevention, and activities designed to improve preventive service rates and outcomes. This report is intended to help inform the development and dissemination of resources for states to use in their efforts to increase the utilization of recommended preventive services by Medicaid and CHIP beneficiaries.

Posted to Web: September 17, 2014Publication Date: April 15, 2014

Factors that Influence Preventive Service Utilization among Adults Covered by Medicaid: Environmental Scan and Literature Review (Research Report)
Christal Ramos, Anna C. Spencer, Arnav Shah, Ashley Palmer, Vanessa C. Forsberg, Kelly J. Devers

This environmental scan report compiles and assesses the available literature from the last 5 years on preventive health care services for adult beneficiaries in Medicaid. It addresses preventive service utilization patterns and barriers, cost and health outcomes associated with prevention, and activities designed to improve preventive service rates and outcomes. This report is intended to help inform the development and dissemination of resources for states to use in their efforts to increase the utilization of recommended preventive services by Medicaid and CHIP beneficiaries.

Posted to Web: September 17, 2014Publication Date: April 15, 2014

Using Behavioral Economics to Inform the Integration of Human Services and Health Programs under the Affordable Care Act (Research Report)
Fredric Blavin, Stan Dorn, Jay Dev

Behavioral economics, which analyzes how behavior sometimes departs from the rational calculation of self-interest, can help Medicaid programs use targeted enrollment strategies more effectively by eliminating apparently modest procedural requirements, which can greatly reduce participation levels. It can also help health coverage applicants receive SNAP, even though demonstrating eligibility for health subsidies and choosing a health plan can tax many consumers' cognitive resources, making it hard to process information about SNAP. For example, health applicants could be given the option to have the state's food agency contact them later to complete a SNAP application by phone.

Posted to Web: September 15, 2014Publication Date: July 21, 2014

Examples of Promising Practices for Integrating and Coordinating Eligibility, Enrollment and Retention: Human Services and Health Programs Under the Affordable Care Act (Research Report)
Stan Dorn, Sarah Minton, Erika Huber

States and non-profit organizations have used three approaches to successfully integrate enrollment and retention of health and human services programs: 1. Streamlining one program's eligibility determination based on data from other programs. This approach has helped uninsured children receive and retain health coverage, helped low-income seniors obtain SNAP, and produced state administrative savings. 2. Coordinated administration of multiple programs. Administrative savings resulted when multiple programs integrated their systems for case records, data matching, eligibility rules engines, on-line applications, and benefit payment. 3. Coordinating enrollment. Community colleges exemplify sites for enrolling consumers into multiple health and human services at once.

Posted to Web: September 15, 2014Publication Date: July 21, 2014

Opportunities under the Affordable Care Act for Human Services Programs to Modernize Eligibility Systems and Expedite Eligibility Determination (Research Report)
Stan Dorn, Rebecca Peters

Human services programs can benefit from 90 percent federal funding for information technology investments that are complete by the end of 2015 and that: 1) build a service that helps both Medicaid and human services; or 2) build an interface that helps Medicaid use human services records to verify eligibility or "fast track" enrollment. Once the Affordable Care Act is fully phased in, Medicaid will be the country's most widely-used need-based program. Human services programs can use Medicaid records to streamline eligibility determination, despite limits on information sharing and differences between Medicaid and human services program rules, including household definitions.

Posted to Web: September 15, 2014Publication Date: July 21, 2014

A First Look at Children's Health Insurance Coverage under the ACA in 2014 (Policy Briefs/Health Policy Briefs)
Genevieve M. Kenney, Joan Alker, Nathaniel Anderson, Stacey McMorrow, Sharon K. Long, Douglas A. Wissoker, Lisa Clemans-Cope, Lisa Dubay, Michael Karpman, Tricia Brooks

Beginning in June 2013, the Urban Institute's Health Reform Monitoring Survey (HRMS), which was designed to provide early feedback on implementation of the Affordable Care Act (ACA), has been tracking changes in health insurance coverage and other outcomes for children under the ACA. In contrast to adults, uninsured rates for children had been declining in the decade before the ACA's passage, largely because of the expansion of public coverage (Medicaid and the Children's Health Insurance Program) which is substantially generous and draws high participation among children. Estimates derived from HRMS children's supplement suggest that uninsured rates for children had not changed by June 2014 from their pre-ACA levels, though there are reasons to expect that children's coverage will grow in future years.

Posted to Web: September 09, 2014Publication Date: September 09, 2014

In Pursuit of Health Equity: Comparing U.S. and EU Approaches to Eliminating Disparities (Policy Briefs/Timely Analysis of Health Policy Issues)
Elizabeth Docteur, Robert A. Berenson

Researchers compare and contrast the U.S. public policy approach to tackling the problem of health disparities with the European approach in this paper. They begin by providing an overview of the ways in which the issue of health disparities has been framed in American and European policy discourse. They next compare how health disparities have been addressed in policy statements produced by the U.S. Department of Health and Human Services and by the European Commission, the executive body of the European Union, emphasizing the US emphasis and race and ethnicity and the European orientation to economic status.

Posted to Web: June 30, 2014Publication Date: June 24, 2014

Increase in Medicaid under the ACA Reduces Uninsurance, According to Early Estimates (Policy Briefs/Health Policy Briefs)
Lisa Clemans-Cope, Michael Karpman, Adam Weiss, Nathaniel Anderson

An important strategy for increasing health insurance coverage under the Affordable Care Act (ACA) is expanded enrollment in Medicaid, which provides free or very low cost health insurance to low-income people. Over 6 million individuals enrolled in Medicaid or the Children’s Health Insurance Program between October 2013 and April 2014 despite the fact that only about half of the states have expanded Medicaid and the early problems with the federal health insurance website. This brief takes advantage of new data from the Health Reform Monitoring Survey to examine how much of the increase in Medicaid coverage is a net gain in insurance coverage rather than a shift to Medicaid from other coverage, as well as whether there are differences in the patterns of Medicaid changes across states and among different population subgroups.

Posted to Web: June 26, 2014Publication Date: June 26, 2014

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