Health Policy Center, independent research for better health policy: The Urban Institute

topics

Receive e-mail from HPC

Health Policy Center Authors

 

Publications by Christine Coyer for Health Policy Center

Back to Browse by Author


Viewing 1-10 of 13. Most recent listed first.Next Page >>

The Composition of Children Enrolled in Medicaid and CHIP: Variation over Time and by Race and Ethnicity (Discussion Papers/Low Income Working Families)
Christine Coyer, Genevieve M. Kenney

In 2010, Medicaid and CHIP covered over a third of all children in the U.S., over a fifth of white children, and more than half of all Hispanic and black children. Full implementation of the Affordable Care Act (ACA) will lead to increased coverage for these children. This paper summarizes analysis which reveals racial and ethnic variation in residential patterns and health status for children in these programs. Children covered by Medicaid and CHIP in these three groups live in different areas of the country, which can lead to variations in future changes to children's access to care due to state differences in ACA implementation.

Posted: March 29, 2013Availability: HTML | PDF

Racial and Ethnic Differences in Access to Care and Service Use for Children with Coverage through Medicaid and the Children's Health Insurance Program (Discussion Papers/Low Income Working Families)
Genevieve M. Kenney, Christine Coyer, Nathaniel Anderson

By 2010, Medicaid and CHIP covered 36 percent of all children and over half of all Hispanic and black children. Generally, the Hispanic, black, and white children served by Medicaid and CHIP appear to have high levels of access to care. However, black and Hispanic children with Medicaid/CHIP coverage may have more problems accessing care, relative to their white counterparts, in two areas: specialty and mental health care. While overall levels of care are similar, the magnitude of difference in specialty care requires further study to explore both the causes and the potential implications of these patterns.

Posted: March 29, 2013Availability: HTML | PDF

The Composition of Children Enrolled in Medicaid and CHIP: A Summary (Policy Briefs)
Christine Coyer, Genevieve M. Kenney

In 2010, Medicaid and CHIP covered over a third of all children in the U.S., over a fifth of white children, and more than half of all Hispanic and black children. Full implementation of the Affordable Care Act (ACA) will lead to increased coverage for these children. This fact sheet summarizes analysis which reveals racial and ethnic variation in residential patterns and health status for children in these programs. Children covered by Medicaid and CHIP in these three groups live in different areas of the country, which can lead to variations in future changes to children’s access to care due to state differences in ACA implementation.

Posted: March 29, 2013Availability: HTML | PDF

Racial and Ethnic Differences in Access to Care and Service Use for Children with Coverage through Medicaid and the Children's Health Insurance Program: A Summary (Policy Briefs)
Genevieve M. Kenney, Christine Coyer, Nathaniel Anderson

By 2010, Medicaid and CHIP covered 36 percent of all children and over half of all Hispanic and black children. Generally, the Hispanic, black, and white children served by Medicaid and CHIP appear to have high levels of access to care. However, black and Hispanic children with Medicaid/CHIP coverage may have more problems accessing care, relative to their white counterparts, in two areas: specialty and mental health care. While overall levels of care are similar, the magnitude of difference in specialty care requires further study to explore both the causes and the potential implications of these patterns.

Posted: March 29, 2013Availability: HTML | PDF

National Findings on Access to Health Care and Service Use for Children Enrolled in Medicaid or CHIP (Research Report)
Genevieve M. Kenney, Christine Coyer

This report to the Medicaid and CHIP Payment and Access Commission (MACPAC) was prepared to support MACPAC’s March 2012 Report to the Congress on Medicaid and CHIP. The report presents national findings on access to care for children with Medicaid or CHIP using measures from two national household surveys—the National Health Interview Survey (NHIS) and the Household Component of the Medical Expenditure Panel Survey (MEPS). These estimates give a national picture of how access to care for children enrolled in Medicaid/CHIP compares to that of children with ESI and uninsured children, building on prior reports and analyses.

Posted: August 02, 2012Availability: HTML

National Findings on Access to Health Care and Service Use for Non-elderly Adults Enrolled in Medicaid (Research Report)
Sharon K. Long, Karen Stockley, Elaine Grimm, Christine Coyer

This report to the Medicaid and CHIP Payment and Access Commission (MAPCAC) was prepared to support MACPAC’s June 2012 Report to the Congress on Medicaid and CHIP. The report presents national findings on access to care for non-elderly Medicaid adults using measures from two national household surveys—the National Health Interview Survey (NHIS) and the Household Component of the Medical Expenditure Panel Survey (MEPS). These estimates give a national picture of how access to care for non-elderly adults enrolled in Medicaid compares to that of adults with ESI and uninsured adults, building on prior reports and analyses.

Posted: June 22, 2012Availability: HTML

Addressing Barriers to Health Insurance Coverage Among Children: New Estimates for the Nation, California, New York, and Texas (Research Report)
Stacey McMorrow, Genevieve M. Kenney, Christine Coyer

Maximizing health insurance coverage for children under the ACA will require addressing the complex scenarios that prevent some children from obtaining or retaining coverage. These scenarios include situations where children are eligible for Medicaid or CHIP but their parents are not, as well as those where children are living without at least one of their parents. We provide national estimates of the number of children in these complex coverage scenarios and find that children facing at least one complex scenario are more likely to be uninsured than other children. In addition to national estimates, we present state-level estimates for California, New York, and Texas.

Posted: May 08, 2012Availability: HTML | PDF

Recent Trends in Childhood Asthma-Related Outcomes and Parental Asthma Management Training (Research Report)
Genevieve M. Kenney, Adela Luque, Christine Coyer

Asthma is one of the most common chronic conditions among children in the United States, affecting nearly 10 percent of children in 2008. Medicaid and CHIP are covering a growing number of asthmatic children; by 2008, two-thirds of low-income asthmatic children were covered by Medicaid/CHIP. Our findings suggest that over the last decade, there has been a trend towards improvement in asthma-related outcomes and receipt of parental asthma management training for asthmatic children with Medicaid/CHIP coverage. Further expansions in health insurance coverage could lead to reductions in negative asthma outcomes and their associated costs, but other changes to the service delivery system would be needed as well.

Posted: December 19, 2011Availability: HTML | PDF

Evaluation of the San Mateo County Adult Coverage and Systems Redesign Initiative (Research Report)
Embry M. Howell, Dana Hughes, Sarah Benatar, Genevieve M. Kenney, Ashley Palmer, Christine Coyer

In 2008 San Mateo County, California launched its Adult Coverage Expansion and Systems Redesign Initiative. The initiative expanded coverage for all uninsured adults below 200 percent of the poverty level and redesigned care in county safety net clinics. The program substantially improved access to care for uninsured adults, as well as improved continuity and quality of care for those served by county safety net clinics. However, access remains a problem for new enrollees, due to restrained provider supply and the economic recession. The report provides lessons for other counties as they expand coverage under national health reform.

Posted: November 23, 2011Availability: HTML | PDF

Profile of Virginia's Uninsured 2010 (Research Report)
Juliana Macri, Christine Coyer, Victoria Lynch, Genevieve M. Kenney

This report provides detailed demographic information on Virginia's uninsured population in 2009, including data on their income, employment status, race, ethnicity, age and citizenship, and region of residence. Between 2008 and 2009, 47,000 nonelderly adults in Virginia became newly uninsured, though there was no significant change in the number of uninsured children, due in part to increased coverage through Medicaid and CHIP. Overall, 13.2 percent of Virginians (889,000 total) under the age of 65 lacked health insurance in 2009. The majority of Virginia's uninsured are US citizens and live in working families, but most are in low-income families.

Posted: October 11, 2011Availability: HTML | PDF

 Next Page >>

Return to list of authors.



© 2010 Urban Institute | Contact Us | Privacy Policy