Disenrollment and Re-enrollment Patterns in a SCHIP

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Abstract

This article examines the impact of four policy changes made to a State children's health insurance program (SCHIP) as it transitioned to Title XXI on program disenrollment and re-enrollment. The changes were: (1) expanded eligibility criteria, (2) reduction in the family share of the premium, (3) expansion of the mental health benefit, and (4) implementation of a 60-day wait period to re-enroll in the program for children who involuntarily disenrolled due to non-payment of premium. Disenrollment was reduced by 20 percent after the changes were implemented. Disenrollment and re-enrollment rates varied significantly based on the child's health and family income.

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Regression models and life-tables.

DR Cox, Cox, D. R. Cox … (1972)

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Childhood chronic illness: prevalence, severity, and impact.

P W Newacheck, W Taylor (1992)

Using data from the 1988 National Health Interview Survey, this article presents national estimates of the prevalence and impact of childhood chronic conditions. Proxy responses to a checklist of child health conditions administered for 17,110 children under 18 years of age were used. Conditions were classified as chronic if they were first noticed more than 3 months prior to the interview or if they were the type that would ordinarily be of extended duration, such as arthritis. An estimated 31% of children were affected by chronic conditions. Among these children, highly prevalent conditions included respiratory allergies 9.7 per 100, repeated ear infections 8.3 per 100 and asthma 4.3 per 100. These children can be divided into three groups: 66% with mild conditions that result in little or no bother or activity limitation; 29% with conditions of moderate severity that result in some bother or limitation of activity, but not both; and 5% with severe conditions that cause frequent bother and limitation of activity. The 5% with severe conditions accounted for 19% of physician contacts and 33% of hospital days related to chronic illness. Childhood chronic conditions have highly variable impacts on children's activities and use of health care.

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Abstract: not found
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Regression models and life‐tables.

DR Cox, Cox, D Cox … (1972)

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Journal

Journal ID (nlm-ta): Health Care Financ Rev

Journal ID (iso-abbrev): Health Care Financ Rev

Journal ID (publisher-id): HCFR

Title: Health Care Financing Review

Publisher: CENTERS for MEDICARE & MEDICAID SERVICES

ISSN (Print): 0195-8631

ISSN (Electronic): 1554-9887

Publication date (Print): Spring 2002

Volume: 23

Issue: 3

Pages: 47-63

Article

Publisher ID: hcfr-23-3-047

PMC ID: 4194775

PubMed ID: 12500349

SO-VID: 683edc6c-b12e-4721-abe0-bd1ee050ba2f

Disenrollment and Re-enrollment Patterns in a SCHIP

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Most cited references 14

Regression models and life-tables.

Childhood chronic illness: prevalence, severity, and impact.

Regression models and life‐tables.

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