Full Citation
Title: Gains for Children: Increased Parcipication in Medicaid and CHIP in 2009
Citation Type: Miscellaneous
Publication Year: 2011
ISBN:
ISSN:
DOI:
NSFID:
PMCID:
PMID:
Abstract: The expansion of Medicaid coverage to individuals with incomes below 138 percent of the federal poverty level (FPL) is a key component of the Affordable Care Act (ACA). Under full implementation of the ACA, Medicaid enrollment is projected to increase by 39 percent overall. However, even with that increase in Medicaid enrollment, an estimated 38 percent of the uninsured under the ACAwould be eligible for Medicaid or the Childrens Health Insurance Program (CHIP), but not expected to enroll. Given how many uninsured have incomes below 138 percent of the FPL, success in improving coverage will depend critically on achieving high participation in Medicaid.Current patterns of participation in Medicaid/CHIP among children could provide insights to help guide state and federal action under the ACA. Dating back to the inception of CHIP in 1997 and continuing with the Childrens Health Insurance Program Reauthorization Act (CHIPRA) of 2009,there has been considerable policy focus on increasing coverage in Medicaid/CHIP among eligible children.4 This brief updates an earlier analysis that assessed how well Medicaid/CHIP programs were performing at enrolling eligible children by examining patterns in 2009 and monitoring change relative to 2008; in 2008, Medicaid/CHIP participation rates were over 80 percent nationally, butwith notable variation across states.5,6 The analysis uses the American Community Survey (ACS), which includes a public use sample of approximately 700,000 children each year and which began including a question on health insurance coverage in 2008. The following section describes the data source and methods underlying the analysis; subsequent sections present the results and discuss thepolicy implications of the findings.
User Submitted?: No
Authors: Resnick, Dean; Kenney, Genevieve M.; Haley, Jennifer; Coyer, Christine; Lynch, Victoria; Huntress, Michael
Publisher: The Urban Institute
Data Collections: IPUMS USA
Topics: Other
Countries: