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Public Insurance Expansion: Children Age 0-18

Public Insurance Expansion: Children Age 0-18. Gerard Russo Sang-Hyop Lee Lawrence Nitz Thamana Lekprichakul Abdul Jabbar Rui Wang University of Hawai `i at M ānoa Hawai`i Coverage for All Project Technical Workshop V 29 March 2004. POLICY SCENARIO: SCHIP EXPANSION.

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Public Insurance Expansion: Children Age 0-18

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  1. Public Insurance Expansion:Children Age 0-18 Gerard Russo Sang-Hyop Lee Lawrence Nitz Thamana Lekprichakul Abdul Jabbar Rui Wang University of Hawai`i at Mānoa Hawai`i Coverage for All Project Technical Workshop V 29 March 2004 This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health, Prime Contract No. 1 P09 OA 00046-01. Sub-Contract Research Corporation of the University of Hawaii, Project No. 659075. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs/Hawaii Uninsured Project and the Hawaii Health Information Corporation.

  2. POLICY SCENARIO:SCHIP EXPANSION Expand the eligibility requirement for the State Children’s Health Insurance Program for children aged 0-18 years from an upper limit of 200% to 300% of the Federal Poverty Level. This research is funded in part through a U.S. Health Resources and Services Administration, State Planning Grant to the Hawaii State Department of Health, Prime Contract No. 1 P09 OA 00046-01. Sub-Contract Research Corporation of the University of Hawaii, Project No. 659075. Research conducted by the University of Hawaii, Social Science Research Institute in collaboration with the Hawaii State Department of Health, Hawaii Institute for Public Affairs/Hawaii Uninsured Project and the Hawaii Health Information Corporation.

  3. Hawaii Title XXI Program: SCHIP • July 2000 SCHIP Hawaii children aged 0 to 18 years 200% of the FPL effective. • Hawaii SCHIP is implemented as a Medicaid/QUEST expansion. Preliminary results. Subject to further revision. Please do not quote.

  4. Hawaii SCHIP Program Eligibility by Age and Federal Poverty Level Preliminary results. Subject to further revision. Please do not quote.

  5. SCHIP FMAP • Federal Medical Assistance Percentage (FMAP) • FFY 2002 69.44% • FFY 2003 71.14% Preliminary results. Subject to further revision. Please do not quote.

  6. MODEL FIT: Children Age 0-18, 0-200% FPL: HHS 2000,2001 Preliminary results. Subject to further revision. Please do not quote.

  7. Model-Based Prediction of Insurance Coverage Change due to a SCHIP Expansion to 300% FPL: HHS 2000, 2001 Preliminary results. Subject to further revision. Please do not quote.

  8. Model-Based Prediction of Insurance Coverage Change due to SCHIP Expansion: HHS 2000,2001 (persons) Preliminary results. Subject to further revision. Please do not quote.

  9. Two Methods of Analyzing SCHIP Expansion Using the Hawaii Health Survey and the Current Population Survey • Model-Based Out-of-Sample Predictions: HHS, CPS • Natural Experiment Based on July 1, 2000 Expansion • Pre-Expansion Years: HHS 1997-1999, CPS 1998-2000 • Post-Expansion Years: HHS 2001-2002, CPS 2002-2003 • Difference-in-Differences Approach • Compute take-up and crowd-out rates • Extrapolate to the new target population 201-300% FPL Preliminary results. Subject to further revision. Please do not quote.

  10. Children’s Health Insurance Coverage Before and After SCHIP: HHS 1997-2002 Preliminary results. Subject to further revision. Please do not quote.

  11. Children’s Coverage Rates Before and After SCHIP: HHS 1997-2002 Preliminary results. Subject to further revision. Please do not quote.

  12. SCHIP Analysis: CPS 1998-2003 Preliminary results. Subject to further revision. Please do not quote.

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