Joseph S Zickafoose1, Kimberly V Smith2, Claire Dye3. 1. Mathematica Policy Research, Ann Arbor, Mich. Electronic address: jzickafoose@mathematica-mpr.com. 2. Mathematica Policy Research, Ann Arbor, Mich. 3. Mathematica Policy Research, Princeton, NJ.
Abstract
OBJECTIVE: To assess how the Children's Health Insurance Program (CHIP) affects outcomes for children with special health care needs (CSHCN). METHODS: We used data from a survey of parents of recent and established CHIP enrollees conducted from January 2012 through March 2013 as part of a congressionally mandated evaluation of CHIP. We identified CSHCN in the sample using the Child and Adolescent Health Measurement Initiative's CSHCN screener. We compared the health care experiences of established CHIP enrollees to the pre-enrollment experiences of previously uninsured and privately insured recent CHIP enrollees, controlling for observable characteristics. RESULTS: Parents of 4142 recent enrollees and 5518 established enrollees responded to the survey (response rates, 46% recent enrollees and 51% established enrollees). In the 10 survey states, about one-fourth of CHIP enrollees had a special health care need. Compared to being uninsured, parents of CSHCN who were established CHIP enrollees reported greater access to and use of medical and dental care, less difficulty meeting their child's health care needs, fewer unmet needs, and better dental health status for their child. Compared to having private insurance, parents of CSHCN who were established CHIP enrollees reported similar levels of access to and use of medical and dental care and unmet needs, and less difficulty meeting their child's health care needs. CONCLUSIONS: CHIP has significant benefits for eligible CSHCN and their families compared to being uninsured and appears to have some benefits compared to private insurance.
OBJECTIVE: To assess how the Children's Health Insurance Program (CHIP) affects outcomes for children with special health care needs (CSHCN). METHODS: We used data from a survey of parents of recent and established CHIP enrollees conducted from January 2012 through March 2013 as part of a congressionally mandated evaluation of CHIP. We identified CSHCN in the sample using the Child and Adolescent Health Measurement Initiative's CSHCN screener. We compared the health care experiences of established CHIP enrollees to the pre-enrollment experiences of previously uninsured and privately insured recent CHIP enrollees, controlling for observable characteristics. RESULTS: Parents of 4142 recent enrollees and 5518 established enrollees responded to the survey (response rates, 46% recent enrollees and 51% established enrollees). In the 10 survey states, about one-fourth of CHIP enrollees had a special health care need. Compared to being uninsured, parents of CSHCN who were established CHIP enrollees reported greater access to and use of medical and dental care, less difficulty meeting their child's health care needs, fewer unmet needs, and better dental health status for their child. Compared to having private insurance, parents of CSHCN who were established CHIP enrollees reported similar levels of access to and use of medical and dental care and unmet needs, and less difficulty meeting their child's health care needs. CONCLUSIONS: CHIP has significant benefits for eligible CSHCN and their families compared to being uninsured and appears to have some benefits compared to private insurance.
Keywords:
Children's Health Insurance Program; children with special health care needs; health care access; health care utilization; public health insurance
Authors: Peivand Bastani; Mohammadtaghi Mohammadpour; Arash Ghanbarzadegan; Giampiero Rossi-Fedele; Marco A Peres Journal: BMC Health Serv Res Date: 2021-12-04 Impact factor: 2.655