Medicaid at the ten-year anniversary of SCHIP: looking back and moving forward.

The adoption of the State Children's Health Insurance Program (SCHIP) in 1997 spurred widespread efforts to simplify and revitalize Medicaid coverage for children. To an extent often not recognized, these Medicaid improvements were a key factor behind much of the progress that has been made in covering low-income children: These children's uninsurance rate dropped from 22.3 percent in 1997 to 14.9 percent in 2005, and more than 70 percent of those gains can be attributed to Medicaid. The program, however, faces a number of issues that will need to be addressed if the country is to continue to make progress.

[1]  L. Dubay,et al.  The uninsured and the affordability of health insurance coverage. , 2006, Health affairs.

[2]  P. Newacheck,et al.  Role of Insurance for Children With Special Health Care Needs: A Synthesis of the Evidence , 2006, Pediatrics.

[3]  C. Mann,et al.  Instability of Public Health Insurance Coverage for Children and Their Families: Causes, Consequences, and Remedies , 2006 .

[4]  M. Schuster,et al.  Preventive care for children in the United States: quality and barriers. , 2006, Annual review of public health.

[5]  Yu‐Chu Shen,et al.  Out-of-Pocket Health Spending Between Low- and Higher-Income Populations: Who is at Risk of Having High Expenses and High Burdens? , 2006, Medical care.

[6]  J. Holahan,et al.  Changes in economic conditions and health insurance coverage, 2000-2004. , 2005, Health affairs.

[7]  T. Selden,et al.  The Impact of SCHIP on Insurance Coverage of Children , 2005, Inquiry : a journal of medical care organization, provision and financing.

[8]  S. Rosenbaum,et al.  Public health insurance design for children: The evolution from Medicaid to SCHIP , 2004 .

[9]  G. Kenney,et al.  Expanding public health insurance to parents: effects on children's coverage under Medicaid. , 2003, Health services research.

[10]  G. Kenney.  Children's Insurance Coverage and Service Use Improve , 2003 .

[11]  G. Kenney.  Familiarity with Medicaid and SCHIP Programs Grows and Interest in Enrolling Children Is High , 2003 .

[12]  J. Holahan,et al.  Medicaid managed care payment methods and capitation rates in 2001. , 2003, Health affairs.

[13]  D. C. Ross,et al.  Enrolling eligible children and keeping them enrolled. , 2003, The Future of children.

[14]  Peter J Cunningham,et al.  SCHIP, Medicaid expansions lead to shifts in children's coverage. , 2002, Issue brief.

[15]  L Felland,et al.  Communities play key role in extending public health insurance to children. , 2001, Issue brief.

[16]  K. Kronebusch.  Medicaid for children: federal mandates, welfare reform, and policy backsliding. , 2001, Health affairs.

[17]  G. Kenney,et al.  Assessing SCHIP effects using household survey data: promises and pitfalls. , 2000, Health services research.

[18]  J. Moore.  CHIP and Medicaid outreach and enrollment: a hands-on look at marketing and applications. , 1999, Issue brief.