Disenrollment From a State Child Health Insurance Plan: Are Families Jumping S(c)HIP?
| Autor: | Johan Stokstad, John F. Steiner, Allison Kempe, Shira Belman, Brenda L. Beaty, Jennifer Barrow, Lori A. Crane |
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| Rok vydání: | 2004 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Colorado Multivariate analysis Adolescent State Health Plans Child Health Services Eligibility Determination Primary care Health Services Accessibility Insurance Coverage Child health Health insurance medicine Humans Child Poverty Medically Uninsured Medical Assistance Primary Health Care business.industry Infant General Medicine Odds ratio United States Confidence interval Child Preschool Pediatrics Perinatology and Child Health Female business Medicaid Demography Insurance coverage |
| Zdroj: | Ambulatory Pediatrics. 4:154-161 |
| ISSN: | 1530-1567 |
| Popis: | Background.—Colorado's Child Health Plan Plus (CHP+) is a non-Medicaid state child health plan that began enrollment in April 1998. Families are disenrolled 12 months after enrollment if they fail to re-enroll. Objective.—To assess insurance coverage before and 1 year after initial enrollment in CHP+; reasons for disenrollment; and factors associated with re-enrollment. Design/Methods.—We interviewed 480 randomly selected families 2 months after initial enrollment into CHP+ (September 1999 through January 2000) and 1 year later. Results.—Prior to CHP+, 38% of families had Medicaid (MK), 35% were privately insured (PI), 6% were uninsured (UI), and 20% had other/unknown insurance. After the 12 months, 34% were re-enrolled, 16% got other insurance (6% MK, 10% PI/other), 4% had children older than 18 years, and 46% were UI (9% had intentionally and 37% had unintentionally disenrolled from CHP+). All unintentionally disenrolled families were planning to re-enroll and 90% still appeared eligible. In multivariate analysis, having a primary care provider prior to enrollment was associated with re-enrollment (odds ratio [OR] 1.7, 95% confidence interval [CI] 1.1 to 2.6), but having problems with the application process impeded re-enrollment (OR 0.7, 95% CI 0.6 to 0.9). Conclusions.—Only about a third of families eligible for State Children's Health Insurance Program successfully re-enrolled before their termination date. Institution of a passive renewal process would decrease unnecessary disenrollment in eligible families. |
| Databáze: | OpenAIRE |
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