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Health Serv Res. 2008 Feb;43(1 Pt 2):419-34. doi: 10.1111/j.1475-6773.2007.00819.x.

Crowd-out in the State Children's Health Insurance Program (SCHIP): incidence, enrollee characteristics and experiences, and potential impact on New York's SCHIP.

Author information

  • 1Department of Pediatrics, School of Nursing, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 777, Rochester, NY, USA.

Erratum in

  • Health Serv Res. 2008 Aug;43(4):1453-5.

Abstract

BACKGROUND:

The extent to which the State Children's Health Insurance Program (SCHIP) crowds our private insurance is poorly understood.

OBJECTIVE:

To assess the incidence of crowd-out and enrollee characteristics associated with crowd-out.

DATA:

Parent telephone survey for 2,644 children after enrollment in NY SCHIP. MEASURES AND ANALYSES: Crowd-out is measured based on enrollee reports of coverage (and loss of coverage) before SCHIP. Multivariate logistic regression is used to relate crowd-out to enrollee characteristics.

PRINCIPAL FINDINGS:

Only 7.1 percent of SCHIP enrollees dropped private coverage < or =6 months before SCHIP, suggesting relatively modest crowd-out. Crowd-out was associated with some enrollee traits including income, but not with health status.

IMPLICATIONS:

Most movement from private to public insurance in NY was not crowd-out. Under current program structure in NY, crowd-out concerns should not dampen enthusiasm for SCHIP.

PMID:
18199194
[PubMed - indexed for MEDLINE]
PMCID:
PMC2323128
Free PMC Article
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