Expanding Public Health Insurance to Parents: Effects on Children's Coverage under Medicaid

Dubay, Lisa; Kenney, Genevieve M.

doi:10.1111/1475-6773.00177

Cited by 114 publications

(77 citation statements)

References 9 publications

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“…Coverage of parents along with their children has been an important element associated with strong program take-up and also with quality family health care (Aizer and Grogger 2003;Dubay and Kenney 2003;Wolfe and Scrivner 2005;Sommers 2006). The choice to separate parents' coverage, keeping children above 133 percent FPL in BC1 while placing their parents in the exchanges, will bring new enrollment challenges.…”

Section: Challenges and Limitationsmentioning

confidence: 99%

Wisconsin's BadgerCare Plus Reform: Impact on Low-Income Families' Enrollment and Retention in Public Coverage

Leininger

Friedsam

Dague

et al. 2010

Health Services Research

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Objectives. To examine the impact of a Wisconsin health care reform enacted in early 2008 on public insurance enrollment and retention. Data Sources. Administrative data covering the period January 2007 to November 2009. Study Design. We calculate unadjusted enrollment trends and exit rates stratified by age, income group, and enrollment mode. Kaplan-Meier curves and Cox proportional hazards models are estimated to assess the impact of the reform on program exits. Principal Findings. Overall enrollment increased by approximately one-third and exit rates decreased by approximately one-fifth. The majority of new enrollment came from the previously income eligible. Conclusions. Wisconsin's enactment of eligibility expansions coupled with administrative simplification and targeted marketing and outreach efforts were successful in enrolling and retaining low-income children and families in public coverage.

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Section: Challenges and Limitationsmentioning

confidence: 99%

Wisconsin's BadgerCare Plus Reform: Impact on Low-Income Families' Enrollment and Retention in Public Coverage

Leininger

Friedsam

Dague

et al. 2010

Health Services Research

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“…Over the past several years, there has been a growing policy focus on expanding eligibility for public health insurance programs for lowincome parents (Dubay, Kenney and Zuckerman 2000;Dubay and Kenney 2003;Ku and Broaddus 2000;Lambrew 2001). Efforts to expand eligibility for this population began with the passage of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996, which de-linked Medicaid coverage and cash assistance program eligibility.…”

mentioning

confidence: 99%

“…Such coverage expansions have clear potential benefits to parents, in terms of improved access to health care, but covering parents can have benefits to children as well. A number of recent studies indicate that when public insurance eligibility is extended to parents of eligible children, their children participate in Medicaid and SCHIP at higher rates, further reducing the proportion of eligible children who are uninsured (Dubay and Kenney 2003;Ku and Broaddus 2000;Lambrew 2001). …”

mentioning

confidence: 99%

The Effect of Parents' Insurance Coverage on Access to Care for Low-Income Children

Davidoff¹,

Dubay²,

Kenney³

et al. 2003

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This study examines the effects of having an uninsured parent on access to health care for low-income children. Using data from the 1999 National Survey of America's Families, we find that having an uninsured parent decreases the likelihood that a child will have any medical provider visit by 6.5 percentage points, and decreases the likelihood of a well-child visit by 6.7 percentage points. Estimates for low-income children who have insurance but have an uninsured parent indicate a 4.1 percentage-point reduction in the probability of having any medical provider visit, and a similar 4.2 percentage-point reduction in the probability of having a well-child visit relative to those with insured parents. The effects of having an uninsured parent are smaller in magnitude than the effects of a child being uninsured. Efforts to increase insurance coverage of parents, either by extending eligibility for public insurance or through other policy interventions, will have positive spillover effects on access to care for children. Although the magnitude of these effects is small relative to the direct effect of providing insurance to either the child or parent, they should be considered in analyses of costs and benefits of proposed policies.

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“…Other papers have asked whether state provision of parental coverage by Medicaid increases the coverage of children. For example, Dubay and Kenney (2003) conduct a twostage study (across states and within one state) of this question; both stages of the study suggest a strong link between increases in parental coverage and that of their children. received cash assistance under the Wisconsin AFDC and TANF programs in September 1995September , 1997September , and 1999 and subsequently left welfare.…”

Section: IVmentioning

confidence: 99%

SCHIP expansion and parental coverage: An evaluation of Wisconsin's BadgerCare

Wolfe

Kaplan

Haveman

et al. 2006

Journal of Health Economics

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The Wisconsin BadgerCare program, which became operational in July 1999, expanded public health insurance eligibility to both parents and children in families with incomes below 185 percent of the U.S poverty line (200 percent for those already enrolled). This eligibility expansion was part of a federal initiative known as the State Children's Health Insurance Program (SCHIP). Wisconsin was one of only four states that initially expanded coverage to parents of eligible children. In this paper, we attempt to We apply multiple methods to address the policy evaluation question, including probit, random effects, and two difference-in-difference strategies, and compare the results across methods. All of our estimates indicate that BadgerCare substantially increased public health care coverage for mother-only families leaving welfare. Our best estimate is that BadgerCare increased the public health care coverage of all adult leavers by about 17-25 percentage points. JEL Codes: I18, I10

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Expanding Public Health Insurance to Parents: Effects on Children's Coverage under Medicaid

Abstract: Expanding public health insurance coverage to parents has benefits to children in the form of increased participation in Medicaid.

Cited by 114 publications

References 9 publications

Wisconsin's BadgerCare Plus Reform: Impact on Low-Income Families' Enrollment and Retention in Public Coverage

Wisconsin's BadgerCare Plus Reform: Impact on Low-Income Families' Enrollment and Retention in Public Coverage

The Effect of Parents' Insurance Coverage on Access to Care for Low-Income Children

SCHIP expansion and parental coverage: An evaluation of Wisconsin's BadgerCare

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