Analysis of Children's Health Insurance Patterns: Findings from the SIPP. C. Coverage Before and After Spells of Uninsurance

05/12/1999

Other than children who are uninsured at birth, children who begin spells of uninsurance do so by losing previous coverage. What is the source of this coverage? Does it mirror the coverage of all insured children, or do the uninsured come disproportionately from former Medicaid enrollees? Similarly, when children regain coverage do they resemble the rest of the insured population with respect to the sources of this coverage or do they rely on a different mix of sources? And do children tend to return to the same type of coverage that they had prior to their spell of insurance, or do they often end up with another source of coverage? We address these questions by comparing the source of coverage before and after completed spells of uninsurance. We also examine how these answers differ by the duration of spells of uninsurance. After addressing these question with respect to spells of uninsurance, we examine spells of Medicaid-eligible uninsurance to determine what precedes and follows these spells. Here, however, a spell need not be preceded by coverage; instead a child may enter a spell of Medicaid-eligible uninsurance from the state of having been uninsured but not eligible for Medicaid, and may leave a spell of Medicaid-eligible uninsurance by losing Medicaid eligibility without regaining any form of coverage.

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