Analysis of Children's Health Insurance Patterns: Findings from the SIPP. c. Medicaid Enrollment

05/12/1999

Table 15 reports the distribution of children enrolled in Medicaid in October 1992 by their health insurance coverage in each of the next 23 months. Children without health insurance coverage are apportioned between those who are eligible for Medicaid and those who are not. As reported in Table 10, about 3 to 4 percent of the children enrolled in Medicaid at any point in time leave the program within the next month. Table 15 shows that this rate of departures from Medicaid persists over as many as four months before slowing down. By the fourth month, 14 percent of the original Medicaid population has exited, with 5.5 percent picking up employer-sponsored coverage, .2 percent acquiring other coverage and an equal number leaving the survey population. Altogether 8 percent have become uninsured, with nearly 5 percent remaining Medicaid eligible. This latter percentage changes only marginally thereafter. The fraction of all October 1992 Medicaid participants classified as uninsured but still eligible for Medicaid never rises above 6.0 percent whereas the proportion who are uninsured but not eligible for Medicaid continues to ascend, gradually, reaching 8 percent by September 1994.

TABLE 14: DISTRIBUTION OF UNINSURED CHILDREN WHO WERE NOT ELIGIBLE FOR MEDICAID IN OCTOBER 1992 BY HEALTH INSURANCE COVERAGE IN EACH OF NEXT 23 MONTH
  Health Insurance Coverage in Calendar Month
Reference Month
and Calendar Month
Uninsured Not Medicaid- Eligible Uninsured Medicaid- Eligible Medicaid Employer- Sponsored Coverage Other Coverage Not in Population Total
0. October 1992 100 0 0 0 0 0 100
1. November 1992 86.2 6.5 2.9 3.4 0.5 0.5 100
2. December 1992 77.8 6.9 5.2 8.4 1.1 0.5 100
3. January 1993 69.5 7.4 7.2 12.5 2.3 1 100
4. February 1993 64.3 9.1 7.8 15.3 2.4 1.2 100
5. March 1993 62.8 8.4 7.6 17.5 2.6 1.2 100
6. April 1993 63.8 7.8 7.4 17.5 2.2 1.3 100
7. May 1993 60.2 8.1 8.6 19.6 2.2 1.3 100
8. June 1993 58.3 7.8 8.9 21.2 2.3 1.5 100
9. July 1993 58.9 7.6 8.8 21 2 1.6 100
10. August 1993 57.4 6.6 9.4 22.6 2.3 1.6 100
11. September 1993 55.8 7.2 10.2 22.8 2.5 1.5 100
12. October 1993 52.7 7.8 11.1 23.6 3.4 1.5 100
13. November 1993 51.8 7.9 11.6 23.5 3.8 1.5 100
14. December 1993 52.8 7.1 11.6 23.5 3.5 1.5 100
15. January 1994 52.8 7.6 11.7 22.7 3.6 1.6 100
16. February 1994 52.4 8 11.1 23.7 3 1.7 100
17. March 1994 51.6 8.7 10.8 24.2 3.1 1.7 100
18. April 1994 49.2 8.7 11.9 24.6 3.9 1.7 100
19. May 1994 48.5 8.8 11.9 24.9 4.1 1.8 100
20. June 1994 47.6 6.8 12.9 26 4.8 1.9 100
21. July 1994 46.1 6.7 14.2 25.5 5.2 2.3 100
22. August 1994 46.9 7.3 13.3 25.9 4.3 2.4 100
23. September 1994 45.7 7.5 12.5 27.6 4.2 2.5 100

SOURCE: Survey of Income and Program Participation, 1992 Panel.

NOTE: The number of children who were uninsured and not eligible for Medicaid in October 1992 is 6,630,000.

 

TABLE 15: DISTRIBUTION OF CHILDREN ENROLLED IN MEDICAID IN OCTOBER 1992 BY HEALTH INSURANCE COVERAGE IN EACH OF NEXT 23 MONTHS
  Health Insurance Coverage in Calendar Month
Reference Month
and Calendar Month
Medicaid Employer- Sponsored Coverage Other Coverage Uninsured Medicaid- Eligible Uninsured Not Medicaid- Eligible Not in Population Total
0. October 1992 100 0 0 0 0 0 100
1. November 1992 96.5 1.7 0 1 0.7 0.1 100
2. December 1992 92.7 3.3 0.1 2.3 1.4 0.2 100
3. January 1993 89.4 4.3 0.1 3.8 2.2 0.4 100
4. February 1993 86.1 5.5 0.2 4.9 3.1 0.2 100
5. March 1993 86 5.4 0.4 4.5 3.6 0.2 100
6. April 1993 85.2 5.3 0.4 5 4 0.1 100
7. May 1993 82.8 6.4 0.4 6 4.1 0.2 100
8. June 1993 82.7 6.7 0.8 5.7 3.8 0.3 100
9. July 1993 81.1 7.1 0.9 5.6 4.9 0.5 100
10. August 1993 80.4 7.2 0.9 5.4 5.3 0.7 100
11. September 1993 79.8 7.1 0.9 4.8 6.6 0.8 100
12. October 1993 78.4 7.8 0.6 5.2 7.1 0.8 100
13. November 1993 78.2 8.6 0.6 5.2 6.6 0.8 100
14. December 1993 77.7 9 1 4.2 7.3 0.8 100
15. January 1994 77 8.7 1 5.2 7.1 1 100
16. February 1994 76.8 8.4 1.2 5.6 7.1 1 100
17. March 1994 75.8 9.1 1.4 5.1 7.6 1 100
18. April 1994 76.1 8.7 1.2 5.8 7.1 1.1 100
19. May 1994 75.6 8.6 1.2 5.7 7.6 1.3 100
20. June 1994 75.8 9.3 1 5 7.6 1.3 100
21. July 1994 75.2 9.3 1 5.8 7.4 1.3 100
22. August 1994 74.3 9.3 1.1 5.5 8.2 1.7 100
23. September 1994 74.1 9.6 1 5.5 8.1 1.7 100

SOURCE: Survey of Income and Program Participation, 1992 Panel.

NOTE: The number of children under 19 enrolled in Medicaid in October 1992 is 12,614,000.

After four months, the proportion of October 1992 Medicaid children who are covered by employer-sponsored insurance stands at 5.5 percent. This proportion rises only another four percentage points over the next 19 months, reaching 9.6 percent by September 1994. In sum, the picture presented by Table 15 is one of very slow change in the population of children who start FY93 enrolled in Medicaid. Two years later nearly three-quarters of these children are still enrolled in Medicaid, with only 11 percent having moved to some other type of coverage and nearly 14 percent having become uninsured. More than a third of the uninsured appear to have retained their Medicaid eligibility. While this is puzzling, it is important to keep in perspective the small size of this group. At 5.5 percent of those who were enrolled in Medicaid in October 1992 they number 692,000, which makes them barely more than one quarter of the 2.6 million children who were uninsured and Medicaid-eligible in September 1994.

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