Analysis of Children's Health Insurance Patterns: Findings from the SIPP. Technical Appendix A: Measuring Medicaid Eligibility, Medicaid Participation, and Lack of Health Insurance Among Children: Exploring the Issues with the SIPP.

05/12/1999

Using data from the Survey of Income and Program Participation (SIPP), this report examines issues related to the measurement of health insurance coverage and Medicaid participation and the simulation of Medicaid eligibility and draws some observations about the sources of health insurance coverage among children, the frequency with which children lack health insurance coverage, and the frequency with which these same children are eligible but apparently not enrolled in Medicaid. Subsequent reports will investigate the dynamics of health insurance coverage and Medicaid eligibility and participation among children and the characteristics of children by their health insurance coverage.

This report is organized as follows. Section A provides an overview of the SIPP, including its strengths and limitations, its general representativeness, and its representation of the population of children over time. Section B discusses our use of the SIPP to measure children’s health insurance coverage. Section C presents estimates of health insurance coverage among children. Section D details our methodology for simulating Medicaid eligibility and presents estimates of Medicaid- eligible children by their basis of eligibility. Section E presents estimates of Medicaid participation and other insurance coverage among Medicaid-eligible children, and Section F discusses strategies for evaluating the Medicaid eligibility simulation and presents some comparisons with program administrative statistics as well as estimates of the impact of one feature of our simulation--the definition of the family unit.

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