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CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings
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Mathematica Policy Research
Mary Harrington
Kimberly Smith
Christopher Trenholm
Sean Orzol
Sheila Hoag
Joseph Zickafoose
Claire Dye
Connie Qian
Tyler Fisher
Lauren HulaASPE
Kenneth FinegoldThe Urban Institute
Genevieve M. Kenney
Lisa Clemans-Cope
Ian Hill
Stacey McMorrow
Jennifer Haley
Timothy Waidmann
Sarah Benatar
Matthew Buettgens
Victoria Lynch
Nathanial AndersonSuggested citation: Harrington and Kenney, et al. 2014. “CHIPRA Mandated Evaluation of the Children’s Health Insurance Program: Final Findings.” Report submitted to the Office of the Assistant Secretary for Planning and Evaluation. Ann Arbor, MI: Mathematica Policy Research, August 2014.
Submitted to:
U.S. Department of Health and Human Services
Office of the Assistant Secretary for Planning and Evaluation
200 Independence Avenue, SW
Washington, DC 20201
Project Officer: Rose Chu Contract Number: HHSP23320095642WC/HHSP23337021TSubmitted by:
Mathematica Policy Research
220 East Huron Street Suite 300 Ann Arbor, MI 48104-1912 Telephone: (734) 794-1120 Facsimile: (734) 794-0241
Project Director: Mary Harrington Reference Number: 06873.140This report presents findings from an evaluation of CHIP mandated by CHIPRA and patterned after an earlier evaluation. Some of the evaluation findings are at the national level, while others focus on the 10 states selected for more intensive study: Alabama, California, Florida, Louisiana, Michigan, New York, Ohio, Texas, Utah, and Virginia. The evaluation included a large survey conducted in 2012 of CHIP enrollees and disenrollees in the 10 states, and Medicaid enrollees and disenrollees in three of these states. It also included case studies conducted in each of the 10 survey states in 2012 and a national telephone survey of CHIP administrators conducted in early 2013. Data from the Current Population Survey and the American Community Survey were analyzed to document national coverage trends from 1997 to 2012. Together with Medicaid, CHIP has helped fuel a decline in the number of uninsured children from 11.4 million (15 percent of children) in 1997 to 6.6 million (9 percent of children) in 2012. As of March 2014, 8.13 million children were enrolled in CHIP at some point in FFY 2013.
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Executive Summary
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I. Background and Context for the Evaluation
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II. Program Design
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III. Role of Medicaid and CHIP Coverage in Declining Uninsurance Among Children
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IV. Access to Private Coverage Among Low-income Children
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V. Medicaid and CHIP Enrollment Trends in the 10 Study States, 2007 - 2012
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VI. Length of Medicaid and CHIP Enrollment Spells and Coverage Experiences After Disenrollment
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VII. Characteristics of CHIP Enrollees
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VIII. How Well Medicaid and CHIP Meet the Health CARE Needs of Low-income Children and Families
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IX. Families’ Perceptions, Knowledge, and Experiences with the CHIP/MEDICAID Application and Renewal Process
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X. Implications of Health Reform for CHIP Programs and Families
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XI. Conclusions and Policy Implications
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References
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Appendix A: Enabling Legislation for the Chipra and BBRA Evaluations
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Appendix B: Supplemental Tables and Exhibit
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