Interim Evaluation Report: Congressionally Mandated Evaluation of the State Children’s Health Insurance Program. 1. Background and Policy Issues


Despite the value low-income families seem to place on health insurance and the apparent satisfaction with Medicaid and SCHIP of parents who have enrolled their children, some families with low-income children do not enroll them in these programs. Understanding the factors that contribute to this seeming contradiction is key to further improvements in program outreach and enrollment strategies. Therefore, this chapter turns from opinions about health insurance expressed in focus groups conducted with families who have a broad spectrum of experience with these programs, to nationally representative survey data from early 2001 on program awareness levels and perceptions among low-income families with uninsured children whom states had not managed to enroll.

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