Interim Evaluation Report: Congressionally Mandated Evaluation of the State Children’s Health Insurance Program. XI. Service Delivery Systems, Access and Utilization

02/26/2003

Highlights of Findings

  • Managed care is the cornerstone of SCHIP delivery systems in most of the study states
  • Access is generally described as "good;" however, access to dental care, specialist care, and access in rural areas where there are provider shortages, are more problematic
  • Rates paid to managed care health plans in SCHIP appear to be similar to rates paid to managed care health plans in Medicaid, and have been mostly well received by health plans
  • Rates paid to physicians in SCHIP are also similar to Medicaid's, which is causing a provider backlash in many states

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