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Marriage and Health Care Coverage Among Families with Children
(Research Brief)
Original Research |
Author(s): Brian Goesling and Heather Koball |
Organization(s): Mathematica Policy Research (MPR) |
This research brief describes rates of health care coverage for married and single parent families with children under age 18, a key target population of both marriage and health care coverage initiatives. Drawing on nationally representative data from the Current Population Survey (March 2004), the brief reports differences in rates of coverage by marital status among with children, for the overall national population and separately by income and racial/ethnic group. The brief finds that overall rates of coverage are similar for both married-parent and single-parent families, about four-fifths of families are fully covered but that the source of coverage differs. Almost 70 percent of married families are fully-covered through employment based coverage, while single parent families are as likely to have public coverage as employer based coverage (about 40 percent in each). Low-income married families are less likely to be fully covered than are low-income single parent families and Hispanic families, both married and single parent, are less likely to have any coverage. |
Published: August, 2008 |
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Research Brief
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TRIM3 Simulations of Full-Year Uninsured Children and their Eligibility of Medicaid and SCHIP
(Report)
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Author(s): Kenneth Finegold and Linda Giannarelli |
This paper estimates the number of full-year uninsured children and the share of them eligible for Medicaid or SCHIP using the TRIM3 microsimulation model. This model applies detailed state-specific rules to determine which individuals represented in the Current Population Survey (CPS) are eligible for Medicaid and/or SCHIP. Other key aspects of the model are the correction for underreporting of Medicaid, SCHIP, and other public benefits in the CPS and the imputation of immigrant legal status. Corrections for underreporting involve simulating additional enrollees so that reported coverage on the CPS matches totals given in the program administrative data. Imputation for immigrant legal status is required because this information is not provided in the CPS but is required to estimate eligibility. |
Published: June, 2007 |
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Congressionally Mandated Evaluation of the State Children's Health Insurance Program:
(Report)
Final Report to Congress |
Author(s): Judith Wooldridge, Genevieve Kenney, and ChristophernTrenholm, with
Lisa Dubay, Ian Hill, Myoung Kim, Lorenzo Moreno,
Anna Sommers, and Stephen Zuckerman |
Organization(s): Mathematica Policy Research and The Urban Institute |
The final report of the SCHIP Evaluation focuses primarily on case studies and surveys of SCHIP enrollees and recent disenrollees in 10 study states, and on analyses of two national surveys that provide nationwide perspectives on SCHIP implementation and uninsured children's access to care. The report presents findings from an extensive analysis of the mandated surveys of SCHIP enrollees and disenrollees in 10 states, and of Medicaid enrollees and disenrollees in 2 states. The Evaluation addresses questions about SCHIP program design, implementation and evolution, SCHIP coordination with Medicaid, characteristics of enrollees, substitution of public coverage for private health insurance, SCHIP's effect on access to care, and family experiences with application and enrollment. |
Published: October, 2005 |
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Estimating the Number of Individuals in the U.S. Without Health Insurance
(Report)
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Author(s): Cathi Callahan, Jim Mays, George Greenberg, Rob Stewart |
Organization(s): Acturarial Research Corporation (ARC) |
The Census Bureau's Current Population Survey (CPS) has long served as the most widely-cited source of statistics on the nation's uninsured. But over time, the CPS has undergone several methodological changes that create some inconsistency in the time series of uninsured date. This report presents the Acturarial Research Corporation's (ARC) adjustments to the CPS to create a consistent time series. |
Published: April, 2005 |
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TRIM3's 2001 Baseline Simulation of the Medicaid and SCHIP Eligibility and Enrollment: Methods and Results,
(Report)
TRIM3 Microsimulation Project Technical Paper |
Author(s): Linda Giannarelli, Paul Johnson, Sandi Nelson, and Meghan Williamson |
Organization(s): Urban Institute |
The TRIM microsimulation model produces a baseline of Medicaid and SCHIP eligibility and enrollment using adjustments that correct for the undercount in program participation on the Current Population Survey (CPS). This report presents a detailed explanation of the TRIM mmethodology. |
Published: April, 2005 |
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Children's Health Insurance Issues
(Website)
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Published: March, 2004 |
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State Practices in Medical Child Support Cross-Program Coordination
(Report)
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Author(s): Lynne Fender, Jen Bernstein |
Organization(s): Urban Institute |
This study describes policies and practices in Connecticut, Minnesota, and Texas designed to coordinate the child support enforcement program, Medicaid, and SCHIP in order to secure and sustain appropriate health care coverage for child support-eligible children. Based on the findings from site visits to the three states, the report documents both successes in cross-program coordination as well as challenges to effective coordination. |
Published: June, 2003 |
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Congressionally Mandated Evaluation of the State Children's Health Insurance Program
(Report)
Interim Evaluation Report: |
Author(s): Judith Wooldridge, Ian Hill, Mary Harrington, Genevieve Kenney, Corinna Hawkes, Jennifer Haley |
Organization(s): Mathematica Policy Research and The Urban Institute |
This report draws primarily on findings from case studies in six of the ten states selected for the evaluation, whose early experiences implementing SCHIP have been examined closely: California, Colorado, Louisiana, Missouri, New York, and Texas. Case study respondents interviewed in the case studies included state officials, advocates, plan staff, and providers. Also, to assess the program from the perspective of the low-income families whose children SCHIP targets, the report draws heavily on findings from focus groups conducted with parents of low-income children who (1) are enrolled in SCHIP and/or Medicaid, (2) are disenrolled from SCHIP and/or Medicaid, (3) would be eligible for SCHIP except that they are privately insured, and (4) who are eligible for public coverage, but not enrolled. The findings from these qualitative studies are supplemented by analyses of awareness of and perceptions about SCHIP and Medicaid among low-income uninsured families nationwide, based on preliminary data collected using the State and Local Area Integrated Telephone Survey (SLAITS). The report also includes an analysis of retention and enrollment turnover using SCHIP administrative data from three states. Finally, the report draws on an ASPE-sponsored study of three states (New Jersey, Rhode Island, and Wisconsin) that have introduced coverage for parents under Title XXI. |
Published: February, 2003 |
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Executive Summary
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Health Care Coverage Among Child Support-Eligible Children
(Report)
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Author(s): Laudan Y. Aron |
Organization(s): Urban Institute |
This report analyzes data from the 1999 National Survey of America's Families (NSAF) to determine the health care coverage status of child support-eligible children who live with their mothers and estimates their eligibility for Medicaid and the State Children's Health Insurance Program (SCHIP). |
Published: December, 2002 |
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Caring for Immigrants:
(Report)
Health Care Safety Nets in Los Angeles, New York, Miami, and Houston |
Author(s): Leighton Ku, Alyse Freilich |
Organization(s): Urban Institute |
This report analyzes qualitative data to examine factors influencing changes in the health care systems for immigrants in these four cities, including immigrant eligibility changes under federal welfare reform, immigration enforcement issues, and language and cultural differences. |
Published: February, 2001 |
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