Effects of premium increases on enrollment in SCHIP: Findings from three states

Genevieve Kenney, R. Andrew Allison, Julia F. Costich, James Marton, Joshua McFeeters

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

This study examines the effects of new and higher premiums on SCHIP enrollment in Kansas, Kentucky, and New Hampshire-three states that implemented premium changes in 2003. We used state administrative enrollment records from 2001 to 2004-2005 to track changes in total caseloads, new enrollments, and disenrollment timing in premium-paying categories of SCHIP before and after the premium changes were implemented. Premium hikes were associated with lower caseloads in all three states and with earlier disenrollment in Kentucky and New Hampshire. Premium increases appeared to have greater disenrollment effects for lower-income children in New Hampshire and for nonwhite children in Kentucky.

Original languageEnglish
Pages (from-to)378-392
Number of pages15
JournalInquiry
Volume43
Issue number4
DOIs
StatePublished - 2006

ASJC Scopus subject areas

  • Health Policy

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