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A profile of the population enrolled in New York State's Child Health Plus.
Pediatrics. 2000 Mar; 105(3 Suppl E):706-10.Ped

Abstract

BACKGROUND

The recently enacted State Children's Health Insurance Program (SCHIP), designed to provide affordable health insurance for uninsured children, was modeled in part on New York State's Child Health Plus (CHPlus), which was implemented in 1991. All SCHIP programs involve voluntary enrollment of eligible children. Little is known about characteristics of children who enroll in these programs.

OBJECTIVES

To provide a profile of children enrolled in CHPlus between 1993 and 1994 in the 6-county upstate New York study area, and to estimate the participation rate in CHPlus. Methods. A parent interview was conducted to obtain information about children, 0 to 6.9 years old, who enrolled in CHPlus in the study area. Two school-based surveys and the Current Population Survey were used to estimate health insurance coverage. Enrollment data from New York State's Department of Health, together with estimates of the uninsured, were used to estimate participation rates in CHPlus.

RESULTS

Most children enrolled in CHPlus in the study area were white. Although 17% of all children in the study area who were <13 years old and living in families with incomes below 160% of the federal poverty level were black, only 9% of CHPlus-enrolled children were black. Twenty-one percent of enrolled children were uninsured during the entire year before enrollment and 61% of children had a gap in coverage lasting >1 month. Children were generally healthy; only 4% had fair or poor health. Eighty-eight percent of parents of enrolled children had completed high school or a higher level of education. Parents reported that loss of a job was the main reason for loss of prior health insurance for their child. Most families learned about CHPlus from a friend (30%) or from their doctor (26%). The uninsured rate among children in the study area was approximately 4.1%. By 1993, the participation rate in CHPlus was about 36%.

CONCLUSION

Blacks were underrepresented in CHPlus. Because the underlying uninsured rate was relatively low and parental education and family income were relatively high, the effects of CHPlus observed in this evaluation may be conservative in comparison to the potential effects of CHPlus for other populations of children. Participation rates during the early years of the program were modest.

Authors+Show Affiliations

Children's Memorial Hospital, Department of Pediatrics and Institute for Health Services Research and Policy Studies, Northwestern University Medical School, Chicago, Illinois 60611, USA. j-holl@nwu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10699148

Citation

Holl, J L., et al. "A Profile of the Population Enrolled in New York State's Child Health Plus." Pediatrics, vol. 105, no. 3 Suppl E, 2000, pp. 706-10.
Holl JL, Dick AW, Shone LP, et al. A profile of the population enrolled in New York State's Child Health Plus. Pediatrics. 2000;105(3 Suppl E):706-10.
Holl, J. L., Dick, A. W., Shone, L. P., Rodewald, L. E., Zwanziger, J., Mukamel, D. B., Trafton, S., Raubertas, R. F., & Szilagyi, P. G. (2000). A profile of the population enrolled in New York State's Child Health Plus. Pediatrics, 105(3 Suppl E), 706-10.
Holl JL, et al. A Profile of the Population Enrolled in New York State's Child Health Plus. Pediatrics. 2000;105(3 Suppl E):706-10. PubMed PMID: 10699148.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A profile of the population enrolled in New York State's Child Health Plus. AU - Holl,J L, AU - Dick,A W, AU - Shone,L P, AU - Rodewald,L E, AU - Zwanziger,J, AU - Mukamel,D B, AU - Trafton,S, AU - Raubertas,R F, AU - Szilagyi,P G, PY - 2000/3/4/pubmed PY - 2000/3/18/medline PY - 2000/3/4/entrez SP - 706 EP - 10 JF - Pediatrics JO - Pediatrics VL - 105 IS - 3 Suppl E N2 - BACKGROUND: The recently enacted State Children's Health Insurance Program (SCHIP), designed to provide affordable health insurance for uninsured children, was modeled in part on New York State's Child Health Plus (CHPlus), which was implemented in 1991. All SCHIP programs involve voluntary enrollment of eligible children. Little is known about characteristics of children who enroll in these programs. OBJECTIVES: To provide a profile of children enrolled in CHPlus between 1993 and 1994 in the 6-county upstate New York study area, and to estimate the participation rate in CHPlus. Methods. A parent interview was conducted to obtain information about children, 0 to 6.9 years old, who enrolled in CHPlus in the study area. Two school-based surveys and the Current Population Survey were used to estimate health insurance coverage. Enrollment data from New York State's Department of Health, together with estimates of the uninsured, were used to estimate participation rates in CHPlus. RESULTS: Most children enrolled in CHPlus in the study area were white. Although 17% of all children in the study area who were <13 years old and living in families with incomes below 160% of the federal poverty level were black, only 9% of CHPlus-enrolled children were black. Twenty-one percent of enrolled children were uninsured during the entire year before enrollment and 61% of children had a gap in coverage lasting >1 month. Children were generally healthy; only 4% had fair or poor health. Eighty-eight percent of parents of enrolled children had completed high school or a higher level of education. Parents reported that loss of a job was the main reason for loss of prior health insurance for their child. Most families learned about CHPlus from a friend (30%) or from their doctor (26%). The uninsured rate among children in the study area was approximately 4.1%. By 1993, the participation rate in CHPlus was about 36%. CONCLUSION: Blacks were underrepresented in CHPlus. Because the underlying uninsured rate was relatively low and parental education and family income were relatively high, the effects of CHPlus observed in this evaluation may be conservative in comparison to the potential effects of CHPlus for other populations of children. Participation rates during the early years of the program were modest. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/10699148/A_profile_of_the_population_enrolled_in_New_York_State's_Child_Health_Plus_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&amp;pmid=10699148 DB - PRIME DP - Unbound Medicine ER -