Navigation Links
New SCHIP enrollees have unmet health care needs
Date:5/4/2008

Even with prior private health insurance, patients enrolling in the state childrens health insurance program (SCHIP) had unmet health care needs. Instituting a waiting period would further prolong these childrens need to address asthma and other chronic health conditions.

To deter crowd-out, which happens when patients switch to SCHIP when they have the option of private insurance, 35 states require waiting periods to qualify for SCHIP. Waiting periods require uninsured children to go with no insurance for a specified period of time before allowing them to enroll in the state program. New York states Child Health Plus SCHIP has never instituted a waiting period. Because of that, the program presents a unique opportunity to study the patients who switch from private insurance.

First of all, weve found that few families switch their children to SCHIP when they have the option of private health insurance in fact, only 7 percent do, said Laura Shone, Dr.P.H., M.S.W., an assistant professor of pediatrics at the University of Rochester Medical Center and author of the study being presented during a presidential plenary session at the Pediatric Academic Society meeting in Honolulu, Hawaii, today. And second, those who do switch have the same unmet health care needs as those who didnt have insurance when they enrolled.

Shone said this study shows that families are not saving up health problems for SCHIP to address after enrollment. It also shows that waiting periods could harm even those children who have had private insurance. About 57 percent of children, both with and without prior insurance, had unmet health care needs when enrolling in SCHIP. In fact, 10 percent of those who had prior private insurance had asthma and about 7 percent had some other chronic health condition.

Since 1997, the national State Childrens Health Insurance Program has provided health insurance to low-income children who are not eligible for Medicaid and do not have private coverage. Under the Federal law, states received grants of federal dollars to help with costs of insurance expansions, and had several options for how to expand coverage for children using those dollars. New York received federal approval for Child Health Plus, which was created in New York in 1991. The University of Rochester Medical Center has been studying that program since its inception.

Earlier University of Rochester Medical Center research has shown that the program greatly increases childrens access to primary care, preventive care, as well as other needed health care. SCHIP markedly reduces childrens unmet health care needs and reduces pre-existing racial disparities in access, unmet need and continuity of care. Long-term uninsured and lowest-income children, who were most disenfranchised before SCHIP enrollment, demonstrate the most dramatic gains after enrollment in SCHIP. Parents of children with asthma and special health care needs were more satisfied and better able to afford care and medications for their childs condition once enrolled.

When the program came up for federal renewal last year, the debate over whether to expand the program focused on several aspects. In addition to debating where funding for the expansion would come from, the executive and legislative branches were at odds about whether families would leave private insurance for the public program. The program has been extended but without funding to expand it and questions remain about whether current funding will continue to cover those already enrolled.

Just last month, New York Governor David Paterson approved a state budget that included an expansion of the program with state funding; several other states are considering following suit.


'/>"/>

Contact: Becky Jones
rebecca_jones@urmc.rochester.edu
585-275-8490
University of Rochester Medical Center
Source:Eurekalert

Related medicine news :

1. On Heels of SCHIP Veto, President Advocates Eliminating Federal Funding for Training Childrens Doctors
2. States Promoted Broader Coverage for Children in 2007, But Report That a Declining Economy Coupled With Lack of SCHIP Reauthorization and New Federal Rules Now Compromise Efforts to Reduce the Number of Uninsured
3. Blunt Applauds Passage of Republican-Crafted SCHIP Extension
4. Pelosi on Bush Veto of SCHIP: Democrats Will Not Rest Until 10 Million Children Have Access to Health Care
5. Blunt: New SCHIP Bill Addresses None of the Problems With the Old
6. Pelosi Floor Statement Urging Override of Presidents Veto of SCHIP
7. Doctors Applaud SCHIP Veto: Bill Supports Special Interests, Not Kids; Almost Half of Funds Go to Doctors & Seniors
8. Catholic Health Association Disappointed by Failure to Override SCHIP Veto
9. Congressional failure to override SCHIP veto saddens physicians
10. SEIU Leaders Denounce Failure to Override SCHIP Veto, Vow to Continue Fight for Childrens Healthcare
11. Pelosi to Hold Press Availability with SCHIP Family Tomorrow Morning
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2016)... ... May 24, 2016 , ... Backed by decades ... for each job, ensuring the best suited solution to meet regulatory requirements. Their ... at their lab in Istanbul. , Metroloji Okulu specializes in MadgeTech’s line of ...
(Date:5/24/2016)... ... May 24, 2016 , ... ... Jonathan (Jon) Otterstatter to its board of directors. Otterstatter is co-founder, president ... the development of technological innovations that lead to broad-based healthcare solutions. , “Jon ...
(Date:5/24/2016)... ... May 24, 2016 , ... WaterAid launched the #perioddrama campaign to mark Menstrual ... 1 billion women around the world who do not have access to a toilet, even ... US about their dread of #perioddrama. The (sometimes hilarious) results help shine a light on ...
(Date:5/24/2016)... ... May 24, 2016 , ... ... patient Services To Begin In June , Aloria Health, specializing in a re-imagined, ... opening of Aloria Milwaukee, its first treatment facility for outpatient, day treatment and ...
(Date:5/24/2016)... , ... May 24, 2016 , ... ... tick-borne disease research and education, today announced that it has named Scott Santarella ... the Bonnie J. Addario Lung Cancer Foundation (ALCF) in San Francisco, where he ...
Breaking Medicine News(10 mins):
(Date:5/20/2016)... 20, 2016 According to the 2016 ... increasing demand for affordable healthcare solutions as since the early ... rise. In countries like the US, the healthcare cost rose ... the consumer price index inflation rate stood at an average ... up to 3.62% during the same time period. This can ...
(Date:5/19/2016)... Boehringer Ingelheim Pharmaceuticals, Inc. (BIPI) announced today that it is ... a chance to meet iconic entertainer Mario Kreutzberger ... past two years has been the face of the company,s ... with type 2 diabetes, which Don Francisco is ... and tips for long-term healthy lifestyle choices. ...
(Date:5/19/2016)... , The data will be presented ... 8006)   The conclusions of the study point to ... with 90% of the m presenting duration ... two percent of the patients had clinical benefit.   ... Phase I study of plitidepsin in combination with bortezomib and dexamethasone in patients ...
Breaking Medicine Technology: