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:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. ... The attorneys chosen by their peers for this recognition are considered among the top ... Shareholders received special honors as members of this year’s Legal Elite Hall of Fame: ...
(Date:6/24/2016)... Diego, CA (PRWEB) , ... June 24, 2016 , ... ... with the American Cancer Society and the Road To Recovery® program to drive cancer ... to seniors and other adults to ensure the highest quality of life and ongoing ...
(Date:6/24/2016)... ... 24, 2016 , ... People across the U.S. are sharpening their pencils and ... essay contest in which patients and their families pay tribute to a genetic counselor ... National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... is proud to recognize Dr. Barry M. Weintraub as a prominent plastic surgeon ... beautiful women in the world, and the most handsome men, look naturally attractive. ...
(Date:6/24/2016)... Maryland (PRWEB) , ... June 24, 2016 , ... ... Angels is actively feeding the Frederick area economy by obtaining investment capital for ... over the past 2½ years that have already resulted in more than a ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)...   Pulmatrix, Inc ., (NASDAQ: PULM ... announced today that it was added to the Russell ... comprehensive set of U.S. and global equity indexes on ... milestone for Pulmatrix," said Chief Executive Officer Robert ... progress in developing drugs for crucial unmet medical needs, ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... report to their offering. ... kidney failure, it replaces the function of kidneys by removing ... thus the treatment helps to keep the patient body,s electrolytes ... Increasing number of ESRD patients & substantial healthcare expenditure ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
Breaking Medicine Technology: