The effect of renewal policy changes on SCHIP disenrollment

Jill Boylston Herndon; W Bruce Vogel; Richard L Bucciarelli; Elizabeth A Shenkman

doi:10.1111/j.1475-6773.2008.00866.x

Back

The effect of renewal policy changes on SCHIP disenrollment

Journal article

Open access

Peer reviewed

The effect of renewal policy changes on SCHIP disenrollment

Jill Boylston Herndon, W Bruce Vogel, Richard L Bucciarelli and Elizabeth A Shenkman

Health services research, Vol.43(6), pp.2086-2105

12/2008

DOI: 10.1111/j.1475-6773.2008.00866.x

PMCID: PMC2613999

PMID: 18522669

Files and links (1)

url

https://europepmc.org/articles/pmc2613999View

Published (Version of record) Open Access

Abstract

To examine the impact of changing from a passive renewal process to an active renewal process in Florida's State Children's Health Insurance Program (SCHIP) on disenrollment. Administrative records, containing enrollment and demographic data, were used to identify 414,396 enrollment spells from January 2004 through February 2006. Health care claims data were used to classify the children's health status. A Cox proportional hazards model was used to analyze the impact of changing to an active renewal process on the children's risk of disenrolling, controlling for the children's sociodemographic characteristics. Differential effects of the policy change by the children's health status were examined, and transfers to other public health insurance programs were taken into account. Children faced almost a 10-fold greater risk of disenrolling in their renewal month under active renewal than under passive renewal. We did not detect differential impacts of the policy change across children with different health status levels. The switch to an active renewal process in Florida's SCHIP significantly increased disenrollment rates, and the effect of this policy change does not appear to vary by health status.

Adolescent

Child

Child Health Services - economics

Child, Preschool

Databases, Factual

Eligibility Determination - organization & administration

Female

Florida

Humans

Infant

Infant, Newborn

Insurance Coverage - organization & administration

Insurance, Health - economics

Organizational Policy

Proportional Hazards Models

Socioeconomic Factors

State Health Plans - economics

United States

Details

Title: Subtitle: The effect of renewal policy changes on SCHIP disenrollment
Creators: Jill Boylston Herndon - University of Florida
W Bruce Vogel - University of Florida
Richard L Bucciarelli - University of Florida
Elizabeth A Shenkman - University of Florida
Resource Type: Journal article
Publication Details: Health services research, Vol.43(6), pp.2086-2105
DOI: 10.1111/j.1475-6773.2008.00866.x
PMID: 18522669
PMCID: PMC2613999
NLM abbreviation: Health Serv Res
ISSN: 0017-9124
eISSN: 1475-6773
Language: English
Date published: 12/2008
Academic Unit: Public Policy Center (Archive)
Record Identifier: 9984283856502771

Metrics

16 Record Views

8 Times Cited - Web of Science