Disenrollment and re-enrollment patterns in a SCHIP.
This article examines the impact of four policy changes made to a State children's health insurance program (SCHIP) as it transitioned to Title XXI on program disenrollment and re-enrollment. The changes were: (1) expanded eligibility criteria, (2) reduction in the family share of the premium, (3) expansion of the mental health benefit, and (4) implementation of a 60-day wait period to re-enrollment in the program for children who involuntarily disenrolled due in non-payment of premium. Disenrollment was reduced by 20 percent after the changes were implemented. Disenrollment and re-enrollment rates varied significantly based on the child's health and family income.
Shenkman
Elizabeth A
EA
University of Florida, Department of   Pediatrics, 5700 SW, 34th Street, Suite 323, Gainesville, FL 32608. USA. eas@ichp.edu
Vogel
Bruce
B
Boyett
James M
JM
Naff
Rose
R
D000293:Adolescent; D000328:Adult; D002648:Child; D002662:Child Health Services / Q000191:economics*; D002675:Child, Preschool; D004608:Eligibility Determination; D005249:Fees and Charges / Q000639:trends; D005260:Female; D005431:Florida; D006291:Health Policy; D006801:Humans; D007223:Infant; D019458:Insurance Coverage / Q000458:organization & administration* / Q000706:statistics & numerical data; D008297:Male; D008484:Medicaid; D008483:Medical Assistance / Q000706:statistics & numerical data*; D017057:Medically Uninsured; D016134:Organizational Policy; D011203:Poverty; D013221:State Health Plans / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*; D014481:United States