title: Effects of premium increases on enrollment in SCHIP: findings from three states.
abstract: This study examines the effects of new and higher premiums on SCHIP enrollment in Kansas, Kentucky, and New Hampshire--three states that implemented premium changes in 2003. We used state administrative enrollment records from 2001 to 2004-2005 to track changes in total caseloads, new enrollments, and disenrollment timing in premium-paying categories of SCHIP before and after the premium changes were implemented. Premium hikes were associated with lower caseloads in all three states and with earlier disenrollment in Kentucky and New Hampshire. Premium increases appeared to have greater disenrollment effects for lower-income children in New Hampshire and for nonwhite children in Kentucky.
authors.affiliation: Urban Institute, Washington, DC 20037, USA. jkenney@ui.urban.org
authors.forename: Genevieve
authors.initials: G
authors.lastname: Kenney
authors.forename: R Andrew
authors.initials: RA
authors.lastname: Allison
authors.forename: Julia F
authors.initials: JF
authors.lastname: Costich
authors.forename: James
authors.initials: J
authors.lastname: Marton
authors.forename: Joshua
authors.initials: J
authors.lastname: McFeeters
mesh_terms: D000385:Aid to Families with Dependent Children; D006801:Humans; D019458:Insurance Coverage / Q000639:trends*; D007348:Insurance, Health / Q000191:economics* / Q000706:statistics & numerical data*; D007615:Kansas; D007629:Kentucky; D008484:Medicaid; D009513:New Hampshire; D014481:United States