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Challenges in securing access to care for children.

N Halfon, M Inkelas, H DuPlessis

Health Affairs (Project Hope)

|March 26, 1999

Summary

The State Children's Health Insurance Program (CHIP) aims to expand children's health coverage. This study proposes a framework to evaluate CHIP's effectiveness in improving insurance and service access for children.

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Area of Science:

Health Services Research
Public Health Policy
Health Economics

Background:

The State Children's Health Insurance Program (CHIP) was established by Title XXI of the Social Security Act to increase health insurance coverage for children.
Previous experience with Medicaid indicates that eligibility alone does not ensure enrollment or access to necessary healthcare services.
Evaluating the effectiveness of public health insurance programs is crucial for optimizing outcomes.

Purpose of the Study:

To develop an analytic framework for evaluating the performance of CHIP.
To identify indicators for assessing CHIP's impact on children's access to health insurance and healthcare services.
To propose strategies for enhancing program evaluation beyond minimal monitoring to improve outcomes.

Main Methods:

Development of a conceptual framework for program evaluation.
Identification and definition of potential performance indicators.
Discussion of policy implications for program monitoring and improvement.

Main Results:

The study outlines a comprehensive framework for assessing CHIP's impact on access to care.
Key indicators are proposed to measure both insurance coverage and service utilization.
The framework emphasizes moving towards outcome-oriented evaluation.

Conclusions:

Effective evaluation of CHIP requires a broad definition of access, encompassing both insurance and service utilization.
Implementing a robust evaluation strategy can guide policy decisions and improve program effectiveness.
Continuous monitoring and strategic evaluation are essential for maximizing the benefits of CHIP for children's health.

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