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Disenrollment and re-enrollment patterns in a SCHIP
Elizabeth A Shenkman1, Bruce Vogel, James M Boyett
1University of Florida, Department of Pediatrics, 5700 SW, 34th Street, Suite 323, Gainesville, FL 32608. USA. eas@ichp.edu
Abstract:
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.
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