Related Experiment Video

Updated: Jul 31, 2026

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
08:30

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging

Published on: September 11, 2011

The State Children's Health Insurance Program: has it reduced the percentage of uninsured children?

Charles E Menifield1, Audwin Fletcher

  • 1Division of Public and Nonprofit Administration, University of Memphis, USA.

Journal of Health and Human Services Administration
|June 21, 2005
PubMed

Insights

The percentage of uninsured children declined, but factors like poverty and Medicaid enrollment had a greater impact than the State Children's Health Insurance Program (SCHIP). Some evidence suggests SCHIP may lead to crowd out.

Area of Science:

  • Public Health
  • Health Services Research
  • Health Economics

Background:

  • The percentage of uninsured children in the U.S. has been declining.
  • The State Children's Health Insurance Program (SCHIP) was implemented in 1998 to cover uninsured children.
  • Understanding the drivers of this decline and potential "crowd out" effects is crucial for policy evaluation.

Purpose of the Study:

  • To assess the impact of SCHIP on the reduction of uninsured children from 1998-2000.
  • To determine if SCHIP enrollment led to "crowd out" of private insurance.
  • To compare the influence of SCHIP with other factors like poverty and Medicaid on insurance coverage.

Main Methods:

  • Analysis of national data from 1998-2000.
  • Statistical modeling to assess factors influencing children's health insurance status.
  • Examination of the relationship between SCHIP, Medicaid, and private insurance coverage.

Main Results:

  • A significant decline in the percentage of uninsured children was observed after SCHIP implementation.
  • Factors such as poverty rate, percentage of children on Medicaid, geographic region, and race were more influential than SCHIP in explaining the decline.
  • Findings suggest that "crowd out" of private insurance by public programs may exist.

Conclusions:

  • While SCHIP contributed to the decline in uninsured children, its impact was less significant than other socioeconomic and demographic factors.
  • The study provides evidence supporting the existence of "crowd out" effects between public and private health insurance for children.
  • Policy implications suggest a need to consider a multifaceted approach to improve children's health insurance coverage.

More Related Videos

Assessment of Child Anthropometry in a Large Epidemiologic Study09:36

Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

Reducing State Anxiety Using Working Memory Maintenance08:17

Reducing State Anxiety Using Working Memory Maintenance

Published on: July 19, 2017

Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include: