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SCHIP at a crossroads: experiences to date and challenges ahead
1Urban Institute, Washington, DC, USA. jkenney@ui.urban.org
Health Affairs (Project Hope)
|March 7, 2007
Summary
The State Children's Health Insurance Program (SCHIP) has been successful, but future reauthorization requires addressing funding, uninsurance, and healthcare access for low-income children and families.
Area of Science:
- Health Services Research
- Public Health Policy
- Pediatric Health Insurance
Background:
- The State Children's Health Insurance Program (SCHIP) provides health coverage to millions of low-income children.
- SCHIP's first decade has seen significant program expansion and enrollment.
- Upcoming reauthorization necessitates an evaluation of SCHIP's performance and future needs.
Purpose of the Study:
- To examine the first decade of SCHIP's operation.
- To identify critical changes for SCHIP's future success.
- To assess SCHIP's role in addressing children's uninsurance and broader family healthcare needs.
Main Methods:
- Analysis of SCHIP's first ten years of operation.
- Review of federal funding structures and levels.
- Assessment of uninsurance rates among low-income children.
- Evaluation of data availability on healthcare quality, access, and costs.
Main Results:
- SCHIP has achieved success by many objective measures.
- Significant challenges remain, including persistent uninsurance among vulnerable populations.
- Gaps in information regarding quality, access, and costs hinder comprehensive evaluation.
Conclusions:
- SCHIP's success must be maintained and built upon during reauthorization.
- Key issues for future policy include federal funding, reducing child uninsurance, and improving data collection.
- SCHIP's potential as a foundation for addressing wider healthcare needs of low-income families warrants further consideration.
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