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Determinants of children's participation in California's Medicaid and SCHIP programs

Jennifer Kincheloe1, Janice Frates, E Richard Brown

  • 1UCLA Center for Health Policy Research, 10960 Wilshire Blvd, Suite 1550, Los Angeles, CA 90024, USA.

Health Services Research
|March 17, 2007
PubMed

Insights

California

Area of Science:

  • Health Services Research
  • Public Health Policy
  • Health Economics

Background:

  • Millions of children remain uninsured despite eligibility for public health insurance programs.
  • Understanding enrollment barriers and facilitators is crucial for effective program design and outreach.

Purpose of the Study:

  • To develop a predictive model for children's enrollment in California's Medicaid (Medi-Cal) and State Children's Health Insurance Program (Healthy Families).
  • To identify key family and county-level factors influencing enrollment in these programs.

Main Methods:

  • Utilized 2001 California Health Interview Survey data, outstationed eligibility worker data, and administrative data.
  • Employed hierarchical logistic regression analyses to examine family and county-level predictors of enrollment.

Main Results:

  • Family factors like immigration status, ethnicity, income, and child's age were significant predictors for Medi-Cal and Healthy Families.
  • County-level factors, including "expansion programs," outreach efforts, and worker ratios, also influenced enrollment.
  • Parental work hours and urban residence were important for Healthy Families enrollment.

Conclusions:

  • Targeted outreach to low-income, immigrant (especially Latino) families and older children is recommended.
  • Simplifying application processes and increasing funding for outreach are vital for reaching eligible uninsured children.
  • Local health insurance expansion programs positively impact Medi-Cal enrollment.
Abstract

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