Cited by 46Healthcare Policy and ManagementChild and Adolescent HealthHealthcare Systems and Reforms

Medicaid At The Ten-Year Anniversary Of SCHIP: Looking Back And Moving Forward

Dubay, Lisa, Guyer, Jocelyn, Mann, Cindy, Odeh, Michael·2007·Health Affairs

Abstract

The adoption of the State Children's Health Insurance Program (SCHIP) in 1997 spurred widespread efforts to simplify and revitalize Medicaid coverage for children. To an extent often not recognized, these Medicaid improvements were a key factor behind much of the progress that has been made in covering low-income children: These children's uninsurance rate dropped from 22.3 percent in 1997 to 14.9 percent in 2005, and more than 70 percent of those gains can be attributed to Medicaid. The program, however, faces a number of issues that will need to be addressed if the country is to continue to make progress.

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Crossref · 10.1377/hlthaff.26.2.370

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14 of 14 references verified0 citation errors · 0 not checkable

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  • Subsequent audit studies did not sufficiently examine physicians' willingness to provide needed specialty care for publicly insured children.

    “Subsequent studies in which this approach was used did not sufficiently examine physicians' willingness to provide needed specialty care for publicly insured children.7,13,21,22”
  • Two previous audit studies of pediatric specialty care have shown even lower Medicaid acceptance rates: 4% and 8%.

    “Two previous audit studies of pediatric specialty care have shown even lower Medicaid acceptance rates: 4% 13 and 8%.7”
  • Two previous audit studies of pediatric specialty care had sampling weaknesses that may have biased their results.

    “However, both studies investigated only one specialty type (orthopedics), and both had weaknesses in their sampling strategies that may have biased their results, including failure to exclude ineligible providers, 7 sampling at the physician level rather than the clinic level (i.e., possibly calling the same clinic multiple times), 7 and the exclusion of physicians practicing at tertiary pediatric”

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Authors
Dubay, L., Guyer, J., Mann, C., & Odeh, M.
Affiliations
  • Johns Hopkins University (US)
  • Georgetown University (US)
Venue
Health Affairs
Published
2007-03
Volume
26
Issue
2
Pages
370-381
ISSN
  • 0278-2715 (ISSN-L)
  • 1544-5208
OpenAlex
W2060161443
Cited by
46
References
14
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2018: 3 · 2017: 4 · 2015: 1 · 2014: 2 · 2013: 4 · 2012: 4
FWCI
13.87
Type
journal article
Language
en
Open access
closed
Locations
  • Health Affairs (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
  • Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
Keywords
Medicaid, State Children's Health Insurance Program, children's health insurance, low-income children, Medicaid expansion, health policy reform, program evaluation
MeSH terms
Aid to Families with Dependent Children, Anniversaries and Special Events, Child, Child Health Services, Child Welfare, Child, Preschool, Female, Forecasting, Humans, Male, Medicaid, Socioeconomic Factors, State Health Plans, United States, Needs Assessment

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