Medicaid At The Ten-Year Anniversary Of SCHIP: Looking Back And Moving Forward
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.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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”
From Auditing Access to Specialty Care for Children with Public Insurance (2011) · cites this paper as [13]
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”
From Auditing Access to Specialty Care for Children with Public Insurance (2011) · cites this paper as [13]
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”
From Auditing Access to Specialty Care for Children with Public Insurance (2011) · cites this paper as [13]
Cites
PREVENTIVE CARE FOR CHILDREN IN THE UNITED STATES: Quality and Barriers
Chung, P. J., Lee, T. C., Morrison, J. L., & Schuster, M. A. (2005) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.27.021405.102155 · Cited by 161 · see citing works
Expanding Public Health Insurance to Parents: Effects on Children's Coverage under Medicaid
Dubay, L. C., & Kenney, G. S. (2003) · Health Services Research · doi:10.1111/1475-6773.00177 · Cited by 145 · see citing works
Self-citationThe Uninsured And The Affordability Of Health Insurance Coverage
Dubay, L. C., Holahan, J., & Cook, A. (2006) · Health Affairs · doi:10.1377/hlthaff.26.1.w22 · Cited by 86 · see citing works
Self-citationOut-of-Pocket Health Spending Between Low- and Higher-Income Populations
Shen, Y., & McFeeters, J. (2006) · Medical Care · doi:10.1097/01.mlr.0000199692.78295.7c · Cited by 71 · see citing works
Role of Insurance for Children With Special Health Care Needs: A Synthesis of the Evidence
Jeffrey, A. E., & Newacheck, P. W. (2006) · PEDIATRICS · doi:10.1542/peds.2005-2527 · Cited by 66 · see citing works
The Impact of SCHIP on Insurance Coverage of Children
Hudson, J. L., Selden, T. M., & Banthin, J. S. (2005) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.5034/inquiryjrnl_42.3.232 · Cited by 66 · see citing works
Medicaid For Children: Federal Mandates, Welfare Reform, And Policy Backsliding
Kronebusch, K. (2001) · Health Affairs · doi:10.1377/hlthaff.20.1.97 · Cited by 40 · see citing works
Summer, L., & Mann, C. (2006) · Commonwealth Fund Fund Reports · doi:10.2510/376823 · Cited by 35 · see citing works
Self-citationEnrolling Eligible Children and Keeping Them Enrolled
Ross, D. C., & Hill, I. T. (2003) · The Future of Children · doi:10.2307/1602640 · Cited by 35 · see citing works
Medicaid Managed Care Payment Methods And Capitation Rates In 2001
Holahan, J., & Suzuki, S. (2003) · Health Affairs · doi:10.1377/hlthaff.22.1.204 · Cited by 29 · see citing works
SCHIP, Medicaid expansions lead to shifts in children's coverage.
Cunningham, P. J., Reschovsky, J. D., & Hadley, J. (2002) · PubMed · Cited by 16 · see citing works
Familiarity with Medicaid and SCHIP Programs Grows and Interest in Enrolling Children Is High
Kenney, G. M. (2003) · Cited by 16 · see citing works
Public health insurance design for children: The evolution from Medicaid to SCHIP
Rosenbaum, S., Markus, A. R., & Sonosky, C. (2004) · Cited by 14 · see citing works
Children's Insurance Coverage and Service Use Improve
Kenney, G. M. (2003) · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Auditing Access to Specialty Care for Children with Public Insurance
Bisgaier, J., & Rhodes, K. V. (2011) · New England Journal of Medicine · doi:10.1056/nejmsa1013285 · Cited by 331 · see citing works
Kirby, J. B., & Kaneda, T. (2010) · Demography · doi:10.1007/bf03213738 · Cited by 132 · see citing works
Medicaid Expansion For Adults Had Measurable ‘Welcome Mat’ Effects On Their Children
Hudson, J. L., & Moriya, A. S. (2017) · Health Affairs · doi:10.1377/hlthaff.2017.0347 · Cited by 128 · see citing works
The Impact of the Medicaid/CHIP Expansions on Children
Howell, E. M., & Kenney, G. M. (2012) · Medical Care Research and Review · doi:10.1177/1077558712437245 · Cited by 110 · see citing works
Changing poverty, changing policies
(2010) · Choice Reviews Online · doi:10.5860/choice.47-6372 · Cited by 87 · see citing works
MRI Utilization and the Associated Use of Sedation and Anesthesia in a Pediatric ACO
Uffman, J. C., Tumin, D., Raman, V. T., Thung, A., Adler, B. M., & Tobias, J. D. (2017) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2017.01.025 · Cited by 73 · see citing works
Effect of Expanding Medicaid for Parents on Children’s Health Insurance Coverage
DeVoe, J. E., Marino, M., Angier, H. E., O'Malley, J. P., Crawford, C., Nelson, C. A., Tillotson, C. J., Bailey, S. R., Gallia, C. A., & Gold, R. B. (2015) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2014.3145 · Cited by 56 · see citing works
Rhodes, K. V., Bisgaier, J., Lawson, C. C., Soglin, D. F., Krug, S., & Haitsma, M. V. (2013) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2012.10.030 · Cited by 41 · see citing works
Improving Health Insurance and Access to Care for Children in Immigrant Families
Ku, L. C. (2007) · Ambulatory Pediatrics · doi:10.1016/j.ambp.2007.08.002 · Cited by 39 · see citing works
SCHIP At A Crossroads: Experiences To Date And Challenges Ahead
Kenney, G. S., & Yee, J. Y. (2007) · Health Affairs · doi:10.1377/hlthaff.26.2.356 · Cited by 36 · see citing works
Dubay, L. C., & Kenney, G. S. (2009) · Health Services Research · doi:10.1111/j.1475-6773.2009.01040.x · Cited by 35 · see citing works
Self-citationShaefer, H. L., Grogan, C. M., & Pollack, H. A. (2011) · Health Services Research · doi:10.1111/j.1475-6773.2010.01238.x · Cited by 29 · see citing works
Keller, D., & Chamberlain, L. J. (2014) · Academic Pediatrics · doi:10.1016/j.acap.2014.02.004 · Cited by 28 · see citing works
Beyond Incrementalism? SCHIP And The Politics Of Health Reform
Oberlander, J. B., & Lyons, B. (2009) · Health Affairs · doi:10.1377/hlthaff.28.3.w399 · Cited by 24 · see citing works
Insurance and Health Care Outcomes in Regions Where Undocumented Children Are Medicaid-Eligible
Rosenberg, J., Shabanova, V., McCollum, S., & Sharifi, M. (2022) · PEDIATRICS · doi:10.1542/peds.2022-057034 · Cited by 23 · see citing works
Kids Nowadays Hear Better Than We Did: Declining Prevalence of Hearing Loss in US Youth, 1966–2010
Hoffman, H. J., Dobie, R. A., Losonczy, K. G., Themann, C. L., & Flamme, G. A. (2018) · The Laryngoscope · doi:10.1002/lary.27419 · Cited by 23 · see citing works
Trends in Health Insurance Status of US Children and their Parents, 1998–2008
Angier, H. E., DeVoe, J. E., Tillotson, C. J., Wallace, L. S., & Gold, R. B. (2012) · Maternal and Child Health Journal · doi:10.1007/s10995-012-1142-4 · Cited by 18 · see citing works
Immigrant Children's Reliance on Public Health Insurance in the Wake of Immigration Reform
Pati, S., & Danagoulian, S. (2008) · American Journal of Public Health · doi:10.2105/ajph.2007.125773 · Cited by 17 · see citing works
The Effect of Community Uninsurance Rates on Access to Health Care
Sabik, L. M. (2011) · Health Services Research · doi:10.1111/j.1475-6773.2011.01364.x · Cited by 14 · see citing works
Recent Health Insurance Trends for US Families: Children Gain While Parents Lose
DeVoe, J. E., Tillotson, C. J., Angier, H. E., & Wallace, L. S. (2013) · Maternal and Child Health Journal · doi:10.1007/s10995-013-1329-3 · Cited by 14 · see citing works
Children's Health Insurance and Access to Care During and After the CHIP Expansion Period
Choi, M., Sommers, B. D., & McWilliams, J. M. (2011) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2011.0041 · Cited by 14 · see citing works
Feinstein, R. T., Bisgaier, J., Grogan, C. M., & Rhodes, K. V. (2012) · Disability and health journal · doi:10.1016/j.dhjo.2011.10.002 · Cited by 14 · see citing works
Fisher, M. A., & Mascarenhas, A. K. (2009) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2009.0078 · Cited by 12 · see citing works
Medicare Savings Programs: Analyzing Options for Expanding Eligibility
Zuckerman, S., Shang, B., & Waidmann, T. (2009) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.5034/inquiryjrnl_46.4.391 · Cited by 12 · see citing works
Unmet health care needs and medical out-of-pocket expenses of SSI children
DeCesaro, A., & Hemmeter, J. (2009) · Journal of Vocational Rehabilitation · doi:10.3233/jvr-2009-0461 · Cited by 12 · see citing works
Haeder, S. F., & Sylvester, S. M. (2024) · Policy Studies Journal · doi:10.1111/psj.12560 · Cited by 10 · see citing works
SCHIP Directors’ Perception of Schools Assisting Students in Obtaining Public Health Insurance
Price, J. H., & Rickard, M. L. (2009) · Journal of School Health · doi:10.1111/j.1746-1561.2009.00417.x · Cited by 9 · see citing works
Insuring All Children — The New Political Imperative
Iglehart, J. K. (2007) · New England Journal of Medicine · doi:10.1056/nejmhpr071840 · Cited by 7 · see citing works
Haggins, A. N., Patrick, S. W., DeMonner, S. M., & Davis, M. M. (2013) · Academic Emergency Medicine · doi:10.1111/acem.12236 · Cited by 6 · see citing works
Medicaid expansions and the insurance coverage of poor teenagers.
Leininger, L. J. (2010) · PubMed Central · Cited by 5 · see citing works
Trends in Child Health Insurance Coverage: A Local Perspective
Raphael, J. L., Batsell, R. R., Kowalkowski, M. A., Beltran, A., Giardino, A. P., & Macias, C. G. (2013) · Journal of Applied Research on Children Informing Policy for Children at Risk · doi:10.58464/2155-5834.1096 · Cited by 4 · see citing works
Duration of Home Oxygen Therapy in Young Children Enrolled in an Accountable Care Organization
Hayes, D., Splaingard, M., Cardamone, S., Rohrbach, R., Klima, J., Tobias, J. D., & Tumin, D. (2018) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201801-008rl · Cited by 3 · see citing works
Rural and Urban Differences in Children's Medicaid and CHIP Participation
King, J., Holmes, M., & Slifkin, R. T. (2010) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.5034/inquiryjrnl_47.02.150 · Cited by 3 · see citing works
Brouse, C. H., & Basch, C. E. (2010) · International Journal of Health Promotion and Education · doi:10.1080/14635240.2010.10708196 · Cited by 3 · see citing works
Access to Care for Children: Recent Progress, Remaining Challenges
Leininger, L. J., & Meurer, J. (2011) · Pediatric Annals · doi:10.3928/00904481-20110217-10 · Cited by 2 · see citing works
Contraceptive Use Among Medicaid-Covered Teens and Risk of Teen Conception: A Longitudinal Study
Ayadi, M. F., Kuo, T., Adams, E. K., & Gavin, N. I. (2011) · Journal of Women s Health · doi:10.1089/jwh.2010.2369 · Cited by 2 · see citing works
Crowding Out: Multiple Manifestations, Muddled Meanings
Schlesinger, M. J. (2012) · Journal of Health Politics Policy and Law · doi:10.1215/03616878-1672736 · Cited by 2 · see citing works
Losing Out: How the Public Assesses Coverage Loss due to Administrative Burden
Haeder, S. F. (2025) · Social Science Quarterly · doi:10.1111/ssqu.70094 · Cited by 1 · see citing works
Special Population: Children and Adolescents
McEachern, M. A., Rietz, A. M., & Page, C. (2023) · Springer eBooks · doi:10.1007/978-3-031-29171-5_22 · Cited by 1 · see citing works
Nicoll, K. L. (2017) · The Journal of Sociology & Social Welfare · doi:10.15453/0191-5096.4061 · Cited by 1 · see citing works
"Keeping Our Heads Above Water" Rethinking Need and Participation in Public Anti-poverty Programs.
Nicoll, K. L. (2014) · Deep Blue (University of Michigan) · Cited by 1 · see citing works
Expanding SCHIP: A Downpayment on Health Reform
Glied, S. (2009) · Issue Lab (Candid)
The Politics and Policy of the State Children’s Health Insurance Program
Waddan, A., & Jaenicke, D. W. (2008) · Palgrave Macmillan US eBooks · doi:10.1057/9780230617254_9
Special Population: Children and Adolescents
McEachern, M. A., & Page, C. P. (2018) · Springer eBooks · doi:10.1007/978-3-319-71812-5_24
Journal of Sociology and Social Welfare Vol. 44 No. 4
(2017) · The Journal of Sociology & Social Welfare · doi:10.15453/0191-5096.4135
- Authors
- Dubay, L., Guyer, J., Mann, C., & Odeh, M.
- Affiliations
- Johns Hopkins University (US)
- Georgetown University (US)
- ORCID
- Dubay, Lisa
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review