Espeseth Allison Hales, Riportella Roberta
School of Human Ecology, University of Wisconsin-Madison, 53706, USA.
J Ambul Care Manage. 2006 Oct-Dec;29(4):300-9. doi: 10.1097/00004479-200610000-00006.
The State Children's Health Insurance Program (SCHIP) has been intended to provide healthcare coverage to that group of children previously caught between Medicaid eligibility and adequate access to employer insurance. However, SCHIP can be implemented quite differently across the states, potentially affecting actual enrollment. We review prior studies that have attempted to dissect how the administration of SCHIP impacts enrollment, including a multivariate study by the authors that indicates presumptive eligibility, expanded parent coverage, and 12-month continuous eligibility all contribute to a reduced likelihood of being uninsured. We then detail an administrative policy change in one state, Wisconsin, that yielded unanticipated and dramatic enrollment fluctuations in its SCHIP program, BadgerCare.
州儿童健康保险计划（SCHIP）旨在为那些之前处于医疗补助资格与获得雇主保险的充足机会之间的儿童群体提供医疗保险。然而，SCHIP在各州的实施方式可能大不相同，这可能会影响实际参保人数。我们回顾了之前试图剖析SCHIP管理方式如何影响参保人数的研究，包括作者进行的一项多变量研究，该研究表明推定资格、扩大父母保险范围以及12个月连续资格都有助于降低未参保的可能性。然后，我们详细介绍了威斯康星州的一项行政政策变化，该变化在其SCHIP计划“獾医保”中产生了意外且巨大的参保人数波动。
