Sommers Benjamin D
Brigham and Women's Hospital, Boston, Massachusetts, USA.
Health Aff (Millwood). 2007 Sep-Oct;26(5):w560-7. doi: 10.1377/hlthaff.26.5.w560. Epub 2007 Jul 26.
More than two-thirds of uninsured U.S. children are eligible for public coverage, and most current policy debate assumes that this is largely attributable to poor take-up. This paper explores the contribution of poor retention in Medicaid and the State Children's Health Insurance Program (SCHIP) to this phenomenon. The results indicate that one-third of all uninsured children in 2006 had been enrolled in Medicaid or SCHIP the previous year. Among those uninsured but eligible for public coverage in 2006, at least 42 percent had been enrolled in Medicaid or SCHIP the previous year. Both of these measures of disenrollment have increased since 2000.
超过三分之二没有医保的美国儿童符合公共医保覆盖条件，而当前大多数政策辩论都认为这主要归因于参保率低。本文探讨了医疗补助计划（Medicaid）和儿童健康保险计划（SCHIP）中续保率低对这一现象的影响。结果表明，2006年所有未参保儿童中有三分之一上一年已参加了医疗补助计划或儿童健康保险计划。在2006年未参保但符合公共医保覆盖条件的儿童中，至少42%上一年已参加了医疗补助计划或儿童健康保险计划。自2000年以来，这两种退保情况的比例都有所增加。
