AI Article Synopsis

  • Interest in expanding SCHIP coverage to parents has increased in recent years, but few actual expansions have occurred due to concerns about attracting high-risk enrollees.
  • A study conducted in Alameda County, California, on an SCHIP-like expansion program found that it did not suffer from unfavorable selection, meaning it attracted a diverse group of eligible adults.
  • The enrollees in the program were similar to the overall low-income population in Alameda County regarding age, health status, and healthcare utilization.

Article Abstract

Although interest in expanding SCHIP coverage to parents has grown over the past five years, few such expansions have actually been implemented. State governments and health plan administrators remain concerned that these expansions will attract only high-risk enrollees, resulting in costly premiums that require large subsidies. We examine characteristics of enrollees in an SCHIP-like expansion program in Alameda County, California. According to our survey data, the program did not experience unfavorable selection. Rather, it attracted a broad range of eligible adults. Enrollees were comparable to the overall low-income population in Alameda County in terms of age, health status, and various utilization measures.

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Source
http://dx.doi.org/10.1377/hlthaff.w3.460DOI Listing

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