Congress created the State Children's Health Insur

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State Children’s Health Insurance Program: CMS Should Improve Efforts to Assess Whether SCHIP Is Substituting for Private Insurance

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By James C. Cosgrove (au)
Year: 2009
Pages: 40
Binding Paperback

Product Code: 1437915388

Description

Congress created the State Children's Health Insurance Program (SCHIP) to reduce the number of uninsured children in low-income families that do not qualify for Medicaid. States have flexibility in structuring their SCHIP programs, and their income eligibility limits vary. Concerns have been raised that individuals might substitute SCHIP for private health insurance -- known as crowd-out. This report examines the Centers for Medicare and Medicaid Services' (CMS) and states' efforts to minimize crowd-out. The auditor examined: (1) CMS's guidance to states for minimizing crowd-out and assessment of whether it should be a concern; and (2) states' policies to minimize crowd-out and how they assess whether it should be a concern. Charts and tables.

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