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. 2008 Dec;43(6):2086-105.
doi: 10.1111/j.1475-6773.2008.00866.x. Epub 2008 Jun 3.

The effect of renewal policy changes on SCHIP disenrollment

Jill Boylston Herndon  1 , W Bruce Vogel, Richard L Bucciarelli, Elizabeth A Shenkman
Affiliations

The effect of renewal policy changes on SCHIP disenrollment

Jill Boylston Herndon et al. Health Serv Res. 2008 Dec.

Abstract

Objective: To examine the impact of changing from a passive renewal process to an active renewal process in Florida's State Children's Health Insurance Program (SCHIP) on disenrollment.

Data sources: Administrative records, containing enrollment and demographic data, were used to identify 414,396 enrollment spells from January 2004 through February 2006. Health care claims data were used to classify the children's health status.

Study design: A Cox proportional hazards model was used to analyze the impact of changing to an active renewal process on the children's risk of disenrolling, controlling for the children's sociodemographic characteristics. Differential effects of the policy change by the children's health status were examined, and transfers to other public health insurance programs were taken into account.

Principal findings: Children faced almost a 10-fold greater risk of disenrolling in their renewal month under active renewal than under passive renewal. We did not detect differential impacts of the policy change across children with different health status levels.

Conclusions: The switch to an active renewal process in Florida's SCHIP significantly increased disenrollment rates, and the effect of this policy change does not appear to vary by health status.

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Figures

Figure 1
Figure 1
Monthly Disenrollment in the Florida Healthy Kids Program, January 2004–February 2006.
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References

    1. Bethell C, Read D. Approaches to Identifying Children and Adults with Special Health Care Needs: A Resource Manual for State Medicaid Agencies and Managed Care Organizations. Oregon Health and Science University: The Child and Adolescent Health Measurement Initiative; 2002.
    1. Centers for Medicare and Medicaid Services. Letter from Dennis Smith, Director of the Center for Medicaid and State Operations, to State Health Officials, SHO #07-001, August 17, 2007 [accessed on March 17, 2008]. Available at http://www.cms.hhs.gov/smdl/downloads/SHO081707.pdf. - PubMed
    1. Congressional Budget Office. Fact Sheet for CBO's March 2007 Baseline: State Children's Health Insurance Program. 2007. February 23, 2007 [accessed on November 5, 2007]. Available at http://www.cbo.gov/budget/factsheets/2007b/schip.pdf.
    1. Cox L. Allowing Families to Self-Report Income: A Promising Strategy for Simplifying Enrollment in Children's Health Coverage Programs. Washington, DC: Center on Budget and Policy Priorities; 2001.
    1. Dick A W, Allison R A, Haber S G, Brach C, Shenkman E. Consequences of States' Policies for SCHIP Disenrollment. Health Care Financing Review. 2002;23(3):65–88. - PMC - PubMed