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Data Needs for the State Children's Health Insurance Program (2002)

Chapter: Appendix A Workshop Agenda

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Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
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Appendix A
Workshop on the State Children’s Health Insurance Program

AGENDA

June 19-20, 2001

Background: Legislation authorizing SCHIP was passed by the Congress with strong bipartisan support. State policy makers also welcomed with great enthusiasm this program for expanding health insurance to children. Nonetheless, many states have not been able to enroll sufficient numbers of children to take full advantage of federal funds allocated to their state within the time period allotted. This workshop will present tools for “enrollment success,” which we define as enrolling and retaining a substantial share of the eligible, uninsured children into the SCHIP program, while avoiding enrollment of ineligible children. Given the financial resources that are currently available to expand health insurance to children, it is particularly timely to discuss methods that would help states productively target their enrollment efforts, improve the retention of children in the program, and assess their success in reducing the numbers of uninsured children.

Although it will be important to understand the quality of health care services offered to children enrolled in SCHIP and the effect on their health, a necessary first step is to understand enrollment and retention in the program. Thus, this workshop will focus on the tools that states need to improve outreach, increase retention, and examine the relationships between SCHIP and other state programs.

The meeting will commence at noon on Tuesday, June 19, 2001. The preliminary schedule is as follows:

Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
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12:00 – 1:00

Buffet Lunch

1:00 – 1:30

Welcome and Introductions

Arleen Leibowitz, Ph.D., Workshop Chair; Professor and Chair, Department of Policy Studies, University of California, Los Angeles

Andrew White, Ph.D., Director, Committee on National Statistics

Caroline Taplin, MSPH, and Julia Paradise, MSPH, Senior Policy Analysts, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services (DHHS)

1:30 – 2:45

Session I: Background and Program Parameters

Chair: Robert Valdez, M.P.H., Ph.D., Dean, School of Public Health, MCP Hahnemann University, Philadelphia, and RAND Health Sciences Program, Santa Monica, CA

Presenters:

Linda Bilheimer, Ph.D., Senior Program Officer, Robert Wood Johnson Foundation

Title: Data Needs for Tracking Children’s Health Insurance Coverage

Vicki Grant, M.S.W., Ph.D., Research Director, Southern Institute on Children and Families, Deputy Director “Covering Kids” and “Supporting Families after Welfare Reform” (both are national projects funded by the Robert Wood Johnson Foundation [RWJF]) Title: Managing by Eligibility Outcomes Data

Discussants:

Pamela Paul-Shaheen, Dr.P.H, Director, Center for Advancing Community Health, Okemos, Michigan

Title: Covering Michigan’s Kids: Using Information to Inform Policy and Practice

Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
×

Mary Alice Lee, Ph.D., Assistant Director, Connecticut Children’s Health Council

Title: Connecticut’s HUSKY Program: Using Data to Improve Enrollment and Retention

2:45 – 3:00

Break

3:00 – 5:30

Session II: Enrollment

Chair: Lynn Blewett, Ph.D., Assistant Professor, Division of Health Services Research and Policy, School of Public Health, University of Minnesota

Presenters:

Lisa Dubay, Ph.D., Principal Research Associate, The Urban Institute, Washington, DC

Title: Assessing CHIP Impacts Using Household Survey Data: Promises and Pitfalls

Thomas Selden, Ph.D., U.S. Agency for Healthcare Research and Quality

Title: New and Improved Eligibility Simulation Methodology Using MEPS National Survey Data

Discussants:

Stephen Norton, M.A., Director of Office of Knowledge and Decision Support, State of New Hampshire – Department of Health and Human Services

Gestur Davidson, Ph.D., Health Economist, Minnesota Department of Health and Human Services, Office of Reports and Forecasts

Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
×

Wednesday, June 20, 2001

8:30

Continental Breakfast

9:00 – 10:30

Session III: Retention

Chair: Ian Hill, M.P.A., M.S.W., Senior Research Associate, Health Policy Center, The Urban Institute

Presenters:

Ian Hill, M.P.A., M.S.W., Senior Research Associate, Health Policy Center, The Urban Institute

Title: There’s a Hole in the Bucket . . . Understanding SCHIP Retention

Hilary Bellamy, M.P.H., Senior Policy Associate, Health Systems Research, Inc., Washington, DC

Title: Exploring Disenrollment from Medicaid and SCHIP through Focus Group Research

Denise Holmes, Michigan Department of Community Health Title: Using Data to Focus Outreach, and Improve Enrollment and Retention in Michigan’s SCHIP Program

Discussant:

Marilyn Ellwood, M.S.W., Senior Fellow, Mathematica Policy Research, Inc., Cambridge, MA

10:30 – 11:00

Break

11:00 – 12:30

Session IV: Links to Other Programs

Chair: Deborah Chollet, Ph.D., Senior Fellow, Mathematica Policy Research, Inc., Washington, DC

Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
×

Presenters:

Genevieve Kenney, Ph.D., Principal Research Associate, The Urban Institute

Title: Using Other Government Programs to Reach Uninsured Children

David Hanig, M.S.W., Program Manager, Washington Department of Social and Health Services

Title: Nutrition & Health: Matching Data from Two Systems

Robert Gellman, J.D., Privacy and Information Policy Consultant Title: Will Computer Matching Law Affect SCHIP?

Discussant:

Heidi J. Smith, R.N., M.S.N., Executive Director, New Jersey FamilyCare

12:30 – 1:30

Lunch

1:30 – 3:00

Session V: Implications for Federal and State Data Collection

Chair: Caroline Taplin, MSPH, Senior Policy Analyst, Office of the Assistant Secretary for Planning and Evaluation, DHHS

Panelists:

Lynn Blewett, Ph.D., Assistant Professor, Division of Health Services Research and Policy, School of Public Health, University of Minnesota

Kristen Testa, M.H.S., Health Program Director Children’s Partnership, Sacramento, CA

Cynthia Shirk, M.Ed., Acting Director, Division of State Children’s Health Insurance, Family and Children’s Health Programs Group, Center for Medicaid and State Operations, CMS

Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
×
Page 33
Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
×
Page 34
Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
×
Page 35
Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
×
Page 36
Suggested Citation:"Appendix A Workshop Agenda." National Research Council. 2002. Data Needs for the State Children's Health Insurance Program. Washington, DC: The National Academies Press. doi: 10.17226/10416.
×
Page 37
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The State Children's Health Insurance Program (SCHIP) was established by Congress to provide health insurance to uninsured children whose family income was too high for Medicaid coverage but too low to allow the family to obtain private health insurance coverage. The enabling legislation for SCHIP, included in the Balanced Budget Act of 1997, made available to states (and the District of Columbia) almost $40 billion over a 10-year period for this program. Like Medicaid, SCHIP is a joint federal-state program, with funding from both sources, but it is implemented by the states. Thus, there are SCHIP programs in all of the states and the District of Columbia.

The National Research Council, through the Committee on National Statistics, was asked to explore some of the ways in which data analysis could be used to promote achievement of the SCHIP goal of expanding health insurance coverage for uninsured children from low-income families. To inform its work, the panel for this project held a workshop to bring together state SCHIP officials and researchers to share findings and methods that would inform the design, implementation, and evaluation of SCHIP at the state and national levels. In keeping with this charge, this report is limited to discussions at the workshop. It does not attempt to provide a summary of all the state programs nor a comprehensive review of the literature.

Data Needs for the State Children's Health Insurance Program concludes that data are insufficient in the individual states to provide a clear picture of the impact of SCHIP on the number of children who are eligible for the program, the rate at which eligible children are enrolled in the program, and the rate at which they are retained in the program once enrolled. This situation is due, in part, to the fact that sample sizes in national surveys are too small to provide detailed data for individual states. In addition, the great amount of movement of children among health insurance categories—Medicaid, SCHIP, private insurance, or no insurance at all—makes it difficult for states to count the number of children in specific categories at a particular point in time.

The panel specifies a number of practices that could be implemented to improve the overall functioning of SCHIP and the ability of policy makers to evaluate the program. Foremost among these are: (1) developing more uniform ways of estimating eligibility and health insurance coverage among the states; (2) sharing among the states effective methods for outreach; (3) taking qualitative information into account, in addition to quantitative information, in assessing variation among states in enrollment and disenrollment; and (4) implementing longitudinal studies to track the movement of children among the various insurance statuses.

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