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Take-Up of Public Insurance and Crowd-out of Private Insurance Under Recent CHIP Expansions to Higher Income Children

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  • Carole Roan Gresenz
  • Sarah E. Edgington
  • Miriam J. Laugesen
  • José J. Escarce

Abstract

We analyze the effects of states' expansions of CHIP eligibility to children in higher income families during 2002-2009 on take-up of public coverage, crowd-out of private coverage, and rates of uninsurance. Our results indicate these expansions were associated with limited uptake of public coverage and only a two percentage point reduction in the uninsurance rate among these children. Because not all of the take-up of public insurance among eligible children is accounted for by children who transfer from being uninsured to having public insurance, our results suggest that there may be some crowd-out of private insurance coverage; the upper bound crowd-out rate we calculate is 46 percent.

Suggested Citation

  • Carole Roan Gresenz & Sarah E. Edgington & Miriam J. Laugesen & José J. Escarce, 2011. "Take-Up of Public Insurance and Crowd-out of Private Insurance Under Recent CHIP Expansions to Higher Income Children," NBER Working Papers 17658, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:17658
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    References listed on IDEAS

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    1. Lo Sasso, Anthony T. & Buchmueller, Thomas C., 2004. "The effect of the state children's health insurance program on health insurance coverage," Journal of Health Economics, Elsevier, vol. 23(5), pages 1059-1082, September.
    2. Ham, John C. & Shore-Sheppard, Lara, 2005. "The effect of Medicaid expansions for low-income children on Medicaid participation and private insurance coverage: evidence from the SIPP," Journal of Public Economics, Elsevier, vol. 89(1), pages 57-83, January.
    3. Gruber, Jonathan & Simon, Kosali, 2008. "Crowd-out 10 years later: Have recent public insurance expansions crowded out private health insurance?," Journal of Health Economics, Elsevier, vol. 27(2), pages 201-217, March.
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    Cited by:

    1. Mary Harrington & Genevieve M. Kenney & Kimberly Smith & Lisa Clemans-Cope & Christopher Trenholm & Ian Hill & Sean Orzol & Stacey McMorrow & Sheila Hoag & Jennifer Haley & Joseph Zickafoose & Timothy, "undated". "CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings," Mathematica Policy Research Reports a999a32f3d9946d6aa908ce8c, Mathematica Policy Research.
    2. Guler, Bulent & Taskin, Temel, 2013. "Does unemployment insurance crowd out home production?," European Economic Review, Elsevier, vol. 62(C), pages 1-16.
    3. Lipton, Brandy J. & Decker, Sandra L., 2015. "The effect of health insurance coverage on medical care utilization and health outcomes: Evidence from Medicaid adult vision benefits," Journal of Health Economics, Elsevier, vol. 44(C), pages 320-332.

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    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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