While college costs have risen significantly in the past few decades, some of those cost increases can be partially mitigated by financial aid for low-income families. But many low- and moderate-income families vastly overestimate the cost of college, leading them to assume that enrolling their children in college, particularly a four-year school,…

This paper examines the U.S. social insurance system, which we define broadly to include both programs supported by dedicated taxes and other federal programs that provide income support, assistance in meeting basic needs, or services to improve economic opportunity. The paper considers the social insurance system as a whole as well as its…

With the reauthorization of the State Children's Health Insurance Program (SCHIP) under consideration in early 2009, an important question is the extent to which uninsured children could be covered under employer-sponsored insurance through premium assistance programs, which use public funding under Medicaid and SCHIP to subsidize…

Much attention has aided measurement and improvement in the quality of health care during the past two decades, with new ways to define and measure quality, recognition that doing so can identify strategies to enhance care, and systematic efforts by both government and private insurers to apply these principles. In this article, James Perrin…

We evaluate the effects of state policy design features on SCHIP take-up rates and on the degree to which SCHIP benefits crowd out private benefits. The results indicate overall program take-up rates of approximately 10 percent. However, there is considerable heterogeneity across states, suggesting a potential role of inter-state variation in…

Many federal assistance programs are funded by formula grants that have historically relied at least in part on population data from the decennial census and related data to allocate funds. In June 2009, the Census Bureau reported that in fiscal year 2007 the federal government obligated over $446 billion through funding formulas that rely at…

The State Children's Health Insurance Program (CHIP) was designed in 1997 to support working families by providing affordable, quality health coverage for their children in an efficient, effective, and coordinated way. This report examines the progress made in implementing CHIP nationwide. Information sources included the following: (1) federal…

This report reviews work by the Department of Health and Human Services Office of Inspector General (OIG), which evaluated the State Children's Health Insurance Program (SCHIP), including whether children are being enrolled inappropriately in SCHIP rather than in Medicaid, and states' progress in reducing the number of uninsured children. This…

Federal funding for children's health insurance may significantly reduce the problem of uninsured children in New York and subsequently improve child outcomes. This study evaluated the effectiveness of two program models in educating parents about available sources of health insurance and in increasing enrollment of uninsured children into…

The Children's Health Insurance Program (CHIP) in Arizona is called KidsCare. This report provides a portrait of children's health coverage in the state after a year of operation of KidsCare. Following an executive summary, the first section of the report presents overall statistics and trends in children's health coverage. The second section…

This study examined states efforts to retain children in their State Childrens Health Insurance Program (SCHIP). Data were obtained during spring and summer of 2000 through telephone interviews with state program officials from eight states selected based on a variety of demographic and programmatic variables; the states were Alabama, California,…

The state Children's Health Insurance Program (CHIP) funds state programs to help low-income, uninsured children overcome financial barriers to medical care. Previous research found that rural children were more likely to be uninsured than urban children. This report examines the implementation of CHIP and related outreach, enrollment, and…

Responding to the need for a universal and comprehensive approach for supporting all families with children from birth through age 5, the Early Childhood Initiative (ECI) was launched by a broad-based coalition of public and private partners brought together by the Cuyahoga County government in Ohio. This report describes the history of ECI,…

Under the State Childrens Health Insurance Program (SCHIP), states have the option to subsidize employer premiums for low-income workers with children. Given the potential for subsidized employer-sponsored insurance (ESI) programs to reduce the number of uninsured children, this study examined SCHIPs regulations and state experiences with premium…

Under the Balanced Budget Act of 1997, Congress established the State Children's Health Insurance Program (SCHIP) to expand health insurance coverage to uninsured low-income children. This report summarizes the major findings of the first year of a national evaluation of SCHIP. Following a summary of major findings, the report examines state…