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Revisiting the SCHIP Funding Formula

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Presentation by Lynn Blewett at the AcademyHealth National Health Policy Conference, February 13 2007.

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Revisiting the SCHIP Funding Formula AcademyHealth National Health Policy Conference State Health Research and Policy Interest Group Meeting Washington DC February 13, 2007 Lynn A. Blewett, Ph.D. Associate Professor, Director -SHADAC University of Minnesota, School of Public Supported by a grant from The Robert Wood Johnson Foundation
Overview ,[object Object],[object Object],[object Object]
State factors in the SCHIP funding formula # of uninsured children below 200% of FPL # of children below 200% of FPL Child Component Factor (CCF) (State Health Cost Factor) (.50 (Number of Uninsured Children Living Below 200 percent of FPL) + .50 (Number of Children Living Below 200 percent of poverty) 2001-2007 (State Health Cost Factor) (.75 (Number of Uninsured Children Living Below 200 percent of FPL) + .25 (Number of Children Living Below 200 percent of poverty) 2000 (State Health Cost Factor) (Number of Uninsured Children Living Below 200 percent of FPL) 1998-1999 Formula Fiscal Year
(1) Lack of precision in estimating target population ,[object Object],[object Object],[object Object]
Why does this happen? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Small kids sample in the CPS Number of Uninsured Children < 200% FPL in CPS Data < 100 100-199 200+
Recommendation ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],(2) Missing Data in the CPS
Recommendation ,[object Object],[object Object]
(3) Excluding SCHIP enrollees in funding Formula ,[object Object],[object Object],[object Object]
Recommendation ,[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object]
Resources ,[object Object],[object Object],[object Object]
The SHADAC vision Federal Data (e.g., CPS) Better Understanding of the Characteristics of the Uninsured STATE Data (e.g., State Surveys) Increase Coverage and Access
SHADAC contact information www.shadac.org 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 Principal Investigator: Lynn Blewett, Ph.D. (blewe001@umn.edu) Co-Principal Investigator and Research Director: Michael Davern, Ph.D. (daver004@umn.edu) Investigator: Kathleen Call, Ph.D. (callx001@umn.edu) Center Director: Kelli Johnson, M.B.A. (johns706@umn.edu)

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Revisiting the SCHIP Funding Formula

  • 1. Revisiting the SCHIP Funding Formula AcademyHealth National Health Policy Conference State Health Research and Policy Interest Group Meeting Washington DC February 13, 2007 Lynn A. Blewett, Ph.D. Associate Professor, Director -SHADAC University of Minnesota, School of Public Supported by a grant from The Robert Wood Johnson Foundation
  • 2.
  • 3. State factors in the SCHIP funding formula # of uninsured children below 200% of FPL # of children below 200% of FPL Child Component Factor (CCF) (State Health Cost Factor) (.50 (Number of Uninsured Children Living Below 200 percent of FPL) + .50 (Number of Children Living Below 200 percent of poverty) 2001-2007 (State Health Cost Factor) (.75 (Number of Uninsured Children Living Below 200 percent of FPL) + .25 (Number of Children Living Below 200 percent of poverty) 2000 (State Health Cost Factor) (Number of Uninsured Children Living Below 200 percent of FPL) 1998-1999 Formula Fiscal Year
  • 4.
  • 5.
  • 6. Small kids sample in the CPS Number of Uninsured Children < 200% FPL in CPS Data < 100 100-199 200+
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. The SHADAC vision Federal Data (e.g., CPS) Better Understanding of the Characteristics of the Uninsured STATE Data (e.g., State Surveys) Increase Coverage and Access
  • 15. SHADAC contact information www.shadac.org 2221 University Avenue, Suite 345 Minneapolis Minnesota 55414 (612) 624-4802 Principal Investigator: Lynn Blewett, Ph.D. (blewe001@umn.edu) Co-Principal Investigator and Research Director: Michael Davern, Ph.D. (daver004@umn.edu) Investigator: Kathleen Call, Ph.D. (callx001@umn.edu) Center Director: Kelli Johnson, M.B.A. (johns706@umn.edu)