Assesses the extent of risk selection among managed care plans, finding substantial evidence of persistent risk selection.

Explores why states differ in their Medicaid coverage of the at-risk population, focusing on large disparities in Medicaid spending. To help address these disparities, suggests reconfiguring the federal matching formula for Medicaid so it accounts for the need for public coverage in each state,...

Congress mandated in the Balanced Budget Refinement Act of 1999 (BBRA) that the Secretary of the U.S. Department of Health and Human Services conduct an independent comprehensive study of the State Children’s Health Insurance Program (SCHIP). The evaluation was funded through the $10...

This report draws on surveys of enrollees and disenrollees in 10 states. The 10 states were selected in accordance with the legislative requirements to include (1) a high proportion of low-income uninsured children in the United States, (2) wide geographic representation (including rural and...

This report draws on surveys of enrollees and disenrollees in 10 states. The 10 states were selected in accordance with the legislative requirements to include (1) a high proportion of low-income uninsured children in the United States, (2) wide geographic representation (including rural and...

This brief summarizes key findings of the Narrative Communications Project sponsored by the David and Lucile Packard Foundation. This communications capacity-building grant project aimed to help state-based advocates build consensus more effectively and promote children's health insurance...

The Santa Clara County Children’s Health Initiative seeks to provide coverage through the Healthy Kids initiative to all children in the county whose family incomes are below 300 percent of the federal poverty level. This brief provides new evidence on the effects of insurance coverage on...