
The State Children's Health Insurance Program
Effective but Vulnerable
Arch Pediatr Adolesc Med. 2002;156:1175-1176.
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CLINICIANS DO not need studies to convince them that insurance coverage makes a difference. However, many policy makers do. The article by Slifkin et al1 in this issue of the ARCHIVES articulates just such a fundamental message through a purposeful evaluation of a North Carolina child health insurance plan supported by the State Children's Health Insurance Program (SCHIP). The SCHIP was established by Congress in 1997 to provide funds for state efforts to provide child health insurance for families with incomes too high to be eligible for Medicaid yet too low to realistically afford private insurance. In the analysis of the North Carolina program, parental surveys were conducted soon after a child's enrollment in the plan and then again a year later. Although the authors report a number of interesting results, of central importance was the finding that the percentage of children with unmet health care needs fell dramatically after . . . [Full Text of this Article]
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