State CHIP Fact Sheet
The National Academy for State Health Policy and the American Academy of Pediatrics has created fact sheets for each state’s Children’s Health Insurance Program (CHIP).
- These fact sheets include: data on enrollment and participation rates, benefits offered, cost-sharing requirements, quality measures, and other general program information.
On July 24, Community Catalyst released a toolkit to help focus on CHIP during the August recess, which includes FAQs, sample questions to ask policymakers about CHIP, and a flow chart about children’s coverage with the “family glitch” (a.k.a. “kid glitch”), among other things.
- August recess provides an opportunity to educate members of Congress on CHIP and these tools can provide information necessary for a meeting with a member of Congress.
Kaiser Family Foundation Report
On July 17, the Henry J. Kaiser Family Foundation released a report on CHIP that highlights coverage, benefits, access to care, outcomes, and parents’ views. The Executive Summary, specifically the section on Medicaid and CHIP outcomes versus uninsured outcomes, may be particularly helpful in conservative offices. Some key points include:
- Medicaid and CHIP have a positive impact on health outcomes; specifically they have led to decreased avoidable hospitalizations and child mortality.
- Medicaid and CHIP kids have greater access to primary and preventive care and much fewer unmet health needs than kids that are uninsured.
- Most low-income parents with kids covered by Medicaid and CHIP have positive impressions of the programs.
Actuarial Value Study
A new analysis was released on July 29 by the Wakely Consulting Group comparing the actuarial values of CHIP with Qualified Health Plans (QHPs) in 35 states. This study shows noteworthy differences between CHIP and QHPs in both cost sharing and benefits, and provides critical insight into the future for children if CHIP were not extended. First Focus created an Executive Summary of this study that may also be useful. Some key points include:
- CHIP plans have significantly lower premiums and other cost sharing requirements than QHPs for all income groups.
- Out of pocket maximum costs in QHPs are far greater than that of CHIP, making CHIP coverage more affordable for children, especially for children with special health care needs.
- CHIP plans provide more generous child-specific benefits with fewer limitations, such as habilitation benefits and hearing aids.