Take-Up of Public Insurance and Crowd-out of Private Insurance Under Recent CHIP Expansions to Higher Income Children

Carole Roan Gresenz, Sarah E. Edgington, Miriam J. Laugesen and José J. Escarce

No 17658, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: We analyze the effects of states' expansions of CHIP eligibility to children in higher income families during 2002-2009 on take-up of public coverage, crowd-out of private coverage, and rates of uninsurance. Our results indicate these expansions were associated with limited uptake of public coverage and only a two percentage point reduction in the uninsurance rate among these children. Because not all of the take-up of public insurance among eligible children is accounted for by children who transfer from being uninsured to having public insurance, our results suggest that there may be some crowd-out of private insurance coverage; the upper bound crowd-out rate we calculate is 46 percent.

JEL-codes: I13 (search for similar items in EconPapers)
Date: 2011-12
New Economics Papers: this item is included in nep-hea and nep-ias
Note: EH
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Published as Gresenz CR, Edgington S, Laugesen M, Escarce JJ, “Take-Up of Public Insurance and Crowd-Out of Private Insurance under Recent CHIP Expansions to Higher Income Children,” Health Services Research, 2012 Oct; 47(5): 1999-2011.

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