BEGIN:VCALENDAR VERSION:2.0 METHOD:PUBLISH PRODID:-//Telerik Inc.//Sitefinity CMS 14.4//EN BEGIN:VTIMEZONE TZID:Eastern Standard Time BEGIN:STANDARD DTSTART:20231102T020000 RRULE:FREQ=YEARLY;BYDAY=1SU;BYHOUR=2;BYMINUTE=0;BYMONTH=11 TZNAME:Eastern Standard Time TZOFFSETFROM:-0400 TZOFFSETTO:-0500 END:STANDARD BEGIN:DAYLIGHT DTSTART:20230301T020000 RRULE:FREQ=YEARLY;BYDAY=2SU;BYHOUR=2;BYMINUTE=0;BYMONTH=3 TZNAME:Eastern Daylight Time TZOFFSETFROM:-0500 TZOFFSETTO:-0400 END:DAYLIGHT END:VTIMEZONE BEGIN:VEVENT DESCRIPTION:While traditional private insurance tends to be offered to eith er individuals or whole families (with no child-only options)\, public ins urance eligibility is determined person-by-person. \; In each state\, the income eligibility thresholds for public coverage can differ for paren ts and children\, and at times even among children in different age groups . \; Often\, public insurance eligibility is more generous for childre n than their parents\, with the widest accessibility for the youngest chil dren. \; Having different insurance sources\, or a mix of insured and uninsured members of a family\, may be disruptive to consistent medical ca re. \; In this paper we investigate the extent to which differential e ligibility thresholds for public insurance for children and adults\, and c hanges in these thresholds\, are associated with mismatched patterns of in surance coverage. \; Using the Current Population Survey in 1988-2013\ , we document the patterns of insurance mismatch over time and their relat ionship to Medicaid and State Children’s Health Insurance Program income e ligibility thresholds. \; We find that changes in parent thresholds ca n promote uniform insurance coverage for families – though these expansion s do lead to some crowd-out of private insurance for adults. These results are driven by families led by single mothers\, who are more likely to be affected by Medicaid expansions for parents. \; We then use the longit udinal Survey of Income and Program Participation (1996-2013) to gain furt her insight into the dynamics of how changing eligibility for parents or c hildren may drive changes in decisions about insurance\, resulting in chan ges in their uniformity of coverage. \; This work raises important que stions about possible unintended consequences of a person-level approach t o public insurance eligibility. DTEND:20230320T180000Z DTSTAMP:20240329T102739Z DTSTART:20230320T163000Z LOCATION: SEQUENCE:0 SUMMARY:Public Health Insurance Expansions and the Uniformity of Insurance for Families UID:RFCALITEM638472904595748579 X-ALT-DESC;FMTTYPE=text/html:
While traditional private insurance tends t
o be offered to either individuals or whole families (with no child-only o
ptions)\, public insurance eligibility is determined person-by-person.&nbs
p\; In each state\, the income eligibility thresholds for public coverage
can differ for parents and children\, and at times even among children in
different age groups. \; Often\, public insurance eligibility is more
generous for children than their parents\, with the widest accessibility f
or the youngest children. \; Having different insurance sources\, or a
mix of insured and uninsured members of a family\, may be disruptive to c
onsistent medical care. \; In this paper we investigate the extent to
which differential eligibility thresholds for public insurance for childre
n and adults\, and changes in these thresholds\, are associated with misma
tched patterns of insurance coverage. \; Using the Current Population
Survey in 1988-2013\, we document the patterns of insurance mismatch over
time and their relationship to Medicaid and State Children’s Health Insura
nce Program income eligibility thresholds. \; We find that changes in
parent thresholds can promote uniform insurance coverage for families – th
ough these expansions do lead to some crowd-out of private insurance for a
dults. These results are driven by families led by single mothers\, who ar
e more likely to be affected by Medicaid expansions for parents. \; We
then use the longitudinal Survey of Income and Program Participation (199
6-2013) to gain further insight into the dynamics of how changing eligibil
ity for parents or children may drive changes in decisions about insurance
\, resulting in changes in their uniformity of coverage. \; This work
raises important questions about possible unintended consequences of a per
son-level approach to public insurance eligibility.
p>