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DTSTART:20251102T020000
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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.&nbsp\; 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
 .&nbsp\; Often\, public insurance eligibility is more generous for childre
 n than their parents\, with the widest accessibility for the youngest chil
 dren.&nbsp\; Having different insurance sources\, or a mix of insured and 
 uninsured members of a family\, may be disruptive to consistent medical ca
 re.&nbsp\; 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.&nbsp\; 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.&nbsp\; 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.&nbsp\; 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.&nbsp\; This work raises important que
 stions about possible unintended consequences of a person-level approach t
 o public insurance eligibility.
DTEND:20230320T180000Z
DTSTAMP:20260511T223011Z
DTSTART:20230320T163000Z
LOCATION:
SEQUENCE:0
SUMMARY:Public Health Insurance Expansions and the Uniformity of Insurance 
 for Families
UID:RFCALITEM639141210115932182
X-ALT-DESC;FMTTYPE=text/html:<p>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.&nbsp\; Often\, public insurance eligibility is more 
 generous for children than their parents\, with the widest accessibility f
 or the youngest children.&nbsp\; Having different insurance sources\, or a
  mix of insured and uninsured members of a family\, may be disruptive to c
 onsistent medical care.&nbsp\; 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.&nbsp\; 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.&nbsp\; 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.&nbsp\; 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.&nbsp\; This work 
 raises important questions about possible unintended consequences of a per
 son-level approach to public insurance eligibility.<strong></strong><br></
 p><p></p>
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