To determine the percentage of children who had insurance coverage in the 12 months preceding enrollment in a state-subsidized program ; the percentage of parents who had access to employer-based family coverage ; and the cost of the families'share of the premium per month.
We randomly selected 930 families whose children were enrolled in the Florida Healthy Kids Program for a period of between 1 and 3 months and conducted telephone interviews with them in 1998 about their children's insurance coverage before program entry and their access to employer-based family coverage.
There were 653 families in the final sample.
Only 5% of the children had employer-based coverage before program enrollment.
However, 26% had access to family coverage through their employers with the family share of the premiums representing on average 13% of their incomes.
Access to employer-based coverage varied significantly by family income.
Throughout the development of the State Children's Health Insurance Program legislation, policy analysts expressed concern that families may crowd out or substitute a subsidized state plan for employer-based coverage.
This substitution could result in fewer improvements in access to care and health status than were anticipated, because families are simply moving to a different form of health insurance.
There is some degree of crowd out in the Healthy Kids Program. (...)
Mots-clés Pascal : Assurance maladie, Protection sociale, Activité professionnelle, Analyse coût, Accessibilité, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Système santé, Politique sanitaire, Economie santé
Mots-clés Pascal anglais : Health insurance, Welfare aids, Professional activity, Cost analysis, Accessibility, Child, Human, United States, North America, America, Health system, Health policy, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0495977
Code Inist : 002B30A01B. Création : 22/03/2000.