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  1. Crowd out : Evidence from the Florida Healthy Kids Program.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0495977

    Code Inist : 002B30A01B. Création : 22/03/2000.