Assessing health care access among Medicaid/CHIP-enrolled children in Illinois: changes in policy and practice to improve access
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Urban Institute research report
- Author(s):
- Haley, Jennifer M., author Willis, Carla, author Kenney, Genevieve M., author Johnston, Emily M., author Long, Julia, (Of Urban Institute), author Brown, Kristen, (Of Urban Institute), author
- Contributor(s):
- Urban Institute, issuing body.
- Publication:
- Washington, DC : Urban Institute, April 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Child Health -- statistics & numerical data Health Equity -- economics Health Policy Health Services Accessibility -- statistics & numerical data Medicaid -- organization & administration Illinois Children's Health Insurance Program (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- Extensive evidence shows that coverage through Medicaid and the Children’s Health Insurance Program (CHIP) improves access to and receipt of health care that children need, with benefits that extend throughout a child’s life. At the same time, there is concern that some children with Medicaid/CHIP coverage may face systematic barriers that constrain their access to care, potentially because of factors such as insufficient provider payments that limit provider participation, cumbersome administrative practices, and transportation and other logistical hurdles when seeking care. Understanding how Medicaid and CHIP are working in individual states is important because service delivery systems as well as the health, demographic, and socioeconomic composition of the target population vary across states and because states have considerable latitude over the policy choices that shape the program. In this study, we used a mixed-methods approach to examine access patterns for children enrolled in Medicaid/CHIP in Illinois as part of a larger project identifying and assessing strategies for increasing family economic stability and opportunities in the state. Illinois has a number of features that make it particularly important for study: it has a large and expansive Medicaid/CHIP program for children, in 2019 it had the seventh largest child enrollment level among all states, and it was the first state to cover children regardless of immigration status. In this report, we draw on 2016–193 National Survey of Children’s Health (NSCH) data among Medicaid/CHIP-enrolled4 children in Illinois and interviews with national and Illinois-based child health key informants to assess access experiences and potential barriers faced by Medicaid/CHIP-enrolled children, reasons for these barriers, how barriers vary across subgroups of children in the state, and changes in policy and practice that could improve access to care.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
- Extent:
- 1 online resource (1 PDF file (iv, 38 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918627783206676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918627783206676