Working Paper: NBER ID: w17658
Authors: Carole Roan Gresenz; Sarah E. Edgington; Miriam J. Laugesen; Jos J. Escarce
Abstract: We analyze the effects of states' expansions of CHIP eligibility to children in higher income families during 2002-2009 on take-up of public coverage, crowd-out of private coverage, and rates of uninsurance. Our results indicate these expansions were associated with limited uptake of public coverage and only a two percentage point reduction in the uninsurance rate among these children. Because not all of the take-up of public insurance among eligible children is accounted for by children who transfer from being uninsured to having public insurance, our results suggest that there may be some crowd-out of private insurance coverage; the upper bound crowd-out rate we calculate is 46 percent.
Keywords: Public Insurance; Private Insurance; CHIP; Crowdout; Health Insurance
JEL Codes: I13
Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.
| Cause | Effect |
|---|---|
| CHIP expansions (L63) | public insurance takeup (G52) |
| CHIP expansions (L63) | uninsurance rate (I13) |
| public insurance takeup (G52) | private insurance crowdout (I13) |
| CHIP expansions (L63) | private insurance coverage (I13) |