Dynamics of health insurance coverage from 1996 to 2000

The Foundation's initiative, Changes in Health Care Financing and Organization, was designed to support policy analysis, research, evaluation and demonstration projects that will provide public and private decision leaders with usable and timely information on health care policy and financing issues.The researchers under this project will examine the dynamics of health insurance for children and adults under age 65 from 1996 to 2000, a dynamic period characterized by the implementation of national welfare reform, SCHIP, and an economic boom. They will document the patterns of insurance coverage and public program eligibility, estimate the impact of the implementation of SCHIP on insurance coverage for eligible children and previously Medicaid-eligible children, and assess the extent to which the economic expansion affected the insurance coverage of previously uninsured adults.The purpose of this project is to inform the design of more effective strategies to maintain or increase insurance coverage and to understand better the determinants of participation and crowd-out that can be useful when considering coverage expansions. The findings will also help to better predict the implications of reductions in coverage resulting from states' efforts to balance their budgets or in the economic context of a recession. Using the 1996 U.S. Census Bureau Survey of Income and Program Participation (SIPP), the researchers will replicate an earlier descriptive analysis to determine how patterns in coverage dynamics have changed since the 1992 to 1994 period. The remainder of the research topics will be addressed using the SIPP data for multivariate analyses and in a simulation model.

Grant Details

Amount Awarded $551,650.00

Awarded on: 8/22/2003

Time frame: 9/1/2003 - 10/31/2005

Grant Number: 49257


Urban Institute

2100 M Street, N.W.
Washington, 20037-1207


Linda J. Blumberg
Project Director


Lisa C. Dubay
Project Director