Evaluating the impact of SCHIP expansions on household spending and consumption using consumer expenditure survey data

The Foundation's Changes in Health Care Financing and Organization program was designed to support research, demonstration, and evaluation projects examining major changes in health care financing.The researchers under this project will explore the consequences of State Children's Health Insurance Program (SCHIP) expansions, including the attendant "crowd out" -- the term used to describe the phenomenon of individuals dropping private health insurance coverage in response to expanded availability of public coverage. The researchers hypothesize that switching from private to public coverage reduces a family's out-of-pocket medical spending, freeing up more resources for other uses, making crowd-out a "windfall" not a "problem" for low-income families. The researchers will address the following questions: (1) how have expansions of SCHIP improved the material well-being of the low-income families the program is intended to assist, and (2) what categories of spending increase as a result of gaining eligibility for coverage? The objective of the project is to reconsider the context for crowd-out and reframe the debate over SCHIP expansions with a renewed emphasis on the benefits rather than merely the costs of coverage expansions.

Grant Details

Amount Awarded $124,694.00

Awarded on: 9/3/2008

Time frame: 10/1/2008 - 3/31/2010

Grant Number: 65093


University of Michigan

503 Thompson Street
Ann Arbor, 48109-1340


Helen G. Levy
Project Director