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Follow-Up Evaluation of the Covering Kids & Families Access Initiative
Lessons from 18 CKF-AI Grantees
Published: March 17, 2008
As gains have been made in coverage, it has become increasingly apparent that having health insurance does not in itself assure access to needed health care.
Covering Kids & Families Access Initiative (CKF-AI) was developed in 2003 to learn more about the variety of access barriers that can prevent meaningful use of insurance coverage even after children and families are formally enrolled. In the initiative's first year (Phase I) each grantee was to investigate access barriers by collecting data directly from affected families and health care providers in the local area. The grantees were then to move into a second phase in which each of them would select one or two barriers based on their Phase I findings; develop site-specific intervention strategies for addressing these barriers; and attempt to field the interventions as pilot programs.
This first phase follow-up evaluation, led by Carolyn Needleman, Ph.D., of Social Research Associates, finds that CKF-AI has succeeded in:
- Producing new information about the nature of access barriers, bringing to light many aspects of the problem that had not previously been well understood.
- Stimulating a variety of innovative intervention projects, providing models for other advocates seeking to reduce access barriers.
- Laying a foundation firm enough for most grantees to succeed in finding alternative funding sources to sustain their access projects in some form after the initial grant expired.
- Building capacity in the grantee teams, better equipping them and their organizations to address access barriers over the long term.
- Refining strategies for communicating with decision-makers to correct information gaps and misconceptions about health care access.
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- Assessing the Impact of Covering Kids & Families (Evaluations)
- About Covering Kids & Families (Evaluations)
- Sustaining the Effects of Covering Kids & Families on Policy Change (Evaluations)
- Covering Kids & Families Evaluation: Lasting Legacies of Covering Kids & Families (Evaluations)
- Partial-Year Insurance Coverage and the Health Care Utilization of Children (Journal articles)
- Covering Kids & Families (CKF) Coalitions Propel Policy and Procedural Changes (Issue and policy briefs)
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Listed below is one grant that supported this project.
| Grant | Awarded to | Amount |
|---|---|---|
| Evaluation of RWJF's Covering Kids & Families Access Initiative (phase 2) |
Social Research Associates (Bristol, RI) ID#: 59268 |
Actual award: $50,775 November 2006 to January 2008 This grant has ended. |
RWJF may have supported this project with other grants that are not listed.
Assessing the Impact of Covering Kids & Families
Publication date:
November 26, 2007
Summary:
Preliminary results from the evaluation of Covering Kids & Families shed light on its operations and the environment in which it aims to create social change.
About Covering Kids & Families
Publication date:
September 30, 2005
Summary:
In 1997, the Robert Wood Johnson Foundation established the Covering Kids Initiative (CKI). The goal of the program was to enroll more eligible children into Medicaid and SCHIP through outreach, enrollment simplification and health insurance program...
Sustaining the Effects of Covering Kids & Families on Policy Change
By:
Duchon L, Ellis E and Gifford K
Publication date:
January 2008
Summary:
This report is part of the evaluation of Covering Kids & Families (CKF), a program that was sponsored by the Robert Wood Johnson Foundation in 46 states with 152 grantees. CKF had two goals: to reduce the number of uninsured children and adults eligible for...
Covering Kids & Families Evaluation: Lasting Legacies of Covering Kids & Families
Publication date:
January 2009
Summary:
An examination of the Covering Kids & Families initiative continues with a 2008 survey designed to learn to what extent the changes made from the follow-up interviews in 2006-2007 were still in effect or had been reversed, and whether any changes previously...
Partial-Year Insurance Coverage and the Health Care Utilization of Children
By:
Leininger LJ
Publication date:
February 2009
Summary:
This article examined the relationship between health care utilization and the status of children's health insurance over the course of one year. While considerable research addresses the effect of insurance status on children's health care, less is known about...
Covering Kids & Families (CKF) Coalitions Propel Policy and Procedural Changes
By:
Hoag S and Wooldridge J
Publication date:
November 2007
Summary:
This brief examines the Robert Wood Johnson Foundation program—Covering Kids & Families—developed to increase health coverage to uninsured children and adults. The authors describe how states built coalitions that were highly effective in...
Outliving Grant Funding
Publication date:
November 2008
Summary:
This issue brief reviews findings on the sustainability of the 45 state Covering Kids & Families (CKF) grantees, drawing primarily from an online survey of state CKF project directors and coalition leaders conducted from April to November 2007.
Covering Kids & Families Back-to-School Campaign
Publication date:
August 09, 2006
Summary:
The number of insured children has increased by 2 million since the 1997 creation of SCHIP and recent expansions in state Medicaid programs, but 8 million children are still uninsured
Evaluations
As defined by the American Evaluation Association, evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products and organizations to improve their effectiveness. RWJF evaluates programs, major initiatives, policies and, at times, products.