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Covering Kids & Families Case Study of Oregon
Exploring Medicaid and SCHIP Enrollment Trends and Their Links to Policy and Practice
Published: August 2007
The Covering Kids & Families (CKF) initiative of the Robert Wood Johnson Foundation had two goals: to increase the amount of uninsured children and adults enrolled in Medicaid or the State Children's Health Insurance Program (SCHIP) and to discover ways to sustain the increase after the program's end. This report examines trends in Medicaid and SCHIP enrollment in Oregon between 1999 and 2004, during which time CFK was in operation.
In 1999, Oregon entered a budget crisis situation and by the end of 2001 the state had the highest unemployment rate in the nation at 7.5 percent.
Key Findings
- The Office of Medical Assistance Programs experienced budget cuts that adversely affected the implementation of the Oregon Health Plan.
- Changes in state policies restricted adult coverage in public health programs, which had significant spillover effects on the number of children entering such insurance programs.
- Enrollment of children in public health programs dwindled.
The authors acknowledge that although CFK did not meet its goals in Oregon, circumstances in the state have since improved. In March 2006, the governor announced a new program called Healthy Kids funded by a tobacco tax that will provide children health coverage to 18 years.
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Recommended
- Covering Kids & Families Evaluation: Lasting Legacies of Covering Kids & Families (Evaluations)
- Covering Kids & Families (CKF) Coalitions Propel Policy and Procedural Changes (Issue and policy briefs)
- Outliving Grant Funding (Issue and policy briefs)
- Surgeon General Joins D.C. Mayor, Soccer Stars and Gospel and Salsa Celebrities for Covering Kids & Families Kickoff (Video)
- World Health Organization (WHO) Recognizes Covering Kids & Families (CKF) Coalition (Stories and articles)
Listed below are 4 of the grants that supported this project, totaling $7,307,691.
| Grant | Awarded to | Amount |
|---|---|---|
| Evaluating RWJF's Covering Kids & Families program |
Mathematica Policy Research, Inc. (Princeton, NJ) ID#: 043391 http://www.mathematica-mpr.com/ |
Approved award: $387,521 Actual award: $386,737 November 2001 to June 2002 This grant has ended. |
| Evaluating RWJF's Covering Kids & Families program - supplemental support |
Mathematica Policy Research, Inc. (Princeton, NJ) ID#: 045394 http://www.mathematica-mpr.com/ |
Actual award: $147,381 April 2002 to March 2004 This grant has ended. |
| Evaluating RWJF's Covering Kids & Families program |
Mathematica Policy Research, Inc. (Princeton, NJ) ID#: 044999 http://www.mathematica-mpr.com/ |
Approved award: $3,651,076 Actual award: $3,633,709 August 2002 to December 2005 This grant has ended. |
| Evaluation of Covering Kids & Families (phase 2) |
Mathematica Policy Research, Inc. (Princeton, NJ) ID#: 051353 http://www.mathematica-mpr.com/ |
Actual award: $3,139,864 September 2005 to December 2008 This grant has ended. |
RWJF may have supported this project with other grants that are not listed.
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...
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.
Surgeon General Joins D.C. Mayor, Soccer Stars and Gospel and Salsa Celebrities for Covering Kids & Families Kickoff
Publication date:
July 29, 2005
Summary:
An August 2 media briefing will feature new research providing a state-by-state look at gaps in care experienced by kids without health coverage.
World Health Organization (WHO) Recognizes Covering Kids & Families (CKF) Coalition
Publication date:
April 19, 2006
Summary:
The Gulf Coast CHIP Coalition helped create the Texas Children's Health Insurance Program during the 1999 Texas legislative session, coordinated regional outreach initiatives to enroll children in the program, and worked to simplify the Texas Medicaid application...
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.