Despite progress, many children remain uninsured for reasons related to immigration status, the erosion of employer-based coverage or turnover in public program eligibility and enrollment. The "system" of coverage that is available is fragmented and difficult to navigate.
The Institute assists efforts to cover all children regardless of immigration status through approaches that harness a variety of public and private funds. The Institute's California office has worked towards this goal with several California counties.
Local Children's Coverage Initiatives
California Local Coverage Initiatives Center: This technical assistance center provides policy expertise and strategic assistance to counties in the design and implementation of model approaches to expand access to health care for children and families. Initially, the project focused on the Santa Clara Children's Health Initiative (CHI) to cover all children residing in Santa Clara County. In 2002-2003, the project expanded to several counties in the Greater Bay Area and is now the state's leading technical assistance provider in creating health coverage for all children. Click here for more information.
Sacramento Sierra Valley Regional Children's Health Coverage Initiative: IHPS has been contracted by five First 5 Commissions in the Sacramento Sierra Valley region (Sacramento, El Dorado, Yolo, Colusa and Yolo counties) to provide policy and technical expertise in designing and implementing the first regional children's health initiative model in California. Under the auspices of this contract, IHPS is conducting a quantitative analysis of the cost and provision of uncompensated care for children in both hospital and clinic settings.
Central Valley Children's Health Initiatives: IHPS has been funded by the Tulare, Kern and Fresno First 5 Commissions to provide policy and strategic expertise in the creation of their children's coverage expansions. The Institute is working with the Commissions and their partners in the following areas:
identifying the potential target populations;
governance and infrastructure development;
- program design issues such as benefits, cost-sharing and eligibility criteria;
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system re-engineering and program integration;
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enrollment and retention of the target population in available coverage sources; and
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the cost, financing and pricing issues regarding health plan and administrative vendor options.
(2003-ongoing)
Premium Assistance
Coordinating Public and Private Financing Sources Toward Continuous Coverage Structures For Uninsured Kids: Under a projects funded by the David and Lucile Packard Foundation, the Institute pioneered a resource center to assist expansion and continuity of health insurance coverage of children in low- and modest-income working families by developing ways to coordinate with job-based family coverage on their behalf. Much of this assistance relates to ways states can coordinate premium assistance (via SCHIP, Medicaid, or their own funds) with employment-based coverage to serve uninsured children and their families.
Reports
Local Experience with Healthy Kids Enrollment Caps (IHPS-CA, June 2004)
Local and Regional Solutions Leading the Way to Covering All Children in California (IHPS-CA, June 2004)
Checklist for Counties Pursuing a Children's Health Initiative (IHPS-CA, March 2004)
Universal Health Care for Children: Two Local Initiatives (Future of Children, Volume 13, Number 1, published by the Center for the Future of Children, Spring 2003)
Barriers to Re-Enrollment in Medi-Cal and Strategies for Retaining Eligible Children: Parents and County Workers Speak Out in Santa Clara County (IHPS, July 2001)
Background Data and Models for Expanding Health Insurance Coverage to Uninsured Children in Santa Clara County (IHPS, October 2000)
Uninsured Children with Access to Employer-Based Coverage (IHPS, February 1999)
DataBrief: Sources of Coverage for Uninsured Children Before and After Periods of No Insurance (IHPS, January 1999)
Children and Employer-Based Coverage: The Data (IHPS, October 1998)
Coordinating Children's Coverage Expansions with Employer-Sponsored Coverage (IHPS, March 1998)
Alternative Approaches for Paying Child Health Insurance Subsidies (IHPS, January 1998)
Employer Coverage and the Children's Health Insurance Program under the Balanced Budget Act of 1997: Options for States (IHPS, December 1997)
Extending Health Care for Modest-Income Children and Pregnant Women: Public and Employer Financial Coverage Lessons (IHPS, December 1996)
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