Lessons Learned From New York State's Program
Implementation Experiences of New York's Child Health Plus
Program
- Implementation has been challenging because of the limits on out-of-pocket spending.
- Most utilization control was left to the managed care plans.
- Copayments were used for services only where additional utilization controls seemed
necessary (e.g., outpatient visits, prescription drugs, emergency room visits).
- Charging ‘per-child premiums’ seemed to penalize families with 2-4 children.
State health officials continued to monitor the effects of cost-sharing
in New York's Child Health Plus Program through:
- Examinations of enrollment by income level.
- Analyses of utilization by income level.
- Assessments of reasons for disenrollment.
- Analyses of the reasons for dropping private coverage.
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Cost-Sharing 
