Lessons Learned From New York State's Program

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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.

Related Questions

Show me more State strategies

SCHIP Guidance - State Strategies

Show me some lessons learned

Implications of Past State Experiences for Effect of Cost-Sharing on SCHIP Access and Utilization

What led to this?

What Are the Effects of Copayments and Premium Cost-Sharing on Access and Utilization in State Expansion Programs?

New York State's Child Health Plus Program

What other issues are talked about in this section?

Details of New York State's Program

The Florida Healthy Kids Corporation's Experience
- Results of the Florida Healthy Kids Corporation's Experience

Who presented this material?

Judith Arnold