{"id":"https://openalex.org/W2105906205","doi":"https://doi.org/10.1542/peds.105.s3.1004","title":"Commentary: Monitoring Expanded Health Insurance for Children: Challenges and Opportunities","display_name":"Commentary: Monitoring Expanded Health Insurance for Children: Challenges and Opportunities","publication_year":2000,"publication_date":"2000-04-01","ids":{"openalex":"https://openalex.org/W2105906205","doi":"https://doi.org/10.1542/peds.105.s3.1004","mag":"2105906205","pmid":"https://pubmed.ncbi.nlm.nih.gov/10742363"},"language":"en","primary_location":{"id":"doi:10.1542/peds.105.s3.1004","doi":"https://doi.org/10.1542/peds.105.s3.1004","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.105.s3.1004","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},"volume":null,"type":"editorial","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5060030625","display_name":"Paul W. Newacheck","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul W. Newacheck","raw_affiliation_strings":["From the University of California, San Francisco, San Francisco, California; the"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the University of California, San Francisco, San Francisco, California; the","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044692574","display_name":"Neal Halfon","orcid":"https://orcid.org/0000-0002-7956-118X","observed_orcids":["https://orcid.org/0000-0002-7956-118X"]},"institutions":[{"id":"https://openalex.org/I161318765","display_name":"University of California, Los Angeles","ror":"https://ror.org/046rm7j60","country_code":"US","type":"education","lineage":["https://openalex.org/I161318765"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Neal Halfon","raw_affiliation_strings":["University of California, Los Angeles, Los Angeles, California; and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of California, Los Angeles, Los Angeles, California; and","institution_ids":["https://openalex.org/I161318765"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018433072","display_name":"Moira Inkelas","orcid":"https://orcid.org/0000-0003-1963-2430","observed_orcids":["https://orcid.org/0000-0003-1963-2430"]},"institutions":[{"id":"https://openalex.org/I156914199","display_name":"RAND School of Public Policy","ror":"https://ror.org/04dvezj25","country_code":"US","type":"education","lineage":["https://openalex.org/I156914199"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Moira Inkelas","raw_affiliation_strings":["RAND Graduate School, Santa Monica, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"RAND Graduate School, Santa Monica, California","institution_ids":["https://openalex.org/I156914199"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"105","issue":"Supplement_3","first_page":"1004","last_page":"1007"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13883","display_name":"Child and Adolescent Health","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/children-s-health-insurance-program","display_name":"State Children's Health Insurance Program","score":0.9769999980926514},{"id":"https://openalex.org/keywords/children-s-health-insurance","display_name":"children's health insurance","score":0.7540000081062317},{"id":"https://openalex.org/keywords/program-monitoring","display_name":"program monitoring","score":0.7020000219345093},{"id":"https://openalex.org/keywords/uninsured-children","display_name":"uninsured children","score":0.8270000219345093},{"id":"https://openalex.org/keywords/low-income-households","display_name":"low-income households","score":0.878000020980835},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.5649999976158142},{"id":"https://openalex.org/keywords/federal-oversight","display_name":"federal oversight","score":0.6309999823570251},{"id":"https://openalex.org/keywords/health-data-collection","display_name":"health data collection","score":0.6710000038146973},{"id":"https://openalex.org/keywords/program-evaluation","display_name":"program evaluation","score":0.6079999804496765},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.7459999918937683},{"id":"https://openalex.org/keywords/federal-state-coordination","display_name":"federal-state coordination","score":0.5839999914169312},{"id":"https://openalex.org/keywords/health-policy-evaluation","display_name":"health policy evaluation","score":0.31200000643730164},{"id":"https://openalex.org/keywords/health-insurance-expansion","display_name":"health insurance expansion","score":0.3240000009536743}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9758880734443665},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.39290106296539307},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.39281076192855835}],"mesh":[{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006076","descriptor_name":"Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015397","descriptor_name":"Program Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016730","descriptor_name":"Program Development","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017057","descriptor_name":"Medically Uninsured","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1542/peds.105.s3.1004","doi":"https://doi.org/10.1542/peds.105.s3.1004","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.105.s3.1004","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},{"id":"pmid:10742363","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10742363","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.6240000128746033,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W1994465155","https://openalex.org/W2011055899","https://openalex.org/W2037487110","https://openalex.org/W2042252410","https://openalex.org/W2042921215","https://openalex.org/W2088040088","https://openalex.org/W2103272535","https://openalex.org/W2315753289","https://openalex.org/W2414110924","https://openalex.org/W2467833329"],"related_works":["https://openalex.org/W819950511","https://openalex.org/W7017916810","https://openalex.org/W2103302960","https://openalex.org/W2116565363","https://openalex.org/W2082143815","https://openalex.org/W7095183401","https://openalex.org/W7045922813","https://openalex.org/W4251095562","https://openalex.org/W7098613726","https://openalex.org/W2384036420"],"abstract_inverted_index":{"Enacted":[0],"in":[1,51,109,119,174,234,259,308,362,399,420,426,515,519,528,532,548,574,589,601,642,651,707,733,783,788,827,869,906,918,923,1118,1127,1165,1189,1296,1402,1409,1527,1792,1844,1876,1918,1941,1957,1971,2029,2051,2078,2099,2126,2133,2151,2195,2345,2379,2396,2406,2411,2434,2484,2510,2524,2550,2596,2691,2697],"1997":[2,465],"as":[3,198,390,429,715,814,935,970,1007,1021,1065,1719,1829,1831,2542],"Title":[4,1258,1859],"XXI":[5,1860],"of":[6,58,80,94,99,149,159,176,214,217,238,249,275,306,319,324,336,346,404,433,437,440,445,451,476,526,540,566,571,607,636,688,702,723,770,803,805,880,957,988,1039,1056,1069,1078,1083,1091,1149,1171,1176,1183,1198,1218,1242,1331,1354,1368,1432,1455,1476,1513,1541,1557,1567,1573,1581,1593,1598,1615,1632,1635,1644,1692,1698,1701,1713,1729,1733,1815,1822,1826,1926,1953,2014,2026,2049,2157,2184,2206,2250,2262,2300,2306,2322,2349,2362,2440,2469,2487,2500,2561,2570,2633,2680,2689],"the":[7,11,35,95,100,105,129,141,150,163,177,211,215,227,236,246,303,309,320,343,347,357,405,464,472,487,559,564,583,602,639,648,664,708,731,768,771,789,793,870,897,924,949,954,962,1003,1017,1022,1025,1066,1084,1088,1116,1168,1181,1190,1227,1239,1271,1275,1379,1383,1392,1405,1418,1433,1453,1473,1483,1495,1522,1534,1539,1558,1587,1594,1616,1633,1661,1668,1675,1690,1711,1761,1850,1863,1866,1871,1892,1896,1901,1904,1942,1967,1976,2009,2024,2040,2047,2058,2089,2204,2210,2213,2220,2238,2263,2276,2282,2304,2313,2332,2357,2385,2408,2436,2456,2467,2485,2498,2505,2511,2525,2535,2551,2567,2580,2604,2629,2643,2678,2686,2700],"Social":[8],"Security":[9],"Act,":[10],"State":[12,1243,2221],"Children's":[13,1208],"Health":[14,130,218,250,467,1070,1092,1205,1244,1676,2242,2294],"Insurance":[15,1206],"Program":[16],"(SCHIP)":[17],"offers":[18,692],"significant":[19],"potential":[20,344,383,505,694,2283],"for":[21,25,84,143,165,181,193,359,416,506,695,705,719,901,904,993,1075,1099,1257,1291,1322,1517,1606,1663,1836,1881,1888,1914,1975,2004,2085,2241,2267,2281,2293,2303,2330,2339,2353,2387,2459,2475,2515,2617],"expanding":[22,510,778],"health":[23,304,395,447,556,584,660,703,779,955,1134,1300,1384,1723,1737,2074,2437,2687],"insurance":[24,396,511,618,676,780,846,1135,1426,1445,1738,1919,2127,2350],"children":[26,40,50,81,307,398,419,485,501,518,531,573,592,621,628,706,735,905,922,1514,1607,1720,1783,2194,2690],"and":[27,97,146,153,196,219,251,261,264,281,288,322,342,351,378,382,413,449,474,479,499,502,610,658,685,700,736,776,782,791,819,858,895,915,920,977,1009,1013,1024,1058,1124,1136,1156,1207,1281,1299,1305,1317,1382,1457,1561,1600,1603,1611,1621,1624,1629,1640,1666,1670,1674,1678,1696,1710,1741,1834,1869,1903,1922,1996,2197,2212,2222,2259,2316,2366,2372,2414,2431,2448,2600,2624,2631,2641,2682],"improving":[28,507,696,737,784,902,1053],"their":[29,738,829],"access":[30,480,508,609,631,656,697,739,785,820,903,990,1041,1057,1137,1450,1695,1740,2130],"to":[31,34,76,103,116,169,231,254,375,393,397,552,563,629,698,740,786,810,816,821,836,844,891,952,964,973,991,1042,1052,1104,1111,1120,1138,1179,1210,1229,1233,1250,1342,1390,1451,1492,1510,1543,1576,1590,1618,1745,1760,1769,1777,1805,1855,1873,1935,1950,2022,2045,2072,2095,2108,2123,2131,2149,2166,2175,2218,2279,2325,2334,2422,2426,2529,2577,2582,2612,2627,2637,2645,2651,2684],"care.1":[32],"According":[33],"states,":[36],"nearly":[37,546],"2":[38,87,759,2163,2358],"million":[39,48,1575,1980,2328,2462,2474],"were":[41,535,550,622,654,1309],"enrolled":[42],"by":[43,128,206,210,297,316,431,509,617,668,932,1167,1187,1265,1270,1428,1554,1660,2237,2546,2579,2699],"October":[44],"1999.2":[45],"Ultimately,":[46],"3":[47,590],"uninsured":[49,61,239,412,500,517,572,591],"low-income":[52,240,400,421,520,533,575,594,665,907,1131,1474,1506,1536,2441,2692],"families,":[53],"or":[54,633,812,839,1422,1763,2129],"about":[55,767,2428],"one":[56,175,1758],"third":[57],"all":[59,958,1797,2138,2268],"US":[60],"children,":[62,1477],"could":[63,1096,1808,2671],"eventually":[64],"gain":[65],"coverage":[66,781,1641,2128,2351],"under":[67,1222,1482,1608],"SCHIP.3":[68],"Moreover,":[69,1030,2443],"SCHIP":[70,136,154,310,327,389,489,691,724,966,1106,1123,1154,1235,1293,1485,1501,1562,1610,1622,1693,1714,1889,1981,2050,2097,2264,2317,2464,2537,2634,2681],"outreach":[71,913,1502,1602,1625],"efforts":[72,1364,1503,2155],"may":[73,385,1508],"also":[74,202,244,494,536,577,673,1200,1415,1461,1809,1993],"lead":[75,1509,2650],"increased":[77,686,1511],"enrollment":[78,1008,1380,1512,1604,1623],"levels":[79,2569],"already":[82,1515,2610],"eligible":[83,415,1411,1481,1497,1516],"Medicaid.More":[85],"than":[86,513,626,2585],"years":[88,2359],"have":[89,553,1152,1294,2375,2609],"now":[90,108,2394],"passed":[91],"since":[92,2360],"enactment":[93,148,2361],"program":[96,106,280,392,860,925,1406,1419,1779,2545,2647,2660],"many":[98,1082],"components":[101],"needed":[102,543,2168],"monitor":[104,953,1105],"are":[107,380,410,614,926,1627,1683,1705,1755,1767,1883,1911,1947,1969,1992,2162,2182,2273,2393,2420,2450,2593],"place.":[110,2397],"These":[111,995,1158,1224,1681,1909,2007],"include":[112,996,1160,1591,2008],"a":[113,166,276,317,325,367,372,391,434,441,452,523,599,716,747,840,863,877,887,939,985,1031,1108,1143,1193,1202,1216,1248,1266,1320,1333,1339,1465,1555,1578,1730,1786,1793,1823,1958,1990,2134,2231,2298,2460,2476,2522,2543,2555,2562,2575,2621,2673],"new":[114,191,285,348,772,1361,1484,1656,1687,1978,2152,2365,2477],"template":[115,1820,1868],"assist":[117],"states":[118,732,824,833,934,1117,1252,1523,1709,1857,1872,2113,2139,2200,2581],"meeting":[120,1877,2435],"federal":[121,247,360,406,1128,1254,1283,1434,1878,2404,2502,2526,2589],"reporting":[122,1255,1435,1861,1879,2587],"requirements,":[123],"an":[124,256,337,554,796,971,1161,1323,1571,1613,1630,1818,2388,2412,2597],"external":[125],"evaluation":[126,197,289,352,1162,1580,1588,1597,1819,1982,2373,2465,2479,2507,2591],"funded":[127,139,1659,2069,2377],"Care":[131],"Financing":[132],"Administration":[133],"(HCFA),":[134],"several":[135,273,333,1287,1655,1884,2364],"research":[137,1703],"projects":[138,1704],"through":[140,1062,1087,1654,2312],"Agency":[142,1662],"Healthcare":[144,1664],"Research":[145,1665],"Quality.The":[147],"Medicare,":[151,1559,2314],"Medicaid,":[152,1560,1612,2315],"Balanced":[155,1563,2318],"Budget":[156,1564,2319],"Refinement":[157,1565,2320],"Act":[158,1566,2321],"1999":[160,1568],"further":[161],"enhances":[162],"prospects":[164],"comprehensive":[167,277,1340,1466,2623],"approach":[168,374,1341,1468,2173,2216,2626],"monitoring.":[170],"This":[171,313,875,1173,1212,1260,2017,2062,2341,2572],"act,":[172],"incorporated":[173],"final":[178],"appropriations":[179,192],"bills":[180],"fiscal":[182],"year":[183,488,561],"2000":[184],"(Public":[185],"Law":[186],"106-113),":[187],"not":[188,414,597,1448,1478,1964],"only":[189],"included":[190],"data":[194,263,286,301,349,462,671,980,998,1231,1347,1356,1362,1650,1753,1802,1827,1886,1955,1998,2055,2104,2142,2153,2255,2370,2664],"collection":[195,287,350,1363,1814,2154,2371],"indicated":[199,430],"above,":[200],"but":[201,1547,2088],"expands":[203],"Congressional":[204],"oversight":[205],"specifying":[207],"periodic":[208],"audits":[209],"Inspector":[212],"General":[213,228],"Department":[216,248],"Human":[220,252,1278],"Services":[221,253,1279,1679],"combined":[222],"with":[223,582,679,886,1060,1721,2102,2140,2665],"monitoring":[224,279,328,340,369,750,755,798,889,941,1145,1155,1292,1308,1326,1467,1890,1915,2005,2098,2307,2391,2628,2659],"reports":[225,265,1151,1159],"from":[226,463,593,1521,1757,2285,2668],"Accounting":[229],"Office":[230],"assess":[232,2023,2046,2073],"progress":[233],"reducing":[235],"number":[237,1148],"children.":[241,959,994,1412,1442,2340,2442],"The":[242,670,1102,1196,1583,1973,2033,2290],"legislation":[243,1584,2514],"directs":[245],"take":[255],"active":[257],"role":[258],"coordinating":[260],"consolidating":[262],"regarding":[266],"children's":[267,1040,1054],"health.In":[268],"this":[269,293,1525,1845,2146],"commentary,":[270],"we":[271,355,2147,2419],"outline":[272],"elements":[274,335,365,1330,1370,1754,1828,1952],"national":[278,326,339,749,950,976,1018,1325,1893,1916,2178,2207,2390,2463],"discuss":[282,356],"how":[283,1122,1403],"these":[284,364,608,1113,1140,1312,1315,1369,1702,1927,1954,2103,2309,2491,2607],"initiatives":[290,1063],"fit":[291],"within":[292,663,1726],"framework.":[294],"We":[295,330],"start":[296],"providing":[298,1686,2158,2185,2251],"some":[299,2380,2613],"baseline":[300,650],"on":[302,459,727,1204,1289,1376,1438,1472,1533,1637,1689,1694,1707,1715,1736,2256,2534],"needs":[305,478,662,2439,2688],"target":[311,709,1595,2265,2355],"population.":[312,1498],"is":[314,677,743,752,866,1371,1388,1490,1526,1589,1743,1839,2057,2063,2083,2114,2120,2174,2217,2230,2399,2402,2573],"followed":[315],"discussion":[318],"goals":[321,1141,1550],"objectives":[323],"strategy.":[329,370,1146,1327],"then":[331],"describe":[332],"critical":[334,1389],"effective":[338,754,797,899,1324,1352,1404,1599,2389,2413,2445],"strategy":[341,751,756,799,890,942,1033,1334,2392],"contribution":[345],"efforts.":[353],"Finally,":[354],"need":[358,557,718,963,1103,1228,2148],"leadership":[361,2405,2503],"forging":[363],"into":[366,2275],"cohesive":[368,748],"Without":[371,2417],"coordinated":[373],"monitoring,":[376],"duplication":[377,2447],"inefficiency":[379,2449],"inevitable":[381],"synergies":[384],"be":[386,713,884,930,968,1097,1408,1462,1552,1652,1775,1790,1810,2002,2093,2248,2495,2655],"lost.Congress":[387],"designed":[388,1074,2021,2071,2084,2236,2297],"extend":[394,1493],"families":[401,422,521,534,576,595,1132],"(below":[402],"200%":[403],"poverty":[407],"level)":[408],"who":[409],"otherwise":[411],"Medicaid.":[417,1518],"Uninsured":[418,530,620],"experience":[423,630],"substantial":[424,655,825],"difficulties":[425],"accessing":[427,1456],"care":[428,527,585,661,699,787,956,992,1061,1080,1385,1459,1724,2075,2132,2438],"absence":[432,439,2499],"usual":[435,524],"source":[436,525,1643,2056],"care,":[438,1452],"regular":[442,580],"clinician,":[443],"presence":[444],"unmet":[446,477,555,659,683],"needs,":[448,684,1725],"lack":[450],"recent":[453,1045,1150],"physician":[454],"contact.":[455],"Figure":[456,492],"1,":[457],"based":[458],"previously":[460],"unpublished":[461],"National":[466,1240,1272,2012,2239,2291],"Interview":[468],"Survey":[469,1899,2013,2227],"(NHIS),4":[470],"illustrates":[471],"scope":[473],"magnitude":[475],"barriers":[481,632,815],"among":[482],"low-":[483],"income":[484],"during":[486,558,2466],"was":[490,1185,1263,1399,1414,2019,2695],"enacted.":[491],"1":[493,514,547,588,644],"shows":[495],"differences":[496,616],"between":[497],"insured":[498,627,1441],"thus":[503,2642],"SCHIP's":[504,1488,2354],"coverage.More":[512],"4":[516],"lacked":[522],"1997.":[529],"at":[537,647,948,1002,1016,1505,1685,1891,1933,2566],"high":[538,2547],"risk":[539],"going":[541],"without":[542,579,2288,2620],"medical":[544],"services;":[545],"10":[549],"reported":[551],"preceding":[560],"attributable":[562],"costs":[565],"care.":[567,689,741,1043,1699],"A":[568,1147,1530,1841],"large":[569,615],"proportion":[570],"went":[578],"contact":[581],"system.":[586],"Specifically,":[587],"did":[596],"see":[598],"doctor":[600],"past":[603],"year.":[604],"For":[605,831,1499,2190,2452],"each":[606,1806],"utilization":[611,1386,1742,2258],"measures":[612,640,1055,1085,1114],"there":[613,653,865,1946,2519,2557],"status.":[619],"much":[623,1047],"more":[624,2346,2622],"likely":[625,1491,2421],"reduced":[634],"rates":[635],"utilization.Taken":[637],"together,":[638,2384],"presented":[641,672],"Fig":[643],"demonstrate":[645],"that":[646,675,745,808,882,1417,1569,1586,1781,1960,2000,2418,2649,2661],"program's":[649,1393],"1997,":[652],"problems":[657],"population":[666,1475,1537,2266],"targeted":[667,1496,1504],"SCHIP.":[669,1101,1223,1582,2006,2516],"show":[674],"associated":[678],"improved":[680],"access,":[681,1921,2257],"fewer":[682],"use":[687,701,837,1353,1874],"Consequently,":[690],"tremendous":[693],"services":[704],"population.Despite":[710],"what":[711,2429,2432],"might":[712,1420],"viewed":[714,2541],"patent":[717],"insurance,":[720],"continued":[721],"funding":[722],"will":[725,1551,1651,1774,2490,2654],"depend":[726],"demonstrating":[728],"success":[729,811],"across":[730,873,1115,1311,1348,1749,1796,2112,2137,2603],"enrolling":[734,919,1410],"It":[742,2082],"here":[744],"implementing":[746],"crucial.An":[753],"should":[757,764,800,1469,2343],"accomplish":[758],"main":[760],"goals.":[761],"First,":[762],"it":[763,1773,1875,2119,2246,2482],"provide":[765,1319,1962],"information":[766,1688,2532,2616,2667],"impact":[769,1133,1182,1489,1691,1712,2025,2048,2632],"state":[773,806,842,978,1004,1647,1759,1807,1937,1995,2159,2169,2187,2253,2336,2544,2639],"programs\u2014both":[774],"individually":[775],"collectively\u2014in":[777],"short-term":[790],"over":[792],"long-term.":[794],"Second,":[795],"permit":[801],"identification":[802],"features":[804,2648],"plans":[807],"contribute":[809],"act":[813],"enrollment,":[817,1639],"retention,":[818],"care.Congress":[822],"gave":[823],"flexibility":[826],"designing":[828],"programs.5":[830],"example,":[832,1500,2191,2453],"can":[834,852,883,929,943,967,1034,1961,2001,2092],"choose":[835,853],"Medicaid":[838,1620,2683],"separate":[841],"plan":[843],"expand":[845],"coverage.":[847],"Within":[848],"certain":[849,2100],"guidelines":[850],"they":[851,928,983,2181],"eligibility":[854],"levels,":[855],"benefit":[856],"coverage,":[857,1739,1920],"other":[859,916,933,1125,2215,2260,2584],"characteristics.":[861],"As":[862,2554],"result,":[864],"wide":[867],"variation":[868],"approaches":[871,2165],"taken":[872],"states.":[874,1750,1798,1944,2032,2053,2270,2536,2605],"creates":[876],"natural":[878],"experiment":[879],"sorts":[881],"exploited":[885],"well-designed":[888,940],"help":[892,944,1035,1251,1856],"us":[893],"identify":[894,1778,2646],"understand":[896,1121],"most":[898,1431],"mechanisms":[900],"families.":[908],"That":[909,960],"way,":[910],"when":[911,1849,1966],"creative":[912,1948],"strategies":[914,1290],"innovations":[917],"retaining":[921],"identified,":[927],"adopted":[931],"midcourse":[936],"corrections.In":[937],"addition,":[938,1286,1464,1800,2518],"strengthen":[945],"our":[946,2106,2635],"ability":[947,2644,2679],"level":[951,979,1648,1894,1938,2160,2170,2188,2254,2337,2548],"is,":[961],"evaluate":[965],"used":[969,1098,1768,1970],"opportunity":[972,1110],"bolster":[974],"existing":[975,1355,1994,2141,2177],"systems":[981,999,1232],"so":[982,2180],"do":[984,2145],"better":[986,1037],"job":[987],"tracking":[989],"administrative":[997],"located":[1000],"primarily":[1001,1400],"level,":[1005,1019],"such":[1006,1020,1064,1332,1545,1718,1989],"claims":[1010],"management":[1011],"systems,":[1012],"population-based":[1014,2663],"surveys":[1015,1592,1910,1928,2179,2208],"NHIS":[1023],"Medical":[1026,1905],"Expenditure":[1027,1906],"Panel":[1028,1907],"Survey.":[1029,1908],"well-planned":[1032],"foster":[1036],"measurement":[1038],"In":[1044,1285,1395,1799,2117,2517],"years,":[1046],"effort":[1048],"has":[1049,1538,1929,1987,2038,2296,2520,2538,2558],"been":[1050,2376,2539,2559],"devoted":[1051],"satisfaction":[1059],"Consumer":[1067,1089],"Assessment":[1068,1090],"Plans":[1071,1093],"Study.6":[1072],"Although":[1073,2606],"evaluating":[1076,1100],"performance":[1077],"managed":[1079],"plans,":[1081],"developed":[1086,1164,1186,1264],"Study":[1094],"initiative":[1095],"provides":[1107],"unique":[1109,1804],"implement":[1112,2219],"order":[1119],"changes":[1126,2125],"policies":[1129],"affecting":[1130],"care.Achieving":[1139],"requires":[1142],"multifaceted":[1144],"addressed":[1153],"evaluation.39\u201312":[1157],"tool":[1163,1262],"1998":[1166],"American":[1169,1276],"Academy":[1170,1241],"Pediatrics.":[1172],"tool,":[1174],"composed":[1175],"30":[1177],"indicators":[1178,1735],"measure":[1180],"SCHIP,":[1184,1397,2363],"experts":[1188],"field":[1191],"using":[1192],"consensus":[1194],"process.7":[1195],"Institute":[1197,2042],"Medicine":[1199],"sponsored":[1201],"Committee":[1203],"Access":[1209],"Care.":[1211],"committee's":[1213],"report":[1214],"contains":[1215],"series":[1217],"recommendations":[1219,1225],"concerning":[1220,1307],"accountability":[1221],"emphasize":[1226],"improve":[1230,2335],"support":[1234,1813,1936],"monitoring.8":[1236],"More":[1237],"recently,":[1238],"Policy":[1245,1985],"(NASHP)":[1246],"released":[1247,1852],"framework":[1249,1854],"meet":[1253,1858,2685],"requirements":[1256,1436,1880,2508,2533],"XXI.9":[1259],"voluntary":[1261],"task":[1267],"force":[1268],"nominated":[1269],"Governors":[1273],"Association,":[1274,1280],"Public":[1277],"key":[1282,1329],"agencies.":[1284],"articles":[1288],"appeared":[1295],"leading":[1297],"academic":[1298],"policy":[1301],"journals.310\u201312Several":[1302],"important":[1303,1546,2424],"themes":[1304,1316],"ideas":[1306,1318],"raised":[1310],"reports.":[1313],"Together":[1314],"foundation":[1321],"Four":[1328],"stand":[1335],"out:":[1336],"1)":[1337],"taking":[1338],"monitoring;":[1343],"2)":[1344],"collecting":[1345,1837],"comparable":[1346,1816],"states;":[1349],"3)":[1350],"making":[1351,1746],"sources,":[1357,2105],"and;":[1358],"4)":[1359],"sponsoring":[1360],"where":[1365],"needed.":[1366,1840],"Each":[1367],"discussed":[1372],"below.A":[1373],"dual":[1374],"focus":[1375,1437,1470,1532],"assessing":[1377],"both":[1378,1609],"process":[1381,1387,1454],"understanding":[1391],"impact.10,12":[1394],"enacting":[1396],"Congress":[1398,2471],"interested":[1401],"would":[1407,1789,2201,2247],"There":[1413],"concern":[1416],"displace":[1421],"crowd":[1423],"out":[1424],"private":[1425],"provided":[1427],"employers.":[1429],"Hence,":[1430],"counting":[1439],"newly":[1440],"However,":[1443],"because":[1444],"alone":[1446],"does":[1447],"guarantee":[1449],"obtaining":[1458],"must":[1460],"evaluated.In":[1463],"broadly":[1471],"just":[1479,2480],"those":[1480,1727,1771,2052],"initiatives.":[1486],"Indeed,":[1487],"beyond":[1494],"communities":[1507],"Anecdotal":[1519],"evidence":[1520],"suggests":[1524],"fact":[1528],"occurring.13,14":[1529],"broad":[1531],"entire":[1535],"advantage":[1540],"helping":[1542],"detect":[1544],"indirect":[1548],"effects.These":[1549],"facilitated":[1553],"provision":[1556],"includes":[1570],"appropriation":[1572],"$10":[1574,2327,2473],"conduct":[1577,2096,2109],"10-state":[1579],"specifies":[1585],"population,":[1596],"ineffective":[1601],"practices":[1605,1626],"assessment":[1614,1631],"degree":[1617],"which":[1619],"coordinated,":[1628],"effect":[1634],"cost-sharing":[1636],"utilization,":[1638],"retention.Another":[1642],"potentially":[1645,2367,2492],"rich":[1646],"contextual":[1649,2666],"generated":[1653],"grants":[1657],"jointly":[1658],"Quality,":[1667],"David":[1669],"Lucile":[1671],"Packard":[1672],"Foundation,":[1673],"Resources":[1677],"Administration.":[1680,2553],"studies":[1682],"aimed":[1684],"quality":[1697],"Most":[1700],"focused":[1706],"particular":[1708],"specific":[1716],"subpopulations,":[1717],"special":[1722],"states.Use":[1728],"uniform":[1731,1794,2135],"set":[1732,1825],"core":[1734,1787],"essential":[1744],"valid":[1747],"comparisons":[1748],"If":[1751,2244],"different":[1752],"collected":[1756,1791],"next,":[1762],"if":[1764],"disparate":[1765],"methods":[1766],"collect":[1770],"data,":[1772,1817],"difficult":[1776],"characteristics":[1780,2261,2352],"serve":[1782],"well.":[1784],"Ideally,":[1785],"dataset":[1788],"fashion":[1795,1959,2136,2602],"supplemental":[1801,2043],"items":[1803],"collected.":[1811],"To":[1812,2144],"consisting":[1821],"standardized":[1824],"well":[1830],"definitions,":[1832],"formats,":[1833],"protocols":[1835],"them":[1838],"major":[1842],"step":[1843],"direction":[1846],"occurred":[1847],"recently":[1848],"NASHP":[1851,1867],"its":[1853],"requirements.9Subsequently,":[1862],"HCFA":[1864,2457],"endorsed":[1865],"encouraged":[1870],"SCHIP.There":[1882],"useful":[1885,2615],"sources":[1887,1913,1956,1999],"including":[1895],"Current":[1897],"Population":[1898],"(CPS),":[1900],"NHIS,":[1902],"excellent":[1912],"trends":[1917],"utilization.":[1923],"Unfortunately,":[1924],"none":[1925],"sufficient":[1930],"sample":[1931,2193],"size":[1932,2199],"present":[1934],"analyses,":[1939],"except":[1940],"largest":[1943],"Nevertheless,":[1945],"ways":[1949],"combine":[1951],"insights":[1963],"possible":[1965,2164],"datasets":[1968],"isolation.":[1972],"contractor":[1974],"HCFA's":[1977],"$4.2":[1979,2461],"contract,":[1983],"Mathematica":[1984],"Research,":[1986],"proposed":[1988],"strategy.There":[1991],"local":[1997,2086,2090],"tapped":[2003],"Urban":[2010,2041],"Institute's":[2011],"America's":[2015],"Families.15":[2016],"survey":[2018,2070,2235],"originally":[2020],"welfare":[2027],"reform":[2028],"13":[2030],"selected":[2031,2080],"Robert":[2034,2065,2701],"Wood":[2035,2066,2702],"Johnson":[2036,2067,2703],"Foundation":[2037,2068],"given":[2039],"funds":[2044],"Another":[2054],"Community":[2059],"Tracking":[2060],"Survey.16":[2061],"another":[2064],"system":[2076],"change":[2077],"60":[2079],"communities.":[2081],"analyses":[2087,2111],"samples":[2091],"aggregated":[2094],"states.Even":[2101],"capacity":[2107,2636],"comparative":[2110],"very":[2115,2368,2614],"limited.":[2116],"fact,":[2118],"currently":[2121],"impossible":[2122],"examine":[2124],"sources.":[2143],"invest":[2150],"capable":[2156,2183,2249],"data.There":[2161],"generating":[2167],"data.":[2171],"One":[2172],"augment":[2176],"reliable":[2186,2252],"estimates.":[2189],"adding":[2192],"small":[2196],"medium":[2198],"greatly":[2202],"increase":[2203],"utility":[2205],"like":[2209],"CPS":[2211,2333],"NHIS.The":[2214],"Local":[2223],"Area":[2224],"Integrated":[2225],"Telephone":[2226],"(SLAITS).":[2228],"SLAITS":[2229,2277,2301],"rapid":[2232],"turn-around":[2233],"telephone":[2234],"Center":[2240,2292],"Statistics.":[2243],"funded,":[2245],"50":[2269],"Special":[2271],"provisions":[2272],"built":[2274],"methodology":[2278],"account":[2280],"bias":[2284],"excluding":[2286],"households":[2287],"telephones.":[2289],"Statistics":[2295],"version":[2299],"specifically":[2302],"purpose":[2305],"SCHIP.Given":[2308],"options,":[2310],"Congress,":[2311],"1999,":[2323,2470],"chose":[2324],"appropriate":[2326],"annually":[2329],"augmenting":[2331],"estimates":[2338,2348],"action":[2342],"result":[2344,2556],"precise":[2347],"population.During":[2356],"valuable":[2369],"activities":[2374,2592,2608],"and,":[2378],"cases,":[2381],"implemented.":[2382],"Taken":[2383],"ingredients":[2386],"largely":[2395,2540],"What":[2398],"missing":[2400],"still":[2401],"strong":[2403,2501],"drawing":[2407],"pieces":[2409],"together":[2410],"efficient":[2415],"fashion.":[2416],"miss":[2423],"opportunities":[2425],"learn":[2427],"works":[2430],"doesn't":[2433],"absent":[2444],"leadership,":[2446,2590],"inevitable.":[2451],"even":[2454],"though":[2455],"contracted":[2458],"spring":[2468],"appropriated":[2472],"multistate":[2478],"before":[2481],"recessed":[2483],"fall":[2486],"1999.":[2488],"How":[2489],"duplicative":[2493],"evaluations":[2494,2670],"coordinated?In":[2496],"part,":[2497],"reflects":[2504],"minimal":[2506,2586],"contained":[2509],"original":[2512],"enabling":[2513],"existed":[2521],"reluctance":[2523],"Executive":[2527],"Branch":[2528],"impose":[2530],"additional":[2531],"policymakers":[2549],"Clinton":[2552],"something":[2560],"hands":[2563],"off":[2564],"attitude":[2565],"top":[2568],"government.":[2571],"partly":[2574],"response":[2576],"resistance":[2578],"anything":[2583],"requirements.Without":[2588],"being":[2594],"conducted":[2595],"ad":[2598],"hoc":[2599],"uncoordinated":[2601],"led":[2611],"individual":[2618],"states,1317\u201319":[2619],"integrated":[2625,2658],"implementation":[2630],"make":[2638],"comparisons,":[2640],"successful":[2652],"outcomes,":[2653],"compromised.":[2656],"An":[2657],"combines":[2662],"state-specific":[2669],"go":[2672],"long":[2674],"way":[2675],"toward":[2676],"enhancing":[2677],"families.This":[2693],"work":[2694],"supported":[2696],"part":[2698],"Foundation.":[2704]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
