This report summarizes the proceedings of a workshop convened in June 2010 to critically examine the various databases that could provide national and state-level estimates of low-income uninsured children and could be effectively used as criteria for monitoring children's health insurance coverage.

Contents

• THE NATIONAL ACADEMIES
• STEERING COMMITTEE FOR A WORKSHOP ON EVALUATING DATABASES FOR USE IN THE CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP) ALLOCATION FORMULA
• COMMITTEE ON NATIONAL STATISTICS 2010
• Preface
• Part I. Workshop Summary
  • 1. Introduction
    • WORKSHOP FOCUS
    • REPORT OVERVIEW
  • 2. The Changing Policy Context
    • LEGISLATIVE REQUIREMENTS FOR ESTIMATES OF INSURANCE COVERAGE
    • EVOLVING CRITERIA FOR STATE FUNDING ALLOCATIONS
    • COVERAGE ESTIMATES FOR PROGRAM PURPOSES
  • 3. Federal Surveys
    • NATIONAL HEALTH INTERVIEW SURVEY
    • CURRENT POPULATION SURVEY
    • AMERICAN COMMUNITY SURVEY
    • MEDICAL EXPENDITURE PANEL SURVEY, HOUSEHOLD COMPONENT
    • SURVEY OF INCOME AND PROGRAM PARTICIPATION
    • SURVEY COVERAGE ESTIMATES
    • QUALITY OF THE INCOME DATA FROM THE MAJOR FEDERAL SURVEYS
    • SUMMARY
  • 4. Administrative Databases
    • MAJOR ADMINISTRATIVE DATABASES
    • ASSESSMENT OF THE MAJOR ADMINISTRATIVE DATABASES
    • STEPS BEING TAKEN TO IMPROVE THE ADMINISTRATIVE DATABASES
    • SUMMARY
  • 5. State Data Collections
    • MOTIVATION FOR STATE SURVEYS
    • COORDINATED STATE COVERAGE SURVEY
    • GROWING ACCEPTANCE OF THE AMERICAN COMMUNITY SURVEY
    • NATIONAL HEALTH INTERVIEW SURVEY AS A SOURCE OF STATE DATA
    • THE VIRGINIA EXPERIENCE
    • THE MASSACHUSETTS EXPERIENCE
  • 6. Modeling Strategies for Improving Estimates
    • THE SMALL AREA INCOME AND POVERTY ESTIMATION MODEL
    • SMALL AREA HEALTH INSURANCE ESTIMATION MODEL
    • COMBINING INFORMATION FROM MULTIPLE SURVEYS
    • DISCUSSION
  • 7. Looking Ahead
    • MATCHING DATA
    • IMPROVING UNDERSTANDING OF NONFEDERAL AND STATE COVERAGE SOURCES
    • RATIONALIZING THE AMERICAN COMMUNITY SURVEY AND THE CURRENT POPULATION SURVEY
    • IMPACT OF THE NEW HEALTH CARE REFORM LEGISLATION
  • References
• Part II. Background Papers
  • 8. Monitoring Children’s Health Insurance Coverage Under CHIPRA Using Federal Surveys
    • THE CHILDREN’S HEALTH INSURANCE PROGRAM
    • MONITORING CHILDREN’S COVERAGE UNDER CHIPRA
    • FEDERAL SURVEYS FOR MONITORING CHILDREN’S COVERAGE
    • IMPROVING FEDERAL SURVEYS
    • ACKNOWLEDGMENT
    • REFERENCES
  • 9. Health Insurance Coverage in the American Community Survey: A Comparison to Two Other Federal Surveys
    • AMERICAN COMMUNITY SURVEY
    • ANNUAL SOCIAL AND ECONOMIC SUPPLEMENT TO THE CURRENT POPULATION SURVEY
    • NATIONAL HEALTH INTERVIEW SURVEY
    • HEALTH INSURANCE QUESTION DESIGN ISSUES
    • COMPARISON OF HEALTH INSURANCE COVERAGE ESTIMATES
    • FINAL REMARKS
    • ACKNOWLEDGMENTS
    • REFERENCES
  • 10. Income and Poverty Measurement in Surveys of Health Insurance Coverage
    • INCOME MEASUREMENT IN HOUSEHOLD SURVEYS
    • DIFFERENCES IN THE MEASUREMENT OF INCOME ACROSS SURVEYS
    • OTHER DIFFERENCES AMONG THE SURVEYS
    • SURVEY ESTIMATES OF INCOME AND POVERTY, 2002
    • MORE CURRENT COMPARISONS
    • IMPLICATIONS
    • ACKNOWLEDGMENTS
    • REFERENCE
  • 11. Using Uninsured Data to Track State CHIP Programs
    • THE VIRGINIA CHIP EXPERIENCE
    • ADMINISTRATIVE DATA SHOW PROGRAM ENROLLMENT INCREASES BUT CURRENT POPULATION SURVEY DATA SHOW RISE IN UNINSURED
    • LESSONS FOR STATE POLICY MAKERS, ANALYSTS, AND ADVOCATES
    • FINAL REMARKS
    • REFERENCES
  • 12. The Massachusetts Experience: Using Survey Data to Evaluate State Health Care Reform
    • WHY A SEPARATE STATE SURVEY?
    • DESIGN OF THE MASSACHUSETTS SURVEYS
    • COMPARISON OF ESTIMATES OF THE UNINSURANCE RATE FOR MASSACHUSETTS
    • LESSONS LEARNED
    • ACKNOWLEDGMENT
    • REFERENCES
  • 13. Small-Domain Estimation of Health Insurance Coverage
    • BACKGROUND
    • DATA
    • METHODS
    • RESULTS
    • FINAL REMARKS
    • FUTURE RESEARCH
    • ACKNOWLEDGMENT
    • REFERENCES
• Appendixes
  • Appendix A Workshop Agenda and Participants
  • Appendix B Biographical Sketches of Steering Committee Members

Rapporteur: Thomas J. Plewes.

Suggested citation:

National Research Council. (2010). Databases for Estimating Health Insurance Coverage for Children: A Workshop Summary. Thomas J. Plewes, Rapporteur. Committee on National Statistics, Division of Behavioral and Social Sciences and Education. Washington, DC: The National Academies Press.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the Steering Committee for the workshop were chosen for their special competences and with regard for appropriate balance.

This study was supported by Contract No. HHSP23320042509XI between the Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, and the National Academy of Sciences. Support of the work of the Committee on National Statistics is provided by a consortium of federal agencies through a grant from the National Science Foundation (No. SES-0453930). Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the views of the organizations or agencies that provided support for the project.