CHAPTER ONE

1.0 INTRODUCTION

Policymakers are currently considering proposals aimed at reducing the number of children without health insurance. The debate over various proposals could benefit from better information about the uninsured child population. To start, there is a lack of consensus about the number of uninsured children and the extent to which some of the uninsured are eligible for Medicaid but not participating. This study reviews the literature on children’s health insurance patens and Medicaid program participation.

1.1 Statement of Problems

This literature review is the first task in an eight month research contract awarded by the Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (ASPE), to Mathematics Policy Research, Inc. (MPR). The overall study objective is to improve understanding of the issues involved in analysis of children’s health insurance patterns. This literature review was designed to identify key analytic questions that are not fully answered from current research. Subsequent tasks will include the design and implementation of further analyses of uninsured children using the Survey of Income and Program Participation (SIPP) and possibly other data as well. These analyses will benefit from the literature review, particularly with regard to the identification of methodological issues in measuring children’s health insurance patterns. This review also provides a basis of comparison for key estimates produced in the additional tasks of this effort.

1.2 Aim and Objectives

The study is aimed at developing a new information system that will be used for the Health Insurance System, and specifically, focuses on (1) uninsured children — how many are there, what are their characteristics, how long are they uninsured, and why are they uninsured; and (2) Medicaid eligibility, enrollment, participation rates, program dynamics, and measurement issues. In order to achieve this, the following objectives has to be met thus,

1. Provision of accurate data/information of drugs from production to distribution,
2. Ensuring efficient information retrieval,
3. Reduction by more than 80% the over reliance on manual paper work and save more physical space,
4. Increase by over 70% the system response time,
5. Produce a real-time online reporting mechanism for the system, and
6. Produce a framework for maintaining huge and reliable, efficient and effective as well as easy to use but highly secured database system for the agency.

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