- MONDAY, May 5 (HealthDay News) — Patients who had private health
insurance before enrolling in a U.S. government children's health
insurance program called SCHIP still had unmet health-care needs,
according to new research.

A waiting period to qualify for the State Children's Health Insurance
Program (SCHIP), a federally funded program offering health insurance to
low-income children not eligible for Medicaid and without private
coverage, doesn't address chronic health conditions such as asthma, the
study by the University of Rochester Medical Center finds.

Thirty-five states require uninsured children to go without insurance
for a period of time before they can enroll in SCHIP. The waiting period
deters a situation called crowd-out, which can happen if patients switch
to SCHIP when they could choose private insurance.

“First of all, we've found that few families switch their children to
SCHIP when they have the option of private health insurance… in fact,
only 7 percent do,” study author Laura Shone, an assistant professor of
pediatrics at the University of Rochester Medical Center, said in a
prepared statement.

“Second, those who do switch have the same unmet health-care needs as
those who didn't have insurance when they enrolled,” Shone concluded.

Her team's findings are based on research done on New York's Child
Health Plus SCHIP plan. Child Health Plus has never instituted a waiting
period, giving researchers an opportunity to study the patients who switch
from private insurance.

The study was scheduled to be presented Monday at the Pediatric
Academic Societies meeting in Honolulu.

Shone said this study shows that families are not “saving up” health
problems to address after enrollment in SCHIP. About 57 percent of
children, both with and without prior insurance, had unmet health-care
needs when enrolling in the program, she said. In fact, 10 percent who
previously had private insurance had asthma and about 7 percent had some
other chronic health condition.

More information

The American College of Emergency Physicians has more about access to
medical care for the uninsured.