ABSTRACT

This chapter analyses the 1996 panel of the Survey of Income and Program Participation (SIPP), combining both event history and multilevel modelling techniques to examine health insurance transitions and crowd-out under Medicaid/State Children's Health Insurance Program (SCHIP). The Medicaid/SCHIP eligibility variable was approximated by a dichotomous variable representing whether or not a child was eligible for Medicaid/SCHIP. The chapter investigates whether the post-1996 Medicaid/SCHIP expansion crowds out private insurance coverage among low-income children in the United States. It examines the effect of programmatic features, that is, types of public expansion, and individual, family, and state-specific characteristics on health insurance transitions. The chapter finally presents the longitudinal structure of the SIPP data, using an event history and multilevel modelling technique to estimate whether or not crowd-out of private insurance resulted from the period immediately following the post-1996 Medicaid/SCHIP eligibility expansion for low-income children.