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Medicaid and Children's Health Insurance Program (CHIP)

Enrollment, Benefits, Expenditures, and Other Characteristics of State Premium Assistance Programs

Fiscal pressures, rising health care costs, and increases in the number of uninsured may lead states to look toward public-private partnerships to help finance health insurance (HI) coverage. Through Medicaid and the State CHIP, states have authority to operate premium assistance programs that subsidize the purchase of private HI. This report describes states' premium assistance programs, including the: (1) funding source, operating authority, and type of private HI coverage subsidized; (2) policies regarding eligibility and enrollment; (3) benefits, premiums, and cost sharing; (4) expenditures and cost-effectiveness policies; and (5) challenges program officials reported in implementing and operating such programs. Figures. A print on demand report.

Fiscal pressures, rising health care costs, and increases in the number of uninsured may lead states to look toward public-private partnerships to help finance health insurance (HI) coverage.