Public Health Insurance, Program Take-Up, and Child Health
研究发现,信息和行政成本是贫困家庭未参加医疗补助计划的主要障碍,尤其影响西班牙裔和亚裔儿童;提前参保能促进预防性医疗、减少住院并改善健康。
Of the ten million uninsured children in 1996, nearly half were eligible for public health insurance (Medicaid) but not enrolled. In response, policy efforts to reduce the uninsured have shifted from expanding Medicaid eligibility to increasing take-up among those eligible. However, little is known about the reasons poor families fail to enroll or the consequences. Using a unique data set I find that information and administrative costs are important barriers to enrollment, especially for Hispanics and Asians. In addition, enrolling children in Medicaid before they get sick promotes the use of preventative care, reduces the need for hospitalization, and improves health. Copyright by the President and Fellows of Harvard College and the Massachusetts Institute of Technology.