Enrollment in Kids’ Health Insurance Programs Grow Under Medicaid Bonus Program

Last month, the Centers for Medicare & Medicaid Services awarded 23 states approximately $296 million in bonuses for increasing the number of children enrolled in health insurance programs.
The bonuses, funded by the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), came a week after the Centers for Disease Control and Prevention released a report stating that about 1.2 million more children have health insurance in the United States than three years prior. According to the most recent estimates, approximately 93 percent of the nation’s children now have some form of health insurance coverage, a 2 percent increase from federal levels around 2008. When the Children’s Health Insurance Program was initially created in 1997, the national statistics hovered around 86 percent. In addition to providing performance bonuses for states that simplify and increase coverage for children, CHIRPA provisions allow states to enroll children using information culled from other public programs, as well as automatic eligibility for babies whose mothers are already covered by Medicaid or CHIP programs.

Cindy Mann, deputy administrator of the Centers for Medicare & Medicaid Services, said that although the nation faces “serious fiscal challenges,” she still believes that children’s health should remain “a top priority” for states. “Not only have more states qualified for performance bonuses in the past,” she said, “but many have continued to improve the efficiency of their programs.”

In 2010, the Centers for Medicare & Medicaid Services awarded more than $217 million in CHIPRA Performance Bonuses to 16 states, all of which qualified for performance bonuses again in 2011.

Photo credit: khteWisconsin/Flickr

Young and Poor in America

Some 46 million people (a number representing more than 15 percent of the population) in the nation now live below the poverty line. Dismal figures released by the Census Bureau last week not only brought news of a record number of poor living in poverty in the United States, they also revealed that young people have suffered more than any other group during the nation’s economic downturn. Young people between the ages of 15 and 24 saw their family’s income fall 15.3 percent between 2007 and 2010, the most precipitous decline of any group. They were followed by those aged 45 to 54, who witnessed a fall off of 9.2 percent, while those 65 and older saw incomes rise by more than 5 percent, according to the Census. Poverty experts have good reasons why the young have absorbed much of the pain.