The analysis in this presentation complements that in the draft chapter for the March 2016 report presented at the January 2016 Commission meeting. This analysis looks at out-of-pocket health care spending–both cost sharing and premiums–for low- and moderate-income children if they were enrolled in employer-sponsored insurance, and compares it to costs their families would face in 36 states’ separate CHIP programs. It finds that families face lower out-of-pocket spending in separate CHIP plans but higher spending in subsidized exchange plans relative to employer-sponsored insurance plans.
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Medicaid and CHIP Payment and Access Commission