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Evaluation of Maximizing Enrollment

March 28, 2014

This report presents findings from an impact evaluation of the Robert Wood Johnson Foundation's Maximizing Enrollment grant program on the enrollment of children in Medicaid and the Children's Health Insurance Program (CHIP). Implemented from early 2009 through early 2013, the program funded eight states seeking to maximize the coverage of uninsured children who were eligible for these two major public insurance programs. The eight states included: Alabama, Illinois, Louisiana, Massachusetts, New York, Utah, Virginia, and Wisconsin.

Programs to Reduce Teen Pregnancy, Sexually Transmitted Infections, and Associated Sexual Risk Behaviors: A Systematic Review

April 1, 2013

PurposeThis systematic review provides a comprehensive, updated assessment of programs with evidence of effectiveness in reducing teen pregnancy, sexually transmitted infections (STIs), or associated sexual risk behaviors.MethodsThe review was conducted in four steps. First, multiple literature search strategies were used to identify relevant studies released from 1989 through January 2011. Second, identified studies were screened against prespecified eligibility criteria. Third, studies were assessed by teams of two trained reviewers for the quality and execution of their research designs. Fourth, for studies that passed the quality assessment, the review team extracted and analyzed information on the research design, study sample, evaluation setting, and program impacts.ResultsA total of 88 studies met the review criteria for study quality and were included in the data extraction and analysis. The studies examined a range of programs delivered in diverse settings. Most studies had mixed-gender and predominately African-American research samples (70% and 51%, respectively). Randomized controlled trials accounted for the large majority (87%) of included studies. Most studies (76%) included multiple follow-ups, with sample sizes ranging from 62 to 5,244. Analysis of the study impact findings identified 31 programs with evidence of effectiveness.ConclusionsResearch conducted since the late 1980s has identified more than two dozen teen pregnancy and STI prevention programs with evidence of effectiveness. Key strengths of this research are the large number of randomized controlled trials, the common use of multiple follow-up periods, and attention to a broad range of programs delivered in diverse settings. Two main gaps are a lack of replication studies and the need for more research on Latino youth and other high-risk populations. In addressing these gaps, researchers must overcome common limitations in study design, analysis, and reporting that have negatively affected prior research.

Using Data to Drive State Improvement in Enrollment and Retention Performance

November 28, 2011

Outlines the RWJF Maximizing Enrollment program's core performance measures for Medicaid and Children's Health Insurance Program enrollment and retention, designed to assess state efforts to better utilize data to monitor and improve outreach and policy.

Covering Kids & Families: A Continuing Program for Increasing Insurance Coverage Among Low-Income Families

June 30, 2010

Explores the impact of the program's coalition-based approaches to improving Children's Health Insurance and Medicaid programs to increase enrollment on policy and procedures and assesses the outcomes of policy change on coverage of children and parents.

SCHIP Children: How Long Do They Stay and Where Do They Go?

January 16, 2009

Presents findings on the length of children's enrollment in State Children's Health Insurance Programs and their coverage after they leave the program in seven states. Explores variations across states and how state policies may affect retention.

Covering Kids & Families Evaluation: Case Study of Illinois: Exploring Links Between Policy, Practice and the Trends in New Medicaid/SCHIP Enrollments

January 31, 2008

Evaluates the impact in Illinois of the RWJF project to increase enrollment in Medicaid and State Children's Health Insurance Programs. Outlines state policy changes; outreach, simplification, and coordination activities; and 1999-2005 enrollment trends.

Three Independent Evaluations of Healthy Kids Programs Find Dramatic Gains in Well-Being of Children and Families

November 1, 2007

Presents highlights from evaluations of a comprehensive health insurance coverage program for children, launched by Children's Health Initiatives and supported by the California Endowment, in Los Angeles, San Mateo, and Santa Clara counties.

Covering Kids & Families Case Study of Oregon: Exploring Medicaid and SCHIP Enrollment Trends and Their Links to Policy and Practice

August 31, 2007

Evaluates the impact in Oregon of the RWJF project to increase enrollment in Medicaid and State Children's Health Insurance Programs. Outlines state policy changes and local- and state-level findings on the links between activities and enrollment trends.

Covering Kids & Families Evaluation Case Study of Michigan: Exploring Medicaid and SCHIP Enrollment Trends and Their Links to Policy and Practice

May 31, 2007

Evaluates the impact in Michigan of the RWJF project to increase enrollment in Medicaid and State Children's Health Insurance Programs. Outlines state policy changes and local- and state-level findings on the links between activities and enrollment trends

Expanding Coverage for Children: The Santa Clara County Children's Health Initiative

April 1, 2005

Examines the impact of the Children's Health Initiative on enrollment in the two major state health insurance programs. Measures how successful the initiative was in meeting the need for coverage. Provides recommendations for state and local policymakers.