The Children’s Health Insurance Program (CHIP) was created as part of the Balanced Budget Act of 1997 (BBA 97) to provide health insurance to children in families with low to moderate incomes who did not qualify for Medicaid but could not afford private insurance.
The program provides states with federal funding to establish and expand their own programs, and gives states greater flexibility in program design compared to Medicaid.
Initially, it was uncertain how many states would participate in CHIP, but by fiscal year (FY) 2000, every state, territory, and the District of Columbia had children enrolled in CHIP-financed coverage. The program has been successful in reducing the number of uninsured children in the United States. In 1997, before CHIP was created, 10 million children were without health insurance. By 2012, fewer than 5 million children were uninsured for more than a year, and by 2016, the number had further decreased to 3.8 million.
While most of the decline in uninsured children was due to increased enrollment in Medicaid, CHIP played an important role in expanding coverage to children in families with slightly higher incomes. The availability of CHIP and associated outreach efforts have been credited with increasing enrollment in both programs.
It has enjoyed bipartisan support since its creation in 1997, and both Republicans and Democrats have worked to extend and fund the program over the years.
While there have been debates and disagreements over funding levels and program design, there is no evidence to suggest that CHIP is currently under attack by Republicans. In fact, in January 2018, Congress passed a six-year extension of CHIP with bipartisan support, despite some disagreements over how to pay for the program.
It’s worth noting that political opinions and priorities can change over time, and it’s possible that some politicians or groups may take positions that are critical of CHIP in the future. In the current environment as a government shut down looms, who really knows what is on the chopping block?
Today is election day. I wanted to talk about the process by which laws are passed and regulations created in healthcare. Recently, the fall of
The presidential election, pitting former President Donald Trump against Vice President Kamala Harris, has generated intense debate over the direction of healthcare policy. Despite the
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Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.
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This webcast, presented by Angela Comfort, DBA, RHIA, CDIP, CCS, CCS-P, a recognized expert with over 30 years of experience, offers essential strategies to improve outpatient clinical documentation integrity. You will learn how to enhance the accuracy and completeness of patient records by adopting best practices in coding and incorporating Social Determinants of Health (SDOH). The session also highlights the role of technology, such as EHRs and CDI software, in improving documentation quality. By attending, you will gain practical insights into ensuring precise and compliant documentation, supporting patient care, and optimizing reimbursement. This webcast is crucial for those looking to address documentation gaps and elevate their coding practices.
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During this RACmonitor webcast Dr. Ronald Hirsch spotlights the areas of the OIG’s Work Plan and the findings of their most recent audits that impact utilization review, case management, and audit staff. He also provides his common-sense interpretation of the prevailing regulations related to those target issues. You’ll walk away better equipped with strategies to put in place immediately to reduce your risk of paybacks, increased scrutiny, and criminal penalties.
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