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Figure 1. Health Care Opinion Leaders: Views on Success of SCHIP Program “How successful has the SCHIP program been in accomplishing the following” Percent who say “extremely successful/successful” Increasing access to health care for low- 71% income children Reducing the rate of uninsured, low-income 65% children 61% Overall in meeting of its goals Improving preventive care and quality of 56% services for children Providing working families with peace of 52% mind knowing that their children have Improving health outcomes for children Stimulating state innovation in designing delivery models for children Source: The Commonwealth Fund Health Care Opinion Leaders Survey, April 2007. 42% 34% THE COMMONWEALTH FUND Figure 2. Strong Support for Eligibility Expansions under SCHIP “What is your opinion about who SCHIP should cover going forward?" Percent 100 80 91 32 60 40 20 59 88 44 82 80 49 42 73 39 Favor Strongly favor 51 29 45 32 38 34 14 22 11 3 0 Legal Children up Buy-in All parents Childless All children Children immigrant to 300% FPL option for of children adults under regardless under 200% children if families covered by 100% FPL of income only income- above SCHIP eligible income threshold Note: Segments may not sum to totals because of rounding. Source: The Commonwealth Fund Health Care Opinion Leaders Survey, April 2007. THE COMMONWEALTH FUND Figure 3. Health Care Opinion Leaders: Views on SCHIP Benefit Design and Quality Standards “What is your opinion about using SCHIP benefit design to improve quality of care and health of children in each of the following ways” Percent who strongly favor/favor Allow states to design benefit packages 84% that wrap around other coverage (i.e., care coordination) Establish federal performance standards 81% and outcome measures for all children in SCHIP Require states to reward plans/providers for 78% performance on developmental screening, preventive care, and follow-up treatment Measure and report on the frequency and quality of developmental screening and 69% growth in SCHIP practices to parents Encourage states to adopt benefit standards to make SCHIP more responsive to public health issues such as obesity Source: The Commonwealth Fund Health Care Opinion Leaders Survey, April 2007. 65% THE COMMONWEALTH FUND Figure 4. Views of Health Care Opinion Leaders on SCHIP Funding Structure and Other Issues “What is your opinion about the overall SCHIP funding level, state allocations, and program structure?” Percent responding “strongly favor/favor” Change state allocation formula to reflect 84% better data available on uninsured children Require states to adopt proven use best 80% pratices for outreach and enrollment Index state allocation with health care 74% costs Change program to an entitlement with 67% sufficient federal matching funds to cover Create one federal matching rate for 66% children under Medicaid and SCHIP Keep program as capped entitlement, but 52% with sufficient funds to cover all children Require proof of children's insurance coverage prior to school enrollment Source: The Commonwealth Fund Health Care Opinion Leaders Survey, April 2007. 50% 9 THE COMMONWEALTH FUND Figure 5. Sources of Financing SCHIP Expansion “How should the money to support additional SCHIP expenditures be financed or raised?” Percent responding to one of five options 37% Raise federal taxes or fees 27% Redirect funds from other programs Make an exception to the "paygo" rule 25% for coverage of children Don't raise allocation Other/Don't know/No response 3% 8% 9 Source: The Commonwealth Fund Health Care Opinion Leaders Survey, April 2007. THE COMMONWEALTH FUND