State Evaluation Strategies Versus
Relying on National Evaluations
As a closing point in the evaluation method discussion, Dr. Bilheimer raised the issue of utilizing State
evaluation strategies versus relying on national evaluations. While State evaluation
strategies are both useful and necessary to assess State-specific changes in coverage of
uninsured low-income children and to evaluate the effectiveness of various processes
within SCHIP such as outreach or enrollment simplification, they do not provide a basis for
comparison across States. That requires a national evaluation strategy.
Although no national evaluation strategy has been implemented yet, Dr. Bilheimer
suggested that a national sample survey database, such as MEPS , could be useful in gathering pre-established key
characteristics of SCHIP programs for comparison across States. These
characteristics or descriptors could be used to make distinctions between SCHIP
programs and form a basis for comparison and evaluation among initiatives at the national
level.
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Monitoring/Eval. 
