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Research and Policy Efforts Related to CHIRI™

The Child Health Insurance Research Initiative (CHIRI™)
The Child Health Insurance Research Initiative (CHIRI™) is an effort to supply policymakers information to help them improve access to, and the quality of, health care for low-income children.

Please note: The inclusion of external hyperlinks does not constitute endorsement or recommendation by the U.S. Government, HHS, or AHRQ of the linked Web resources or the information, products, or services contained therein. The Agency does not exercise any control over the content on these sites. You are subject to that site's privacy policy when you leave this site. For more information, please review the AHRQ Web Site Disclaimers.

The CHIRI logo, which consists of the letters c, h, i, r, and i and the words Child Health Insurance Research Initiative; the letters are blue, red, yellow, and green; the c forms part of a stethoscope, and the i forms part of the image of a child. Numerous research and policy resources are available on the State Children's Health Insurance Program (SCHIP) and Medicaid. Some of that work is linked to here.


Federal SCHIP and Medicaid Research Efforts
Other Related Research Efforts
Other Related Policy Efforts
State and Local Leaders


Begun in 1999 to support nine studies of public child health insurance programs and health care delivery systems, CHIRI™ is a partnership between:

  • The Agency for Healthcare Research and Quality (AHRQ).
  • The David and Lucile Packard Foundation.
  • The Health Resources and Services Administration (HRSA).

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Federal SCHIP and Medicaid Research Efforts

The U.S. Department of Health and Human Services' (HHS) research efforts include a Congressionally-mandated evaluation of SCHIP to determine the effectiveness of the program and provide information that guides future Federal and State policy. This evaluation is being conducted by Mathematica Policy Research, Inc. and the Urban Institute, under the auspices of the Assistant Secretary for Planning and Evaluation (ASPE). To learn about the ASPE SCHIP Evaluation, go to:

HHS' Center for Medicare & Medicaid Services (CMS) is also conducting an evaluation of SCHIP through a contract with Mathematica Policy Research, Inc. To access the first report from this project, "Implementation of the State Children's Health Insurance Program: Momentum is Increasing after a Modest Start," go to:

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Other Related Research Efforts

Academy Health
Professional society for health service researchers, policy analysts, and practitioners that promotes interaction across the health research and policy arenas. The Health Services Research Project in Progress database contains more than 6,000 descriptions of ongoing health services research projects:

Center for Health Services Research and Policy, The George Washington University
Research center dedicated to providing policymakers, public health officials, health care administrators, and advocates with the information and resources to improve access to quality, affordable health care. Resources include analyses of developments in SCHIP and Medicaid, and their impact on health care access, quality and financing:

Center for Studying Health System Change
Policy research organization that designs and conducts studies focused on the U.S. health care system. Resources include policy research on access to care for uninsured and low-income populations, to inform policymakers:

The Child and Adolescent Health Measurement Initiative (CAHMI)
The CAHMI was established in 1998 as a national collaboration to develop and implement a comprehensive set of consumer-centered quality measurement tools. CAHMI is an effort to provide leadership and resources for measuring and communicating information about the quality of health care for children and adolescents:

Kaiser Commission on Medicaid and the Uninsured
A program of The Henry J. Kaiser Family Foundation that analyzes health care coverage and access for the low-income population and assesses options for reform. Topic areas include children's health, SCHIP and Medicaid:

The Urban Institute
Non-profit national policy research and educational organization established to examine the social, economic, and governance problems facing the Nation. Research analyses and resources on SCHIP and Medicaid are available from the Health Policy Center and Assessing the New Federalism, a cross-cutting policy center:

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Other Related Policy Efforts

Alliance for Health Reform
National organization providing an array of policy resources and forums on the promotion of affordable health care coverage, such as "Children's Care and Coverage: Where Do We Go From Here":

American Public Health Association
Professional society for public health professionals including researchers, health service providers, health administrators and others that addresses a broad array of public health issues including health care services for low-income populations:

Asian and Pacific Islander Health Forum
National organization dedicated to promoting policy, program, and research efforts for the improvement of health status of all Asian American and Pacific Islander communities:

Center for Health Care Strategies
National organization that promotes high quality health care services for low-income populations and people with chronic illnesses and disabilities. Resources include the Children in Managed Care Initiative and the Managed Care Best Practices series:

Center on Budget and Policy Priorities
Research organization and policy institute that conducts research and analysis on a range of government policies and programs, with an emphasis on those affecting low- and moderate-income people. Health research analyses include policy resources on SCHIP and Medicaid:

Children's Partnership
National organization that undertakes research, analysis and advocacy on behalf of children and youth, particularly the underserved. Express Lane Eligibility is a Web resource designed to help States increase health insurance coverage to uninsured children:

Cover the Uninsured
National initiative working to connect uninsured children to low-cost and free health care coverage programs available in every State and the District of Columbia. Resources are available on SCHIP and Medicaid:

Family Voices
National grassroots clearinghouse for policy information and education concerning the health care of children with special health needs. Resources are available on SCHIP and Medicaid policy:

National Academy for State Health Policy
National organization dedicated to helping States achieve excellence in health policy and practice. Numerous resources are available on SCHIP and Medicaid, including "Why Eligible Children Lose or Leave SCHIP: Findings from a Comprehensive Study of Retention and Disenrollment":

The National Alliance for Hispanic Health, Center for Science and Policy
National network of health and human service providers servicing over 10 million Hispanic consumers throughout the U.S., with policy information and resources on child health. The Center for Science and Policy promotes innovative research into specific health issues facing Hispanics:

National Center for Education in Maternal and Child Health
Resource center that provides information on maternal and child health issues including children's health, SCHIP and Medicaid:

National Center for Farmworker Health
Organization dedicated to improving the health status of farmworker families by providing information, services and products, including policy information on SCHIP and Medicaid, to a Nationwide network of migrant health centers:

National Council of La Raza Institute for Hispanic Health, Latino Children's Health Insurance Initiative
National organization dedicated to reducing poverty and discrimination, and improving life opportunities for Hispanic Americans through capacity-building assistance, and applied research, policy analysis and advocacy:

National Health Policy Forum
An information exchange program that works to foster more informed government decision making on key policy issues including children's health. Resources include, "Sailing SCHIP Through Troubled Waters":

The Synthesis Project
The Synthesis Project is an initiative of the Robert Wood Johnson Foundation that aims to produce relevant, concise and thought-provoking briefs and reports on important policy issues including SCHIP and Medicaid:

Voices for America's Children Nationwide network of child advocacy organizations that provides a forum where child advocacy leaders can share ideas and exchange information on issues including children's health, SCHIP and Medicaid. Issue briefs are available on SCHIP and other child health topics:

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American Academy of Pediatrics
Professional association representing pediatricians nationwide dedicated to the health, safety and well-being of infants, children, adolescents and young adults. Research and links to resources are available on SCHIP and Medicaid health policy research:

American Academy of Pediatric Dentistry
Membership organization representing the specialty of pediatric dentistry, serving children from infancy through adolescence. Access to the Journal of Pediatric Dentistry articles, which cover a range of oral health topics including oral health in Medicaid, is available:

American Dental Association
Professional association of dentists committed to the public's oral health, with resources on access to dental care in Medicaid and SCHIP:

American Medical Association
Professional association of physicians with numerous resources available including SCHIP resources and project activities to educate health professionals about the importance of adolescent health status:

National Association of Children's Hospitals and Related Institutions (NACHRI)
Trade association of more than 100 children's hospitals across the country. NACHRI's State Policy Services project focuses on a broad range of children's health policy issues, including SCHIP and Medicaid:

National Association of Public Hospitals and Health Systems
Organization representing over 100 hospitals and systems comprising the infrastructure of many of the Nation's largest metropolitan health systems. Resources include the publication, "Strategies to Optimize Medicaid Enrollment":

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State and Local Leaders

National Association of State Medicaid Directors
National organization representing State Medicaid agencies, an organizational affiliate of the American Public Human Services Association. Resources include SCHIP outreach and enrollment, and dental care for Medicaid populations:

National Conference of State Legislatures
National organization dedicated to serving the lawmakers and staffs of the Nation's 50 States, commonwealths, and territories, and providing an information source on numerous policy issues including SCHIP and Medicaid:

National Governors Association, Center for Best Practices
National organization that provides governors and their senior staff members with numerous services. The National Governors Association's Center for Best Practices focuses on State innovations and best practices on a range of issues including children's health, SCHIP and Medicaid:

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Page last reviewed September 2012
Page originally created September 2012
Internet Citation: Research and Policy Efforts Related to CHIRI™. Content last reviewed September 2012. Agency for Healthcare Research and Quality, Rockville, MD.


The information on this page is archived and provided for reference purposes only.


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