Search Results: MCHLine

Annotation: This booklet provides information and forms to help families work with their health insurance companies. It includes questions to ask the insurance company and billing office, tips for keeping records of bills and claims, and who to talk with for assistance. A glossary of terms and list of publications on health insurance are included. Resource organizations in Cuyahoga County and the state of Ohio are also listed. [Funded by the Maternal and Child Health Bureau]

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Keywords: Children with special health care needs, Family centered, community based care, Health care financing, Insurance, Medical records

Annotation: This report presents the results of a 1989 survey of state Title V maternal and child health (MCH) programs and children with special health needs (CSHN) programs with respect to their roles in serving adolescents. The publication brings together the results of adolescent health initiatives from both MCH and CSHN perspectives in order to examine how these programs might be better coordinated and strengthened. The survey revealed that most Title V-supported programs routinely bill Medicaid (and, to a lesser extent, private insurance) for some services. Limited revenues are received from insurance due to inadequate billing capacity, the type of services offered by Title V programs, and low reimbursement from Medicaid. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Adolescents, Child health, Insurance, Maternal health, Medicaid, Social Security Act, Special health care needs, Title V

Annotation: This videotape describes the Caring Program for Children and the Children's Health Insurance Program (Blue Cross/Blue Shield's BlueCHIP program) in Pennsylvania. It depicts the health care needs of children living in poverty and children of the uninsured working poor who do not qualify for Medicaid assistance, and explains the unique funding of this collaborative program. Appearances by Fred Rogers of "Mr. Rogers' Neighborhood" and by local medical and government officials underscore the need for this type of program, the reasons for its success, and the ways that public and private resources can join together to help ensure access to primary health care for children. The videotape concludes with a television clip describing the program on NBC's "America Close Up." [Funded by the Maternal and Child Health Bureau]

Keywords: Access to health care, Audiovisual materials, Child health, Corporate programs, Insurance, Local MCH programs, Medical assistance, Pennsylvania, Primary care, Public private partnerships, Videotapes

Annotation: The goals of this project were to: (1) Heighten awareness of adolescent health insurance problems and potential solutions among policymakers, health care professionals, educators, business groups, and parents; (2) strengthen State-level capacity to plan and implement strategies for improving financing of health services for adolescents; and (3) update and expand our knowledge base concerning the financing of health services for adolescents. Activities included conducting workshops, providing technical assistance, and publishing reports and educational materials. [Funded by the Maternal and Child Health Bureau]

Keywords: Adolescents, Data Collection, Education of Health Professionals, Financing Health Care for Adolescents, Health Insurance, Medicaid, Minorities

Annotation: The goal of this project was to assist in the formation of a collaborative effort involving the government, providers, private payers, and families in order to reconcile the operational difficulties of achieving health care cost containment while retaining quality, access, and family-centeredness. The project sought to: develop approaches to health care financing that are sensitive to the needs of families with children who have special health care needs; assist families with special health care needs in dealing with financial problems which pose barriers to obtaining appropriate health services; and disseminate information regarding financing of care for children with special health care needs. Family health benefits counselors assisted approximately 1600 over the course of the project by conducting intake interviews, informing families about health care financing options, assisting in completing applications and/or filing appeals or denials of public or private benefits and facilitating negotiations with medical creditors. Consultation with legal backup and referral for legal intervention were distinguishing aspects of the project. Benefits counselors and project attorney worked with state and county administrative and regulatory agencies, private insurers and health care providers and associations to resolve systemic problems. [Funded by the Maternal and Child Health Bureau]

Keywords: Advocacy, Case Management, Chronic illnesses and disabilities, Families, Family health, Financial Counseling, Financing Health Care, Health Insurance, Health Maintenance Organizations (HMOs), Medicaid, Reimbursement

Annotation: This report provides suggestions for how states that choose to implement programs to advance prevention of oral disease in primary care for beneficiaries of Medicaid and the Children’s Health Insurance Program (CHIP) can select a family of measures to assess progress. It explains what the different measures in the family of measures are (outcome measures, process measures, and balancing measures) and provides measurement strategies for each type of measure.

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• Program Website

Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children's Health Insurance Program

Annotation: This report provides ideas for how states can use a driver diagram on oral health produced by Medicaid and the Children's Health Insurance Program (CHIP) to advance prevention of oral disease in primary care, plan a quality-improvement (QI) project, and determine how to improve outcomes. The report offers background, presents the driver diagram, explains the driver diagram, and provides ideas for activities to promote change.

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• Program Website

Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children's Health Insurance Program

Annotation: This video discusses how children who are Medicaid or Children's Health Insurance Program beneficiaries can benefit from having fluoride varnish applied to their teeth in the primary care setting. The video shares quality-improvement methods that can help states improve the provision of oral health care to these children by primary care health professionals. Topics include developing an aim statement, using a driver diagram, identifying drivers to consider for achieving the aim, starting small to test whether change ideas are working, and using the plan-do-sudy-act method.

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• Program Website

Keywords: Dental caries, Low income groups, Medicaid, Oral heath, Prevention, Primary care, Programs, State Children's Health Insurance Program

Annotation: This interactive website presents an overview of how Medicaid and the Children's Health Insurance Program (CHIP) provide coverage across the United States. It offers state-specific fact sheets showing enrollment data, federal support, and the impact of Medicaid on different populations. The website features a color-coded map displaying Medicaid and CHIP enrollment per 1,000 state residents ages 0-64, allowing users to click on individual states to access detailed information. Key topics covered include Medicaid's role as the largest health insurer in the U.S., its coverage of various health services, evidence of improved health outcomes, and its financial importance to healthcare providers in both rural and urban areas. State fact sheets like Virginia's provide specific enrollment statistics, federal funding information, and data on how Medicaid serves children, adults, rural communities, and individuals with mental health needs.

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Keywords: Child health, Data, Enrollment, Maternal health, Medicaid, State aid, State health insurance programs, Statistics

Annotation: This research report examines the potential impacts of eliminating enhanced Federal Medical Assistance Percentage (FMAP) for Medicaid expansion, focusing on state budget implications and health coverage consequences. It presents data showing that if enhanced FMAP were eliminated in 2026, the 41 expansion states would need to increase spending on acute care for the nonelderly by an average of 25.6 percent to maintain current eligibility levels. If all states dropped Medicaid expansion in response, Medicaid enrollment would decline by 15.9 million people, with 10.8 million becoming uninsured. The report describes how Medicaid expansion has benefited enrollees through improved health care access and financial security, while also providing fiscal benefits to states through additional savings and revenue. Using the Urban Institute's Health Insurance Policy Simulation Model, the analysis examines various scenarios of state responses and includes detailed data tables showing state-by-state impacts on coverage and spending.

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Keywords: Financing, Health care reform, Health insurance, Health policy, Medicaid, State aid

Annotation: This brief highlights ten key things about Medicaid. It provides information on the number of Medicaid beneficiaries, coverage, and financing; Medicaid’s share of all health care and long-term care spending and how Medicaid spending is divided among children vs. those who qualify based on age or disability; and the effect of state Medicaid spending on cost per beneficiary across states. Also discussed are the share of beneficiaries who receive care through managed care organizations, how Medicaid coverage impacts beneficiaries, section 1115 demonstration waivers, and public views on Medicaid.

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Keywords: Costs, Health insurance, Long term care, Low income groups, Managed care, Medicaid

Annotation: This brief estimates the fiscal impact on states of removing adult Medicaid dental benefits for the 41 states and District of Columbia that offer benefits at the limited or enhanced level. It analyzes medical care costs incurred for emergency department visits, for those with conditions such as diabetes or heart disease, and for pregnant women. The brief also provides a review of previous policy changes to several states' Medicaid dental benefits and examines the impact of these changes.

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Keywords: Costs, Dental insurance, Emergency rooms, Low income groups, Medicaid, Oral health, Pregnant women

Annotation: This report presents findings on the state of women's and family health benefits in the workplace based on two surveys conducted in October-November 2024. It addresses challenges facing employees and employers, including rising healthcare costs, burnout among working parents, and increased anxiety around reproductive health. The report highlights how companies are responding through expanded benefits, with 69% planning to increase family health benefits vendors in the coming years. It discusses the benefits of offering comprehensive women's and family health support, including improved employee retention and reduced healthcare costs. The report includes specific statistics on employer and employee priorities, testimonials from benefits leaders, and guidance for designing effective family benefits programs. Sections cover topics such as fertility support, parenting challenges, men's reproductive health, and the role of digital health solutions in improving outcomes.

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Keywords: Employer health costs, Family support services, Health Benefits Plans, Employee, Insurance benefits, Maternal health, Perinatal care, Reproductive health services, Statistics, Surveys, Trends, Women's health, Workplace health promotion

Annotation: This report summarizes discussions and takeaways from an expert panel conducted by NOHC of the University of Chicago to discuss challenges related to, opportunities for, and promising approaches to providing equitable oral health care for children with special health care needs (CSHCN). Topics include accessibility and accommodations, health professional training and education, dental insurance coverage policies, supporting families with oral health care guidance at home, innovative models and approaches, and future research needs.

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Keywords: Access to health care, Family support, Health education, Health insurance, Health services accessibility, Oral health, Research, Special health care needs, Training

Annotation: This report examines spending on oral health care and oral-health-related medical treatment for people from birth to age 89, and evaluates differences in oral health care spending between Medicaid and commercial insurance plans to highlight how the two types of coverage differ in spending across the lifespan. It provides results in the following categories: average spending on prevention or basic oral health care, major oral health care, and oral-health-related medical care; average Medicaid and commercial spending by treatment categories; and average Medicaid and commercial spending by specific treatment types.

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Keywords: Adolescent health, Adult health, Costs, Health insurance, Infant health, Medicaid, Older adults, Oral health, Prevention, Treatment

Annotation: This report focuses on the importance of tracking emergency department use trends for non-traumatic dental care visits. It includes information on the following selected findings during the period 2019–2022: use trends, cost trends, visit rates by age, visit rates for people enrolled in Medicaid compared with those with private insurance, and visit rates for people living in small or medium metropolitan areas compared with those living in a central cosmopolitan county or a rural area.

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Keywords: Dental insurance, Emergency room, Geographic factors, Health care utilization, Low income groups, Medicaid, Oral health, Trends

Annotation: This report offers a snapshot of how adults experience the oral health system, revealing both progress and ongoing gaps. It provides information on trends in the frequency of dental visits, plans to visit an oral health professional in the next year, and emergency department visits for oral pain. Also discussed are reasons for seeking oral health care outside the United States, types of oral health treatments received from non-licensed professionals, and the consequences of adults reaching or exceeding the annual maximum dollar benefit their insurance plan offered during the past year. In addition, the report addresses the importance of culturally inclusive oral health care.

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Keywords: Adult health, Dental insurance, Emergency room, Health systems, Oral health, Trends

Annotation: This report discusses the current landscape of adult Medicaid benefits, dentist participation in Medicaid and the Children’s Health Insurance Program (CHIP), dental care use among Medicaid beneficiaries, and Medicaid reimbursement for dental care. Key takeaways are provided.

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Keywords: Health care utilization, Low income groups, Medicaid, Oral health, Reimbursement, State Children's Health Insurance Program

Annotation: These case studies provide information about the processes that five states underwent to strengthen their Medicaid dental benefits for adults—from emergency-only to comprehensive benefits. The states are Kansas, Maine, Maryland, Utah, and Virginia. The case studies discuss each state’s challenges, strategies, and successes. And each case study includes lessons to strengthen access to oral health care for families with low incomes, people with disabilities, and residents of rural communities.

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Keywords: Health insurance, Kansas, Low income groups, Maine, Maryland, Medicaid, Oral health, Rural population, Special health care needs, State programs, Utah, Virginia

Annotation: This data book presents data on Medicaid and the Children's Health Insurance Program (CHIP). Contents include an overview with key statistics on Medicaid and CHIP; trends in Medicaid; Medicaid and CHIP enrollment and spending with information on benefits, managed care, and program administration; Medicaid and CHIP eligibility; and measures of beneficiary health, use of services, and access to care. The final section of the data book contains a technical guide that describes the data sources used, the methods used to analyze the data, and guidance in interpreting how specific data may differ from each other or from those published elsewhere.

• 2024

Keywords: Children's health insurance program, Eligibility, Medicaid, Statistical data, Trends