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Strengthen the Evidence for Maternal and Child Health Programs

Search Results: MCHLine

Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (1,331 total).

MetroHealth Medical Center, Pediatric Service Coordination Program. n.d.. Working with your health insurance. Cleveland, OH: MetroHealth Medical Center, Pediatric Service Coordination Program, 16 pp.

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]

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

McManus M, Kelly R, Newacheck P, Gephart J. n.d.. The role of Title V maternal and child health programs in assuring access to health services for adolescents. Washington, DC: McManus Health Policy, 36 pp.

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]

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

Western Pennsylvania Caring Foundation. n.d.. Public/private partnerships: A working model for children's health care. Pittsburgh, PA: Western Pennsylvania Caring Foundation, 1 video (VHS 1/2 inch).

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

Newacheck P. n.d.. Improving Health Insurance Coverage for Adolescents: Analysis, Dissemination, and Technical Assistance [Final report]. San Francisco, CA: Institute for Health Policy Studies, 12 pp.

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]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB94-161536.

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

Camic N. n.d.. Families in the Changing Health Care Marketplace [Final report]. Madison, WI: Center for Public Representation, 21 pp.

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]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB93-199156.

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

CareQuest Institute for Oral Health, Arizona Oral Health Coalition, and Arizona Children's Action Alliance. 2022. Room to grow: An analysis of dental and health care claims in Medicaid-enrolled children in Arizona. Boston, MA: CareQuest Institute for Oral Health, 13 pp.

Annotation: This report provides information from a study that examined Arizona Health Care Cost Containment System health claims data to determine patterns of use of well-child medical visits and dental services in Arizona children enrolled in Medicaid from April 2016 to March 2020. The report introduces the issue and discusses methods. Results are presented on the following topics: demographic data of the study sample, days since the last dental or well child visit benefit was used, distance traveled to health care visit, procedure groupings by age group, access points to dental care by race, and a care-utilization model with presence of 1+ claims as the outcome variable.

Contact: CareQuest Institute for Oral Health, 465 Medford Street, Boston, MA 02129-1454, Telephone: (617) 886-1700 Web Site: https://www.carequest.org Available from the website.

Keywords: Access to health care, Age factors, Arizona, Health insurance, Low income groups, Medicaid, Oral health, Racial factors, State information, Statistical data

U.S. Centers for Medicare & Medicaid Services. 2022. Overview of the dental and oral health service measures in the 2022 child core set. Baltimore, MD: U.S. Centers for Medicare & Medicaid Services, 4 pp. (Medicaid & CHIP health care quality measures, Technical assistance resource)

Annotation: This resource provides an overview of the three oral health care measures in the 2022 Core Set of Children’s Health Care Quality Measures for Medicaid and the Children’s Health Insurance Program (Child Core Set) and highlights differences in the measure specifications. The three measures are sealant receipt on permanent first molars; oral evaluation, dental services; and topical fluoride for children. Links to resources to help states calculate the dental and oral health services measures for Child Core Set reporting are included.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (877) 267-2323 Secondary Telephone: (410) 786-3000 Fax: Web Site: https://www.cms.gov Available from the website.

Keywords: Children', Dental sealants, Fluoride, Health services, Medicaid, Oral health, s Health Insurance Program

Arkansas Center for Health Improvement. 2022. Utilization of dental care among Arkansas children and adults. Little Rock, AR: Arkansas Center for Health Improvement, 49 pp.

Annotation: This report describes a study to inform policy decisions to improve access to and use of oral health care in Arkansas and to establish baseline measures for coverage and use indicators. Topics include data sources, key findings, study demographics and dental insurance coverage profile, use of care, fluoride varnish applications, dental sealant applications, use of oral health care in medical care settings, hospital emergency department use among uninsured individuals, population-to-active-dentist ratio profile, tooth-extraction-related opioid-prescribing profile, and future research.

Contact: Arkansas Center for Health Improvement, 1401 W. Capitol Avenue, Suite 300 (Victory Building), Little Rock, AR 72201, Telephone: (501) 526-2244 Web Site: https://achi.net/ Available from the website.

Keywords: Access to health care, Arkansas, Data, Dental sealants, Fluoride, Health care utilization, Health insurance, Oral health, Public policy, State information, Uninsured persons

Smith JC, Medalia C. 2021. Health insurance coverage in the United States. Washington, DC: U.S. Census Bureau, irregulator. (Current population reports )

Annotation: This report presents statistics on health insurance coverage in the United States based on information collected in the Current Population Survey Annual Social and Economic Supplement and the American Community Survey (ACS). The report presents an overall estimate of the year-to-year change in the health insurance coverage rates based on the ACS. Reports from prior years of the survey (1994 to 2020) are also available from the website. (Note: Due to the redesign of the health insurance section of the CPS ASEC, its estimates of health insurance coverage are not directly comparable to estimates from earlier years of the survey.)

Contact: U.S. Census Bureau, 4600 Silver Hill Road, Washington, DC 20233, Telephone: (301) 763-4748 E-mail: webmaster@census.gov Web Site: http://www.census.gov Available from the website.

Keywords: Health insurance, Statistics

Medicaid and CHIP Payment and Access Commission. 2021. Report to the Congress on Medicaid and CHIP. Washington, DC: Medicaid and CHIP Payment and Access Commission, 246 pp.

Annotation: This report focuses on aspects of Medicaid's mission to ensure access to high-quality health services and the program's future as a major health care payer driving health system change toward value. The report focuses on topics of interest to Congress, including Medicaid’s responsiveness during economic downturns; concerns about high rates of maternal morbidity and mortality; improving hospital payment policy for the nation's safetynet hospitals, and the integration of care for people who are dually eligible for Medicaid and Medicare.

Contact: Medicaid and CHIP Payment and Access Commission, 1800 M Street, N.W., Suite 360 South, Washington, DC 20036, Telephone: (202) 350-2000 Fax: (202) 273-2452 E-mail: macpac@macpac.gov Web Site: http://www.macpac.gov Available from the website.

Keywords: Access to health care, Adolescents, Children, Children', Costs, Financing, Health care reform, Health services delivery, Medicaid, Medications, Mental health, Oral health, Organizational change, Pregnant women, Reimbursement, Systems development, s Health Insurance Program

Caffrey E, Tate AR, Cashion SW, Lee JY, Casamassimo P, Wright R, Litch CS, Essling M. 2021. Are your kids covered? Medicaid coverage for the essential oral health benefits (2nd ed.). Chicago, IL: American Academy of Pediatric Dentistry, 16 pp.

Annotation: This brief evaluates Medicaid coverage for a select group of dental insurance codes that address barriers to optimal oral health care for children. The goal of the brief, which explains how these codes are created and why they are important, is to raise awareness of the codes and of the benefits of advocating for their inclusion in state fee schedules. For each code, the brief offers a rationale, a recommendation, and a list of states that reimburse for the code.

Contact: American Academy of Pediatric Dentistry, 211 East Chicago Avenue, Suite 1600, Chicago, IL 60611-2637, Telephone: (312) 337-2169 Fax: (312) 337-6329 Web Site: http://www.aapd.org Available from the website.

Keywords: Dental caries, Disease prevention, Insurance, Medicaid, Oral health

Khanal P. 2021. Improving maternal health outcomes: State policy actions and opportunities. Hamilton, NJ: Center for Health Care Strategies, 1 item. (Medicaid policy cheat sheet)

Annotation: This Medicaid Policy Cheat Sheet explores what states are doing to improve maternal health outcomes and what additional opportunities exist. Some strategies suggested include: extending postpartum coverage; enhancing benefits to cover evidence-based models, such as home visiting programs; developing value-based payment models that reward health outcomes and close racial and ethnic disparity gaps; and enhancing data collection on maternal mortality and morbidity. The document also provides examples of notable policies that have been implemented by states, such as payment reforms, models of care delivery, managed care organization data reporting requirements, midwifery-led care, doula services, postpartum coverage expansion, use of telemedicine, and provider bias training.

Contact: Center for Health Care Strategies, 200 American Metro Boulevard, Suite 119, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 Web Site: http://www.chcs.org

Keywords: Federal health insurance programs, Maternal health, Medicaid, Policy analysis, Public policy, State health insurance programs

Ralls, Matthew. 2021. Understanding today's federal policy landscape for supporting family caregivers. Hamilton, NJ: Center for Health Care Strategies, 1 item. (Medicaid policy cheat sheet)

Annotation: This Medicaid Policy Cheat Sheet details the importance of family caregivers and reviews legislation that supports this unpaid workforce. The document defines family caregivers and their tasks and lists hardships that family caregivers face as a result of providing care. Recent enacted federal legislation aimed at supporting family caregivers include the Recognize, Assist, Support and Engage (RAISE) Family Caregivers Act (2018) and the American Rescue Plan (2021). Proposed legislation includes the American Families Plan and the American Jobs Plan.

Contact: Center for Health Care Strategies, 200 American Metro Boulevard, Suite 119, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 Web Site: http://www.chcs.org

Keywords: Caregivers, Elder care, Family centered care, Family economics, Federal health insurance programs, Federal legislation, Home care, Medicaid

American Academy of Pediatric Dentistry, Pediatric Oral Health Research and Policy Center. 2021. Silver diamine fluoride: Policy and fact summary. Chicago, IL: American Academy of Pediatric Dentistry, 6 pp.

Annotation: This fact sheet explains what is silver diamine fluoride (SDF) and discusses its effectiveness, safety, and advantages and disadvantages; whether it is cost effective; and potential cost savings for health care systems resulting from SDF use. Also addressed are when, where, and why to use SDF; who is a good candidate for SDF; who should apply SDF; reimbursement for SDF application; coverage for SDF use; and the insurance code for SDF.

Contact: American Academy of Pediatric Dentistry, 211 East Chicago Avenue, Suite 1600, Chicago, IL 60611-2637, Telephone: (312) 337-2169 Fax: (312) 337-6329 Web Site: http://www.aapd.org Available from the website.

Keywords: Costs, Fluoride, Health insurance, Oral health, Prevention, Safety

Delta Dental Plans Association. 2021. The state of America's oral health report. Oak Brook, I: Delta Dental Plans Association, 13 pp.

Annotation: This report presents data about consumers’ oral-health-related behaviors throughout 2020. It provides insights into the public’s awareness of the connection between oral health and overall health. Topics include the importance of oral health to overall health, oral hygiene practices, prioritization of preventive dental visits, and the relationship between having dental insurance and oral health status.

Contact: Delta Dental Plans Association, 1515 West 22nd Street, Suite 450, Oak Brook, IL 60523, Web Site: https://www.deltadental.com Available from the website.

Keywords: Dental hygiene, Health behavior, Health insurance, Oral health, Prevention, Statistical data

Girmash E, Creveling E. 2021. Strengthening Title V - Medicaid managed care collaborations to improve care for CYSHCN. Boston, MA: Catalyst Center, 8 pp.

Annotation: This issue brief discusses how state Title V programs, Medicaid agencies, and Medicaid managed care organizations can work collaboratively to strengthen supports for children and youth with special health care needs. The brief enumerates the essential steps in the Medicaid managed care procurement process and provides strategies and considerations for collaboration between Title V and managed care programs.

Contact: Catalyst Center, the National Center for Health Insurance and Financing for Children and Youth with Special Health Care Needs, Boston University School of Public Health, Center for Advancing Health Policy and Practice, 801 Massachusetts Avenue, Boston, MA 02218-2526, Telephone: (617) 638-1930 E-mail: mcomeau@bu.edu Web Site: https://ciswh.org/project/the-catalyst-center/

Keywords: Access to care, Adolescents with special health care needs, Children with special health care needs, Health insurance, Medicaid, State programs, Title V programs, Youth with special health care needs

U.S. Department of Health and Human Services . 2021. Efforts to improve the quality of health care for children and adults enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) 2017-2019 report to Congress. Washington, DC: U.S. Department of Health and Human Services , 129 pp.

Annotation: This report to Congress describes 1) the efforts undertaken by the U.S. Department of Health and Human Services (HHS) between 2017 and 2019 to advance access and quality of care for children and adults enrolled in Medicaid and the Children's Health Insurance Program (CHIP); 2) the status of state reporting of the Child and Adult Core Set of healthcare quality measures; and 3) recommendations for legislative changes needed to improve the quality of care in Medicaid and CHIP.

Keywords: Access to health care, Adults, Children, Children', Data, Enrollment, Federal legislation , Measures, Medicaid, Program improvement, Quality assurance, Recommendations, s Health Insurance

Aspen Institute Strategy Group . 2021. Reversing the U.S. maternal mortality crisis . Washington, DC: Aspen Institute , 146 pp.

Annotation: This annual report addresses maternal morbidity and mortality in the United States and presents five big ideas on how to tackle the problem. The recommendations are based on white papers prepared by subject matter experts that provide background information and data on maternal mortality in the U.S.; analyze the current maternity care system; explore racism and racial inequity in maternal and health outcomes; and assess the role of Medicaid in understanding and potentially helping to solve the problem. The five big ideas are as follows: 1) Make a national commitment to improvement; 2) Build and support community care models; 3) Redesign insurance around women’s needs; 4) Tackle the racism that undermines women-centered maternity care; and 5) Invest in research, data, and analysis.

Contact: Aspen Institute, One Dupont Circle, NW, Suite 700, Washington, DC 20036-1133, Telephone: (202) 736-5800 Fax: (202) 467-0790 Web Site: http://www.aspeninstitute.org

Keywords: Community health, Health insurance, Maternal morbidity, Maternal mortality, Prevention, Public health, Racial factors, Racism, Women', s health

Ruderman M. 2020. Children's vision and eye health: A snapshot of current national issues (2nd ed.). Chicago, IL: National Center for Children's Vision & Eye Health at Prevent Blindness, 47 pp.

Annotation: This report is a compilation of research, survey data, and best practices that outlines the landscape for children's vision and eye health in the United States. Contents include information about the prevalence and impact of vision disorders in U.S. children, receipt of vision screening for infants and children from birth through age 17, and state approaches to ensuring children's vision and eye health. Additional topics include vision screening rates and requirements by state, pediatric vision benefits available under the Affordable Care Act, what is included in a strong vision health system of care, and model children's vision legislation. [Funded by the Maternal and Child Health Bureau]

Contact: Prevent Blindness America, 211 West Wacker Drive, Suite 1700, Chicago, IL 60606, Telephone: (800) 331-2020 E-mail: info@preventblindness.org Web Site: http://www.preventblindness.org Available from the website.

Keywords: Access to health care, Adolescents, Children, Costs, Health care reform, Health insurance, Health status, Policy development, Prevalence, Preventive health services, Primary care, Reimbursement, Research, Screening, Service integration, Standards, State programs, State surveys, Statistical data, Systems development, Vision, Vision disorders

National Conference of State Legislatures. 2020. Children's health insurance program overview. Denver, CO: National Conference of State Legislatures, 1 v.

Annotation: This website provides information about the history and current status of the Children's Health Insurance Program (CHIP), including information about coverage for pregnant women. State examples and additional resources about federal and state CHIP policy are also included. [Funded by the Maternal and Child Health Bureau]

Contact: National Conference of State Legislatures, 7700 East First Place, Denver, CO 80230, Telephone: (303) 364-7700 Fax: (303) 364-7800 Web Site: http://www.ncsl.org Available from the website.

Keywords: Children', Federal initiatives, Legislation, Policy development, Pregnant women, State programs, s Health Insurance Program

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.