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Strengthening 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 12 (12 total).

National Heath Law Program. 2017. Early and Periodic Screening, Diagnostic, and Treatment. Washington, DC: National Health Law Program,

Annotation: This website provides information about Medicaid's Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT), including a clickakable map of state EPSDT information, videos with basic introduction to Medicaid's Early Periodic Screening, Diagnostic, and Treatment benefit and how it can interact with the Individuals with Disabilities Education Act to cover services provided in schools, and publications on the topic from NHELP,

Contact: National Health Law Program, 1441 I Street, N.W., Suite 1105, Washington, DC 20005, Telephone: (202) 289-7724 E-mail: nhelp@healthlaw.org Web Site: http://www.healthlaw.org Available from the website.

Keywords: Access to health care, Barriers, Child health insurance, EPSDT, Health care utilization, Health services delivery, Medicaid managed care, Provider networks, Regulations, Standards, State programs, Third party payers

Centers for Disease Control and Prevention. 2016–. The 6 | 18 Initiative: Accelerating evidence into action. Atlanta, GA: Centers for Disease Control and Prevention, multiple items.

Annotation: This website provides resources from a national initiative to engage health care purchasers, payers, and providers in collaborating with the public health community to improve health and control health care costs. Topics include high-burden health conditions and associated interventions that prevent chronic and infectious diseases by increasing coverage, access, use, and quality; and how to align evidence-based preventive practices with emerging value-based payment and delivery models. Contents include a fact sheet and evidence summaries on reducing tobacco use, controlling high blood pressure, preventing health care-associated infections, controlling asthma, preventing unintended pregnancy, and controlling and preventing diabetes.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov Available from the website.

Keywords: Access to health care, Chronic illnesses and disabilities, Coalitions, Collaboration, Consumers, Disease prevention, Health care delivery, Health care reform, Health care utilization, Health insurance, Infectious diseases, Intervention, Models, National initiatives, Preventive health services, Public private partnerships, Quality assurance, Reimbursement, Relationships, Third party payers

Wyoming Department of Health, Oral Health Program. 2016. State of Wyoming Marginal Dental Health Program. Cheyenne, WY: Wyoming Department of Health, Oral Health Program, 4 pp.

Annotation: This form is designed to help families with low incomes understand and apply for dental benefits for their infant, child, or adolescent from birth to age 19 in Wyoming who is not covered by Medicaid or the Children's Health Insurance Program. Contents include a description of program eligibility and benefits, including information about co-payments and coverage for dental sealants.

Contact: Wyoming Department of Health, Oral Health Program, 6101 Yellowstone Road, Suite 420, Cheyenne, WY 82002, Telephone: (307) 777-6921 Web Site: https://health.wyo.gov/publichealth/mch/oralhealth Available from the website.

Keywords: Adolescents, Applications, Children, Dental care, Dental insurance, Dental sealants, Eligibility, Forms, Low income groups, Oral health, Program descriptions, State programs, Third party payers, Wyoming

McKee C. 2016. Medicaid managed care final regulations and reproductive care. Washington, DC: National Health Law Program, 7 pp. (Issue brief no. 5)

Annotation: This brief reviews implementation requirements governing access to reproductive health services in Medicaid managed care. Topics include network adequacy and access to services, travel time and distance standards, timely availability of services, direct access to providers, information requirements, and utilization controls. Recommendations for states are also included.

Contact: National Health Law Program, 1441 I Street, N.W., Suite 1105, Washington, DC 20005, Telephone: (202) 289-7724 E-mail: nhelp@healthlaw.org Web Site: http://www.healthlaw.org Available from the website.

Keywords: Access to health care, Barriers, Health care utilization, Health services delivery, Medicaid managed care, Provider networks, Regulations, Reproductive health, Standards, Third party payers, Women's health

U.S. Government Accountability Office. 2016. Health care quality: HHS should set priorities and comprehensively plan its efforts to better align health quality measures. Washington, DC: U.S. Government Accountability Office, 37 pp.

Annotation: This report examines the use of measures to improve health care quality across the Department of Health and Human Services' (DHHS's) programs and private payers, with a focus on reducing burden. Topics include what is known about the extent and effects of quality-measure alignment, key factors that can contribute to misalignment, and efforts to address misalignment. Recommendations for (1) prioritizing development of electronic quality measures and related data elements for the core measures DHHS and private payers have agreed to use and (2) comprehensively planning efforts to develop more meaningful quality measures are included.

Contact: U.S. Government Accountability Office, 441 G Street, N.W., Washington, DC 20548, Telephone: (202) 512-3000 Secondary Telephone: E-mail: contact@gao.gov Web Site: http://www.gao.gov Available from the website. Document Number: GAO-17-5.

Keywords: Data collection, Federal initiatives, Health care systems, Information systems, Measures, Medicaid, Program improvement, Program planning, Public private partnerships, Quality assurance, Systems development, Third party payers

Dental Quality Alliance. 2015. Environmental scan: Practice based measures. Chicago, IL: American Dental Association, 26 pp.

Annotation: This document summarizes results from an environmental scan to identify existing oral health performance and quality-measure concepts for both the pediatric and the adult populations. Contents include information about the background, methods, and results of the scan and a discussion of data sources and developing quality measures using administrative claims data vs. patient record data. A table of quality measures identified through the scan is also provided.

Contact: American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Fax: (312) 440-7494 E-mail: info@ada.org Web Site: http://www.ada.org Available from the website.

Keywords: Claims, Data sources, Dental care, Measures, Medical records, Oral health, Program improvement, Quality assurance, Third party payers

Santoro K, Schmidt ER. 2015. Health plan approaches to child injury prevention. Washington, DC: National Institute for Health Care Management Foundation, 9 pp.

Annotation: This issue brief for health plans discusses the National Action Plan for Child Injury Prevention, highlights the prevalence and cost of injuries, shares examples of current health plan child injury prevention activities, and describes opportunities for future action. Topics include informing health care professionals about the toll of injuries, encouraging physicians to use Bright Futures and provide age-appropriate injury prevention guidance to families, support evidence-based prevention practices, and promote the use of and access to safety devices.

Contact: National Institute for Health Care Management Foundation, 1225 19th Street, N.W., Suite 710, Washington, DC 20036, Telephone: (202) 296-4426 Fax: (202) 296-4319 E-mail: http://www.nihcm.org/contact Web Site: http://www.nihcm.org Available from the website.

Keywords: Anticipatory guidance, Child health promotion, Child safety, Children, Costs, Foundations, Injuries, Injury prevention, Model programs, Prevalence, Program planning, Third party payers, Unintentional injuries

Rodgers T, Freedman G. 2015. 2015 Head Start oral health survey report. [Des Moines, IA]: Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems, 5 pp.

Annotation: This report presents findings from an oral health survey of children enrolled in Head Start in Iowa. Topics include participant age, payment source for dental care, oral health status, and oral health indicators (untreated tooth decay and filled tooth) by payment source (private insurance, Medicaid, hawk-i, uninsured).

Contact: Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems, Lucas State Office Building, 321 East 12th Street, Des Moines, IA 50319-0075, Telephone: (515) 242-6383 Secondary Telephone: (866) 528-4020 Fax: (515) 242-6384 Web Site: http://www.idph.iowa.gov/ohds Available from the website.

Keywords: Dental care, Dental insurance, Head Start, Health status, Iowa, Medicaid, Oral health, State programs, State surveys, Statistical data, Third party payers, Young children

Wall T, Nasseh K, Vujicic M. 2014. Majority of dental-related emergency department visits lack urgency and can be diverted to dental offices. Chicago, IL: American Dental Association, Health Policy Institute, 9 pp. (Research brief)

Annotation: This brief examines the urgency of emergency department visits for dental conditions in the United States. Topics include the percentage of dental and nondental emergency department visits by triage status (immediate, urgent, semi-urgent, and nonurgent), primary payer (private health insurance, Medicare, Medicaid, Children's Health Insurance Program, and self-pay), and time of arrival (during and outside business hours). Policy implications are included.

Contact: American Dental Association, Health Policy Institute, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Web Site: http://www.ada.org/en/science-research/health-policy-institute Available from the website.

Keywords: Data analysis, Emergency room data, Oral health, Policy development, Third party payers, Triage

Maryland Department of Health and Mental Hygiene. 2013. Report on pediatric restorative dental surgery and analysis of rates for anesthesia services. Baltimore, MD: Maryland Department of Health and Mental Hygiene, 48 pp.

Annotation: This report provides information about pediatric dental surgery and payment rates for related anesthesia services in Maryland. The report discusses the use of pediatric restorative dental surgery for fiscal years 2006–2013 by facility, and analyzes rates of anesthesia services performed in connection to pediatric restorative dental surgery compared to rates paid by Medicare and commercial payors. Also included is a justification for why Medicare rates should be considered the benchmark for Medicaid anesthesia rates.

Contact: Maryland Department of Health, 201 West Preston Street, Baltimore, MD 21201, Telephone: (410) 767-6500 Secondary Telephone: (877) 463-3464 Web Site: http://www.dhmh.maryland.gov Available from the website.

Keywords: Anesthesia, Benchmarking, Child health services, Comparative analysis, Dental surgery, Maryland, Medicaid, Medicare, Oral health, Pediatric care, Reimbursement, State programs, Third party payers

U.S. Agency for Healthcare Research and Quality. 2010–. United States Health Information Knowledgebase. Rockville, MD: U.S. Agency for Healthcare Research and Quality, multiple items.

Annotation: This registry and repository contains health-care-related metadata, specifications, and standards. Topics include health information technology standards, common formats, meaningful use, all-payer claims, and children's electronic health record format. Draft quality measures that are available to the public for feedback are also included.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1104 Secondary Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov Available from the website.

Keywords: Child health, Claims, Data, Databases, Diffusion of innovation, Federal initiatives, Integrated information sources, Measures, Medical records, Public private partnerships, Quality assurance, Registries, Resources for professionals, Standards, Technology transfer, Third party payers

White KR, Immel N. 1989 (ca.). Medicaid and other third-party payments: One piece of the early intervention financing puzzle. Bethesda, MD: Association for the Care of Children's Health, 52 pp.

Annotation: This document was developed by a consortium of four states that had used Medicaid and other third-party payments to support an early intervention program. It provides a brief overview of the mechanisms, focusing primarily on Medicaid. It includes several brief case studies of what states are actually doing, and summarizes the lessons learned from the consortium's activities and discussions. It concludes with a plan of action for incorporating Medicaid and other third-party payments into the overall financing picture for early intervention in the states. The states participating were Utah, Massachusetts, Colorado, and New Jersey, with additional input from Connecticut, Illinois and other states. The work was funded by the Maternal and Child Health Bureau, U.S. Department of Health and Human Services. [Funded by the Maternal and Child Health Bureau]

Keywords: Children with special health care needs, Early intervention, Education of the Handicapped Act Amendments of 1986, Federal legislation, Financing, Medicaid, Third party payers

   

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.