Search Results: MCHLine

Annotation: This issue brief addresses value based payment as an important model in health care reform for children's services and offers recommendations for including children's health in health care reform efforts. Efforts in Connecticut are described.

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Keywords: Child health, Children, Connecticut, Costs, Health care reform, Health equity, State programs

Annotation: This report discusses the results of an environmental scan to identify, categorize, and describe examples of medical-dental integration in public health settings. Findings inform public health officials and other stakeholders about programs and policies that encourage coordination and integration. Topics include integration in clinical settings, multimedia health campaigns, co-location of medical and oral health services, health workforce innovations, integrated insurance benefits, and health care reform.

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Keywords: Health care reform, Oral health, Program coordination, Public health, Service integration

Annotation: This report ranks states on more than 40 indicators of health system performance in five broad areas: health care access, quality, avoidable hospital use and costs, health outcomes, and health care equity. It also compares and evaluates trends across all 50 states and the District of Columbia.

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Keywords: Access to health care, Adolescents, Adults, Children, Equal opportunities, Health care reform, Health care systems, Health care utilization, Health insurance, Health status, Infants, Measures, Morbidity, Mortality, Obesity, Oral health, Oral health care, Preventive health services, Smoking, State initiatives, Statistics, Systems development, Trends

Annotation: This tutorial provides an overview of Medicaid and the Children’s Health Insurance Program (CHIP), populations these programs serve, changes the programs are undergoing under health care transformation, and opportunities to improve services for children with special health care needs (CSHCN) through communication and collaboration with Medicaid and CHIP staff. The tutorial begins with an overview of how definitions of CSHCN may vary by agency or program, followed by major topic areas, including recommendations for Title V programs to build successful partnerships with public insurance programs. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Children, Children with special health care needs, Children's Health Insurance Program, EPSDT, Financing, Health care reform, Medicaid, Oral health, Program improvement, Resources for professionals, Title V programs

Annotation: This report provides data on Medicaid and Children's Health Insurance Program (CHIP) eligibility, enrollment, renewal, and cost sharing policies as of January 2017, and identifies changes in these policies in the past year. It documents the role Medicaid and CHIP play for children and families with low incomes and the evolution of these programs under the Affordable Care Act. Topics include Medicaid and CHIP eligibility, Medicaid and CHIP enrollment and renewal processes, and premiums and cost sharing. Trend and state-by-state tables are included.

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Keywords: Children's Health Insurance Program, Health care reform, Health insurance, Health policy, Medicaid, Patient Protection and Affordable Care Act, State programs, State surveys, Trends

Annotation: This paper analyzes data from the Behavioral Risk Factor Surveillance System on the impact of the Affordable Care Act's (ACA's) 2014 provisions on a variety of outcomes related to health care access, risky health behaviors, and self-assessed health. The paper provides estimates of the overall effect of the ACA on these outcomes and examines differential impacts resulting from state heterogeneity with respect to the choice to expand Medicaid via the ACA.

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Keywords: Access to health, Adults, Health behavior, Health care reform, Health insurance, Health status, Medicaid, Patient Protection and Affordable Care Act, Population surveillance, State programs

Annotation: This report discusses difficulties related to accessing oral health care in Arizona and how licensing mid-level oral health practitioners (dental therapists) to perform routine oral health procedures could make care more accessible and affordable. Topics include the importance of oral health, crossing the border for care, reimbursement rates, dental therapy, dental therapy supervision, and the safety of dental therapy.

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Keywords: Access to health care, Arizona, Health care delivery, Health care reform, Models, Oral health, Oral health care, Policy development, State legislation, Underserved communities, Vulnerability, Work force

Annotation: This report examines oral health care data in the context of Oregon’s health system transformation, including the launch of coordinated care organizations and expansion of the state Medicaid program, Oregon Health Plan. Topics include provider distribution, utilization, patient experience, care coordination, and oral health integration. Information about stakeholder groups, technical specifications, and a measure dashboard are included.

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Keywords: Coordination, Data analysis, Health care reform, Health care systems, Health insurance, Measures, Medicaid, Oral health, Oregon, Patient Protection and Affordable Care Act, Service integration, State programs, Statewide planning, Trends

Annotation: This brief explains how the Affordable Care Act (ACA), through Medicaid expansion and expanded Medicaid coverage criteria for children, has improved maternal and child health (MCH). Topics include the impact of expanded coverage for women of reproductive age, particularly for preconception and interconception health care, and eligibility criteria for children ages 6 to 19 on MCH.

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Keywords: Child health, Children, Chronic illnesses and disabilities, Health care reform, Health insurance, Health status, Maternal health, Maternal health services, Medicaid, Patient Protection and Affordable Care Act, Preconception care, Pregnant women, Prenatal care, Reproductive health, Women's health

Annotation: This report provides a snapshot of Title V Children and Youth with Special Health Care Needs (CYSHCN) programs across the United States. Contents include background and history of CYSHCN programs, recent changes affecting CYSHCN programs, and methods and results from an electronic survey of Title V CYSHCN directors to assess key characteristics of each state's CYSHCN program. Topics include program structure and strengths, roles in systems of care, CYSHCN program partnerships, financing of care for CYSHCN populations and emerging issues for CYSHCN programs.

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Keywords: Advocacy, Children with special health care needs, Community based services, Consultation, Cultural competency, Data, Family centered care, Financing, Health care delivery, Health care reform, Health care systems, Health insurance, Leadership, Medicaid managed care, Models, Networking, Pediatric care, Policy development, Program coordination, Program development, Public health infrastructure, Public private partnerships, Quality assurance, Reimbursement, Role, Standards, State MCH programs, Title V programs

Annotation: This supplement includes a set of articles that emerged from learning communities convened to explore health care purchasing strategies for children and youth special health care needs (CYSHCN) from multiple perspectives. Topics include dimensions of values-based purchasing (VBP), values-based insurance design (VBID), and other innovative financing strategies, and their impact on CYSHCN.

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Keywords: Children with special health care needs, Consumer protection, Health care delivery, Health care financing, Health care reform, Health insurance, Pediatric care, Reimbursement

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.

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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

Annotation: This guide for maternal and child health (MCH) professionals comprises six modules that provide an overview of the Affordable Care Act (ACA) and its implications for MCH populations, ways that individuals can access health care coverage, and an explanation of covered services. Topics include the history of and initial challenges to the ACA, key provisions of the ACA, a glossary of key insurance concepts, provisions of the Patient's Bill of Rights, pathways to coverage for MCH populations, health insurance marketplaces, and benefits. [Funded by the Maternal and Child Health Bureau]

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Keywords: Access to health care, Barriers, Health care reform, Health insurance, Patient Protection and Affordable Care Act, Patient rights, Preventive health services, Resources for professionals

Annotation: This toolkit contains information that details five high impact opportunities for states and local school districts to support communities through collaboration between the education and health sectors, highlighting best practices and key research in both areas. Contents include resources, programs, and services offered by non-governmental organizations.

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Keywords: Case management, Collaboration, Communities, Community action, Educational reform, Eligibility, Health care reform, Health education, Health insurance, Health services delivery, Hospitals, Medicaid managed care, Needs assessment, Nutrition, Physical activity, Public private partnerships, Reimbursement, Role, School districts, State government, Students

Annotation: This report reviews health services research findings on community health workers (CHWs) and considers key challenges for CHWs to improve health care delivery, including oral health care delivery. Topics include major roles for CHWs in the health care system, a national profile of CHWs, evidence on the clinical impact of CHWs, the policy impact potential for CHW interventions, opportunities for reimbursement through Medicaid, and state and health care innovation models.

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Keywords: Allied health personnel, Barriers, Community health aides, Community role, Culturally competent services, Financing, Health care delivery, Health care reform, Home health aides, Low income groups, Medicaid, Minority groups, Oral health, Patient care teams, Policy development, Preventive health services, Program improvement, Reimbursement, Service delivery systems, Standards, Sustainability, Training, Work force

Annotation: This newsletter describes the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program and opportunities for school districts to significantly expand the range of health care services, including oral health services, available to students from families with low incomes. Topics include the importance of having sufficient numbers and types of health professionals participating in Medicaid programs in their area, how providing Medicaid services in schools can help to address children's and adolescents' unmet health care needs, and federal guidance on Medicaid reimbursement for services that are provided at no charge (previously known as the Free Care Rule).

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Keywords: EPSDT, Health care financing, Health care reform, Health services delivery, Low income groups, Medicaid, Oral health, Oral health care, Reimbursement, School age children, School districts, Work force

Annotation: This issue brief highlights national- and state-level enrollment-related information for the Health Insurance Marketplace open enrollment period for all 50 states and the District of Columbia. An addendum contains detailed state-level tables highlighting cumulative enrollment-related information, including enrollment in stand-alone dental plans. These data are available for states using the HealthCare.gov enrollment and eligibility platform as well as for states using their own platforms.

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Keywords: Data sources, Dental insurance, Enrollment, Health care reform, Health insurance

Annotation: This document summarizes common themes derived from telephone interviews with 28 oral health stakeholders in Kentucky. Common themes discussed include oral health literacy, oral health status, service integration, oral health access, geographic disparities, dental insurance status changes resulting from implementation of the Affordable Care Act, the oral health safety net, school-based and portable oral health programs, the oral health work force, and scope of practice regulations.

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Keywords: Access to health care, Barriers, Dental insurance, Geographic factors, Health care reform, Interviews, Kentucky, Oral health, Regulations, Service integration, Work force

Annotation: This report examines the relationship between health and housing in urban policy; national housing trends and their implications for health; promising movements in the field to connect opportunity, health, and housing policy; and a policy framework to advance equity in health and housing.

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Keywords: Cities, Costs, Equal opportunities, Hazards, Health status, Housing, Policy development, Reform, Regulations, Trends, Zoning

Annotation: This brief explores opportunities presented by State Innovation Model projects and other state innovation efforts to include oral health in delivery system and payment reform. It outlines opportunities in the following areas: Medicaid benefit design and expansion, practice-level oral health reform, and statewide delivery-reform models.

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Keywords: Financing, Health care delivery, Health care reform, Medicaid, Models, Oral health, Oral health care, Reimbursement, Service integration, State initiatives, State programs, Statewide planning