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Strengthen the Evidence for Maternal and Child Health Programs

Find Established Evidence


Displaying records 1 through 10 (10 total).

Bailey SR, Marino M, Hoopes M, et al. Healthcare utilization after a Children's Health Insurance Program expansion in Oregon. Matern Child Health J. 2016;20(5):946-954. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)
Intervention Description: We used electronic health record (EHR) data to assess temporal patterns of healthcare utilization after Oregon's 2009-2010 CHIP expansion. We hypothesized increased post-expansion utilization among children who gained public insurance.
Conclusion: This study used EHR data to confirm that CHIP expansions are associated with increased utilization of essential pediatric primary and preventive care. These findings are timely to pending policy decisions that could impact children's access to public health insurance in the United States.
Study Design: QE: pretest-posttest nonequivalent control group
Significant Findings: Yes
Setting: Community health centers (CHC) in Oregon
Target Audience: Patients aged 2-18 years who were not pregnant and did not have insurance other than Medicaid/CHIP with ≥ 1 visit before and after their ‘start date’
Data Source: CHC EHR data; state administrative data
Sample Size: Newly insured (n=3,054) Continuously insured (n=10,946) Continuously uninsured (n=10,307)
Age Range: not specified

Kenney G. The impacts of the State Children's Health Insurance Program on children who enroll: findings from ten states. Health Serv Res. 2007;42(4):1520-1543. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)
Intervention Description: Examine the extent to which enrollment in the State Children's Health Insurance Program (SCHIP) affects access to care and service use in 10 states that account for over 60 percent of all SCHIP enrollees.
Conclusion: Enrollment in SCHIP appears to be improving children's access to primary health care services, which in turn is causing parents to have greater peace of mind about meeting their children's needs.
Study Design: QE: pretest-posttest nonequivalent control group
Significant Findings: Yes
Setting: CA, CO, FL, IL, LA, MO, NJ, NY, NC, TX
Target Audience: Children older than 3 years enrolled in SCHIP in 2002
Data Source: Parent telephone survey
Sample Size: Intervention (n=4,953) Control (n=840)
Age Range: not specified

Nasseh K, Vujicic M. The impact of Medicaid reform on children's dental care utilization in Connecticut, Maryland, and Texas. Health Serv Res. 2015;50(4):1236-1249. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Medicaid Reform
Intervention Description: To measure the impact of Medicaid reforms, in particular increases in Medicaid dental fees in Connecticut, Maryland, and Texas, on access to dental care among Medicaid-eligible children.
Conclusion: Increasing Medicaid dental fees closer to private insurance fee levels has a significant impact on dental care utilization and unmet dental need among Medicaid-eligible children.
Study Design: QE: pretest-posttest nonequivalent control group
Significant Findings: Yes
Setting: Intervention: CT, MD, TX Control: CA, FL, HI, IL, MA, ME, MO, MI, ND, OR, PA, UT, WA, WI
Target Audience: Children aged 1-17 years eligible for Medicaid
Data Source: 2007 and 2011-2012 National Survey of Children’s Health
Sample Size: NR
Age Range: not specified

Clemans-Cope L, Kenney G, Waidmann T, Huntress M, Anderson N. How well is CHIP addressing oral health care needs and access for children? Acad Pediatr. 2015;15(3 Suppl):S78-84. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)
Intervention Description: We examine how access to and use of oral and dental care under the Children's Health Insurance Program (CHIP) compared to private coverage and being uninsured in 10 states.
Conclusion: Enrolling eligible uninsured children in CHIP led to improvements in their access to preventive dental care, as well as reductions in their unmet dental care needs, yet the CHIP program has more work to do to address the oral health problems of children.
Study Design: QE: nonequivalent control group
Significant Findings: Yes
Setting: AL, CA, FL, LA, MI, NY, OH, TX, UT, VA
Target Audience: Children aged 18 years or younger enrolled in CHIP
Data Source: Parent telephone survey
Sample Size: Established enrollees (n=5,518) Recent enrollees (n=4,142)
Age Range: not specified

Grembowski D, Milgrom PM. Increasing access to dental care for Medicaid preschool children: the Access to Baby and Child Dentistry (ABCD) program. Public Health Rep. 2000;115(5):448-459. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Outreach (caregiver), PROVIDER/PRACTICE, POPULATION-BASED SYSTEMS, STATE, Medicaid Reform, Education/Training (caregiver), Provider Training/Education
Intervention Description: This study aimed to determine the Washington State's Access to Baby and Child Dent stry (ABCD) Program's effect on children's dental utilization and dental fear, and on parent satisfaction and knowledge.
Conclusion: The authors conclude that the ABCD Program was effective in increasing access for preschool children enrolled in Medicaid, reducing dental fear, and increasing parent satisfaction.
Study Design: QE: nonequivalent control group
Significant Findings: Yes
Setting: Spokane County in WA
Target Audience: Children aged 12-36 months enrolled in Medicaid as of August 31, 1997
Data Source: Parent survey
Sample Size: Intervention (n=228) Control (n=237)
Age Range: not specified

Howell E, Trenholm C, Dubay L, Hughes D, Hill I. The impact of new health insurance coverage on undocumented and other low-income children: lessons from three California counties. J Health Care Poor Underserved. 2010;21(2 Suppl):109-124. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Outreach (caregiver), POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)
Intervention Description: Three California counties (Los Angeles, San Mateo, and Santa Clara) expanded health insurance coverage for undocumented children and some higher income children not covered by Medi-Cal (Medicaid) or Healthy Families (SCHIP). This paper presents findings from evaluations of all three programs.
Study Design: QE: nonequivalent control group
Significant Findings: Yes
Setting: Los Angeles, San Mateo, and Santa Clara, CA
Target Audience: Children aged 1-5 years in Los Angeles and those aged 1-18 years in San Mateo and Santa Clara enrolled in the Healthy Kids program
Data Source: Parent telephone survey
Sample Size: Established enrollees (n=1,842) New enrollees (n=1,879)
Age Range: not specified

Kenney G, Rubenstein J, Sommers A, Zuckerman S, Blavin F. Medicaid and SCHIP coverage: findings from California and North Carolina. Health Care Financ Rev. 2007;29(1):71-85. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)
Intervention Description: This article examines experiences under Medicaid and the State Children's Health Insurance Program (SCHIP), drawing on surveys of over 3,000 enrollees in California and North Carolina in 2002.
Conclusion: Relative to being uninsured, Medicaid enrollment was found to improve access to care along a number of different dimensions, controlling for other factors. Furthermore, this study emphasizes the need for continued evaluation of access to care for both programs.
Study Design: QE: nonequivalent control group Kulkarni (2013) Canada City-operated child care centers or Ontario Early Years Centers in Toronto Young children (no exclusion criteria) Study group (n=161) Control group (n=181) Prospective coh
Significant Findings: Yes
Setting: CA and NC
Target Audience: Children older than 3 years enrolled in Medicaid or SCHIP in 2002
Data Source: Parent telephone survey
Sample Size: Established enrollees (n=830) Recent enrollees (n=332)
Age Range: not specified

Beazoglou T, Douglass J, Myne-Joslin V, Baker P, Bailit H. Impact of fee increases on dental utilization rates for children living in Connecticut and enrolled in Medicaid. J Am Dent Assoc. 2015;146(1):52-60. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Outreach (caregiver), PROVIDER/PRACTICE, Outreach (Provider), POPULATION-BASED SYSTEMS, STATE, Medicaid Reform
Intervention Description: The authors obtained Medicaid eligibility, claims, and provider data before and after the fee increase, in 2006 and 2009 through 2012, respectively. Their analysis examined changes in utilization rates, service mix, expenditures, and dentists' participation. The authors qualitatively assessed the general impact of the recession on utilization rate changes.
Conclusion: The Medicaid fee increase, program improvements, and the recession had a dramatic impact on reducing disparities in children's access to dental care in Connecticut.
Study Design: QE: pretest-posttest
Significant Findings: No
Setting: Connecticut
Target Audience: Children continuously enrolled in Medicaid (Healthcare for UninSured Kids and Youth A program) for at least 11 months and 1 day within a calendar year
Data Source: Medicaid enrollment and encounter data
Sample Size: 2006 (n=161,130) 2009 (n=166,787) 2010 (n=204,550) 2011 (n=215,377) 2012 (n=214,680)
Age Range: not specified

Nietert PJ, Bradford WD, Kaste LM. The impact of an innovative reform to the South Carolina dental Medicaid system. Health Serv Res. 2005;40(4):1078-1091. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Patient Navigation (Assistance), PROVIDER/PRACTICE, Outreach (Provider), POPULATION-BASED SYSTEMS, STATE, Medicaid Reform
Intervention Description: To evaluate the effectiveness of an innovative reform in 2000 to the Dental Medicaid program in South Carolina.
Conclusion: The January 2000 dental Medicaid reform in South Carolina had marked impact on Medicaid enrollees' access to dental services.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: South Carolina
Target Audience: Children aged 2-21 years enrolled in Medicaid
Data Source: Medicaid claims
Sample Size: 1998 (n=377,690) 1999 (n=447,069) 2000 (n=504,642)
Age Range: not specified

Lave JR, Keane CR, Lin CJ, Ricci EM, Amersbach G, LaVallee CP. Impact of a children's health insurance program on newly enrolled children. JAMA. 1998;279(22):1820-1825. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)
Intervention Description: To determine the impact of children's health insurance programs on access to health care and on other aspects of the lives of the children and their families.
Conclusion: Extending health insurance to uninsured children had a major positive impact on children and their families. In western Pennsylvania, health insurance did not lead to excessive utilization but to more appropriate utilization.
Study Design: Time trend analysis
Significant Findings: Yes
Setting: Western PA
Target Audience: Children up to 19 years in families with incomes less than 235% FPL enrolled in the Children’s Health Insurance Program of Pennsylvania (BlueCHIP) and the Highmark Blue Cross Blue Shield Caring Program (Caring)
Data Source: Parent telephone survey
Sample Size: Study group (n=1,031) Comparison group (n=460)
Age Range: not specified

   

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.