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Strengthen the Evidence for Maternal and Child Health Programs

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ESM 15.1 The number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs (Connecticut)

Measure Status: Active

Evidence Level: There is limited research in the evidence base for this NPM to support this strategy.

Measurement Quadrant: Quadrant 1: Measuring quantity of effort (counts and "yes/no" activities)

Service Type: Enabling services level of pyramid

Essential Public Health Services: 4. Support and mobilize partners

Service Recipient: Activities directed to professionals

Goal: To increase the number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs.

Numerator: The number of community organizations who help families understand what services are available and covered by insurance for all children including those with special health care needs.

Denominator: Count

Significance:

Data Sources and Data Issues: American Academy of Pediatrics highlighted the importance of continuous and adequate insurance with a policy statement. The major problems cited were cost-sharing requirements were too high, benefit limitations, and inadequate coverage of needed services. Inadequately insured children are more likely to have delayed or forgone care, lack a medical home, be less likely to receive needed referrals and care coordination, and receive family-centered care. Reference: https://www.mchevidence.org/tools/npm/15-adequate-insurance-coverage.php

Year: 2021

Unit Type: 1000, Unit Number: United Way 2-1-1 database, the statewide toll-free information line, provides a description of services and contact information for community organizations including those that help families understand services that are available and covered by insurance for all children including those with special health care needs.

   

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.