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Medicaid Physician Fees And Access To Care Among Children With Special Health Care Needs
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Book Synopsis Medicaid Physician Fees and Access to Care Among Children with Special Health Care Needs by : Pinka Chatterji
Download or read book Medicaid Physician Fees and Access to Care Among Children with Special Health Care Needs written by Pinka Chatterji and published by . This book was released on 2020 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objective of this study is to use data from the National Survey of Children with Special Health Care Needs (NS-CSHCN) to test whether Medicaid physician fees are correlated with access to health services and adequacy of insurance coverage among CSHCN. We use a difference-in-differences method, comparing the effects of Medicaid physician fees on outcomes of publicly-insured children in states that raised fees vs. in states that did not. We also consider a triple difference specification using privately-insured children as the comparison group. Our findings indicate that raising the Medicaid primary care fee level close to at least 90 percent of the Medicare level reduces the likelihood that publicly-insured CSHCN lack a usual source of care in a doctor's office by about 15 percent. Fee increases are also associated with improved access to specialty doctor care, and large improvements in caregivers' satisfaction with the adequacy of health insurance coverage, among publicly-insured CSHCN. Results for some other access measures, such as global measures of having difficulties and delays accessing services, were mixed.
Book Synopsis Keeping Medicaid’s Promise: Strengthening Access to Services for Children with Special Healthcare Needs by : Cindy Mann
Download or read book Keeping Medicaid’s Promise: Strengthening Access to Services for Children with Special Healthcare Needs written by Cindy Mann and published by Manatt, Phelps & Phillips, LLP. This book was released on 2019-10-01 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :Institute of Medicine and National Research Council Publisher :National Academies Press ISBN 13 :0309173930 Total Pages :216 pages Book Rating :4.3/5 (91 download)
Book Synopsis America's Children by : Institute of Medicine and National Research Council
Download or read book America's Children written by Institute of Medicine and National Research Council and published by National Academies Press. This book was released on 1998-10-27 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
Book Synopsis Medicaid Managed Care by : United States. General Accounting Office
Download or read book Medicaid Managed Care written by United States. General Accounting Office and published by . This book was released on 2000 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid Policy for Children with Special Health Care Needs by : Angela Renee Curtis
Download or read book Medicaid Policy for Children with Special Health Care Needs written by Angela Renee Curtis and published by . This book was released on 2001 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: The barriers most commonly identified as being exacerbated for CSHCN on Medicaid are the use of multiple medical providers, transportation, and more frequent visits than other children. Fifty-five percent of the physicians also indicated that it would not be acceptable to manipulate the Medicaid system to better serve CSHCN, 21.7% said it would be acceptable, and 20.8% said it would depend. Sixty-seven point nine percent of physicians indicated that they had done something to ensure the well being of CSHCN not covered or allowed by Medicaid. Of these, 51.5% had given free prescription samples to patients. These findings illustrate barriers in the direct provision of health care to CSHCN, such as missed appointments, as well as burdens stemming from Medicaid bureaucracy. The implications of these findings for Medicaid policy include addressing reimbursement, administrative burden, and prescription medication issues to ensure physicians' continued participation in the Medicaid system and the medical well being of CSHCN.
Book Synopsis Health Insurance is a Family Matter by : Institute of Medicine
Download or read book Health Insurance is a Family Matter written by Institute of Medicine and published by National Academies Press. This book was released on 2002-09-18 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.
Book Synopsis Medicaid Managed Care by : Walter Ochinko
Download or read book Medicaid Managed Care written by Walter Ochinko and published by DIANE Publishing. This book was released on 2000-10 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the mid-1990s, states have accelerated the enrollment of children with special needs in capitated MMC programs, which deliver medical services to beneficiaries for a fixed per-person fee. The Balanced Budget Act (BBA) of 1997 continued to require Federal approval for state Medicaid programs that mandate that these children enroll. This report: (1) presents data on the extent to which states are enrolling children with special needs, as defined in the BBA, in capitated MMC plans, & (2) assesses the scope & effectiveness of the safeguards that these states are implementing to ensure that children with special needs receive appropriate care within MMC.
Book Synopsis The Effect of Medicaid Physician Fees on Take-up of Public Health Insurance Among Children in Poverty Among Children in Poverty by : Youjin Hahn
Download or read book The Effect of Medicaid Physician Fees on Take-up of Public Health Insurance Among Children in Poverty Among Children in Poverty written by Youjin Hahn and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: I investigate how changes in fees paid to Medicaid physicians affect take-up among children in low-income families. The existing literature suggests that the low level of Medicaid fee payments to physicians reduces their willingness to see Medicaid patients, thus creating an access-to-care problem for these patients. For the identical service, current Medicaid reimbursement rates are only about 65 percent of those covered by Medicare. Increasing the relative payments of Medicaid would increase its perceived value, as it would provide better access to health care for Medicaid beneficiaries. Using variation in the timing of the changes in Medicaid payment across states, I find that increasing Medicaid generosity is associated with both an increase in take-up and a reduction in uninsured rate. These results provide a partial answer to the puzzling question of why many low-income children who are eligible for Medicaid remain uninsured. Medicaid ; Take-up ; Medicaid payment ; Medicaid reimbursement ; Access to care
Book Synopsis Access to Health Care in America by : Institute of Medicine
Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Book Synopsis Serving Children with Special Health Care Needs Within Medicaid Managed Care by : Deborah F. Perry
Download or read book Serving Children with Special Health Care Needs Within Medicaid Managed Care written by Deborah F. Perry and published by . This book was released on 1996 with total page 10 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depending on the definition used, children with special health care needs may account for nearly one third of children in the United States and an even larger proportion of children who are enrolled in Medicaid. Children with special health care needs (CSHCN) often have diagnosed conditions that require specialized treatment services; these services frequently have been reimbursed by Medicaid under fee-for-service payment arrangements. Now that states are increasingly providing health care services to children enrolled in Medicaid through managed care systems, policymakers face the difficult task of building systems of care that meet the unique needs of CSHCN. The National Governors' Association convened a policy forum that included policymakers and program managers from five states where services for CSHCN are being provided or planned within a Medicaid managed care framework -- California, Florida, Massachusetts, Michigan, and Oregon. The forum participants discussed implementation issues and strategies for building a system of care that includes access to both primary care and specialty services. This Issue Brief summarizes these critical policy discussions. It is the last in a series of publications highlighting the needs of children as part of the Governors' Campaign for Children.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :030946921X Total Pages :161 pages Book Rating :4.3/5 (94 download)
Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine
Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Book Synopsis Health Care Financing for Severe Developmental Disabilities by : Arnold Birenbaum
Download or read book Health Care Financing for Severe Developmental Disabilities written by Arnold Birenbaum and published by American Association. This book was released on 1990 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ce document dresse le profil de l'utilisation, du développement et du financement de services de santé et de services sociaux pour des enfants ou de jeunes adultes étant autistes ou ayant un retard mental sévère ou profond. Le but de cette enquête était de fournir les données nécessaires à l'élaboration d'une politique de services publiques.
Book Synopsis Children's Primary Care and Chronic Health Care Issues by : United States. Congress. Senate. Committee on Finance
Download or read book Children's Primary Care and Chronic Health Care Issues written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 1989 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid Managed Care by : Kathryn G. Allen
Download or read book Medicaid Managed Care written by Kathryn G. Allen and published by DIANE Publishing. This book was released on 2000-10 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: Capitated managed care plans, which deliver medical services for a fixed per-person fee, are an increasingly common part of Medicaid, the federal-state health care program for certain low-income individuals, including adults & children in families, & aged, blind, & disabled people. This report: examines the implications of the Balanced Budget Act (BBA) of 1997 provisions defining this population; provides an update on the number of states enrolling children with special needs in capitated health plans, & assesses the steps the Health Care Financing Admin. has taken to establish appropriate safeguards for this population. Charts & tables.
Book Synopsis Health Insurance for Children by : United States. General Accounting Office
Download or read book Health Insurance for Children written by United States. General Accounting Office and published by . This book was released on 1995 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicaid and Chip by : Government Accountability Office
Download or read book Medicaid and Chip written by Government Accountability Office and published by . This book was released on 2017-08-17 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Medicaid and the Children's HealthInsurance Program (CHIP)-twojoint federal-state health careprograms for certain low-incomeindividuals-play a critical role inaddressing the health care needs ofchildren. The Children's HealthInsurance Program ReauthorizationAct of 2009 required GAO to studychildren's access to care underMedicaid and CHIP, includinginformation on physicians'willingness to serve children coveredby Medicaid and CHIP.GAO assessed (1) the extent to whichphysicians are enrolled and servingchildren in Medicaid and CHIP andaccepting these and other children asnew patients, and (2) the extent towhich physicians experiencedifficulty referring children inMedicaid and CHIP for specialty care,as compared to privately insuredchildren. GAO conducted a nationalsurvey of nonfederal primary andspecialty care physicians who servechildren, and asked about theirenrollment in state Medicaid andCHIP programs, whether they servedand accepted Medicaid and CHIP andprivately insured children, and theextent to which they experienceddifficulty referring children inMedicaid and CHIP and privatelyinsured children to specialty care.GAO also interviewed officials withthe Centers for Medicare & MedicaidServices (CMS), an agency within theDepartment of Health and Human..."
Book Synopsis Children with Special Health Care Needs in Commercial Managed Care by : Henry T. Ireys
Download or read book Children with Special Health Care Needs in Commercial Managed Care written by Henry T. Ireys and published by . This book was released on 2002 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
