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Full-Text Articles in Health Policy
The Role Of Medicaid In Promoting Access To High-Quality, High-Value Maternity Care, Anne R. Markus, Sara J. Rosenbaum
The Role Of Medicaid In Promoting Access To High-Quality, High-Value Maternity Care, Anne R. Markus, Sara J. Rosenbaum
Health Policy and Management Faculty Publications
The main purpose of this article is to analyze and describe the role of Medicaid in facilitating access to care for pregnant women and ensuring high-quality maternity care that is affordable. It first summarizes the federal Medicaid requirements regarding eligibility, coverage of benefits, financing, and service delivery, with a special emphasis on existing quality provisions. Then, it discusses current issues and recommends several Medicaid reforms, particularly in the area of quality assessment and improvement. All reforms, including Medicaid reforms, should seek to support the IOM-identified aims. Much of the emphais in Medicaid policy development has been focused on access to …
U.S. District Court Directs Fda To Reevaluate Previous Plan B Decision, Susan F. Wood, D. Richard Mauery
U.S. District Court Directs Fda To Reevaluate Previous Plan B Decision, Susan F. Wood, D. Richard Mauery
Health Policy and Management Faculty Publications
Judge Edward R. Korman of the U.S. District Court, Eastern District of New York, issued a decision today (Mar. 23, 2009) in the case of Annie Tummino et al v. Frank M. Torti, Acting Commissioner of the Food and Drug Administration. The case involved plaintiffs' claims that the FDA, in deciding that Plan B, known as emergency contraception or the morning-after pill, be made available over-the-counter (OTC) only with age restrictions, was unduly and inappropriately influenced by pressures from the White House among other factors.
Monitoring And Assessing The Use Of External Quality Review Organizations To Improve Services For Young Children: A Toolkit For State Medicaid Agencies, Tara Krissik, Henry T. Ireys, Anne R. Markus, Sara J. Rosenbaum
Monitoring And Assessing The Use Of External Quality Review Organizations To Improve Services For Young Children: A Toolkit For State Medicaid Agencies, Tara Krissik, Henry T. Ireys, Anne R. Markus, Sara J. Rosenbaum
Health Policy and Management Faculty Publications
Federal regulations encourage state Medicaid agencies to use external quality review organizations (EQROs) to help implement strategies for assessing and improving the quality of medical services provided to beneficiaries enrolled in managed care plans. However, many states have not availed themselves of this opportunity and may lack guidance on how to do so. This report provides agencies with specifications for developing a scope of work that will lead to conceptually and methodologically sound studies of the quality of preventive and developmental services for young children enrolled in Medicaid. Among other recommendations, the authors note that states may require EQROs to …
Cms' Medicaid Regulations: Implications For Children With Special Health Care Needs, Sara J. Rosenbaum
Cms' Medicaid Regulations: Implications For Children With Special Health Care Needs, Sara J. Rosenbaum
Health Policy and Management Faculty Publications
The Centers for Medicare and Medicaid Services (CMS) is currently engaged in a policy initiative that should serve as a reminder of the power of a single federal administrative agency to change the course of national health policy. Through a virtual deluge of regulations and policy issuances, CMS has sought to redirect the course of Medicaid; in a number of respects, the course that CMS has sought to chart for the program is not only poorly thought out and ill-considered, but would actually propel the program in a direction directly contrary to both longstanding federal statutory provisions and recent decisions …
Parental Health Insurance Coverage As Child Health Policy: Evidence From The Literature, Sara J. Rosenbaum, Ramona Whittington
Parental Health Insurance Coverage As Child Health Policy: Evidence From The Literature, Sara J. Rosenbaum, Ramona Whittington
Health Policy and Management Faculty Publications
One of the policy questions expected to receive considerable attention during the State Children's Health Insurance Program (SCHIP) reauthorization process is whether — and if so, under what circumstances — to permit states to use SCHIP funds to cover parents. In 2006, the average Medicaid income eligibility level for coverage of working parents stood at 65% of the federal poverty level, and 15 states and the District of Columbia set income eligibility levels for this group at 100 percent of the federal poverty level or higher.1 In 2005, 8 states used some portion of their SCHIP allotment funding, in combination …
Accountability In Medicaid Managed Care: Implications For Pediatric Health Care Quality, Sara J. Rosenbaum, Anne R. Markus, Colleen Sonosky, Lee Repasch, D. Richard Mauery, Andy Schneider
Accountability In Medicaid Managed Care: Implications For Pediatric Health Care Quality, Sara J. Rosenbaum, Anne R. Markus, Colleen Sonosky, Lee Repasch, D. Richard Mauery, Andy Schneider
Health Policy and Management Faculty Publications
This study examines the structure and operation of Medicaid and State Children's Health Insurance Program (SCHIP) health care access and quality monitoring systems for children enrolled in comprehensive managed care arrangements. As the single largest purchasers of pediatric health care in the U.S., Medicaid and SCHIP agencies play a potentially powerful role in pediatric health policy. How these agencies approach, design, and carry out health quality monitoring activities has the potential to have a major impact not only for poor and low-income children, but for the entire pediatric health system. Even when these systems are developed exclusively for publicly insured …