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Full-Text Articles in Health Policy
Strategies For Improving Access To Comprehensive Obesity Prevention And Treatment Services For Medicaid-Enrolled Children, Sara E. Wilensky, Ramona Whittington, Sara J. Rosenbaum
Strategies For Improving Access To Comprehensive Obesity Prevention And Treatment Services For Medicaid-Enrolled Children, Sara E. Wilensky, Ramona Whittington, Sara J. Rosenbaum
Health Policy and Management Issue Briefs
This policy brief builds on our prior work for the Robert Wood Johnson Foundation. In 2005, The George Washington University School of Public Health and Health Services (GW) evaluated the role of public and private insurance in financing preventive care and treatment for at-risk and obese children. One of the key findings from that report was that Medicaid's existing Early and Periodic Screening Diagnostic and Treatment (EPSDT) coverage standards provide for comprehensive, obesity-related pediatric health care interventions. Using data drawn from state Medicaid programs, this report examines the extent to which state programs use the Medicaid EPSDT benefit to address …
Defined-Contribution Plans And Limited-Benefit Arrangements: Implications For Medicaid Beneficiaries, Sara J. Rosenbaum
Defined-Contribution Plans And Limited-Benefit Arrangements: Implications For Medicaid Beneficiaries, Sara J. Rosenbaum
Health Policy and Management Issue Briefs
This Policy Brief explores the implications of state Medicaid reforms – whether implemented either as §1115 demonstrations or as part of state plan flexibility measures under the Deficit Reduction Act of 2005 (P.L. 109-171) – that limit benefits, coverage, and payments for medically necessary health care. Following a background and overview, the Policy Brief identifies a series of considerations that come into play when states approach the issue of benefit re-design, particularly in the context of developing coverage innovations that utilize "consumerdriven" and "defined-contribution" arrangements. As used in this Policy Brief, the term "defined-contribution" means the payment of a flat, …
The Legality Of Collecting And Disclosing Patient Race And Ethnicity Data, Sara J. Rosenbaum, Taylor Burke, Sonia W. Nath, Jennifer Santos, Dana Thomas
The Legality Of Collecting And Disclosing Patient Race And Ethnicity Data, Sara J. Rosenbaum, Taylor Burke, Sonia W. Nath, Jennifer Santos, Dana Thomas
Health Policy and Management Issue Briefs
This policy brief weighs whether the collection of patient data by race or ethnicity, as part of a program of quality improvement, violates the law.
From Schip Benefit Design To Individual Coverage Decisions, Anne R. Markus, Sara J. Rosenbaum, Ruth E. K. Stein, Jill Joseph
From Schip Benefit Design To Individual Coverage Decisions, Anne R. Markus, Sara J. Rosenbaum, Ruth E. K. Stein, Jill Joseph
Health Policy and Management Issue Briefs
The majority of states have implemented separate SCHIP (S-SCHIP) programs that significantly depart from Medicaid and resemble less comprehensive commercial products. This difference in program design may result in S-SCHIP potentially being less responsive to children with special needs (CSHCNs). This study explores how responsive insurers are to these higher than average needs. We found that, with one exception, insurers did not agree on the coverage of any specific service, but overall they provided coverage beyond state limits and exclusions. Second, the less acute the childhood condition, the more frequently insurers imposed exclusions. Finally, in the majority of states, some …