States have great latitude to determine the scope of dental benefits that they will cover for adults through their Medicaid programs. While some states cover comprehensive benefits, others cover emergency dental care only or none at all. This variation in coverage matters. Without adequate dental coverage, people face major barriers to getting care they need to stay healthy. To better understand the consequences of insufficient dental coverage, Families USA conducted a survey of states that cover emergency-only dental services.
This issue brief provides a comprehensive look at the EPSDT benefit, including a plan-to-plan comparison with large scale health plans in two states and the Federal Employee Health Benefit Program (FEHBP). That comparison shows that Medicaid’s EPSDT benefit consistently offers more comprehensive coverage for children and greater financial protections for families. It is the gold standard in children’s health coverage.
Health Services Initiatives: Using a CHIP State Plan Option to Address Asthma Among Children in Low-Income Households
Asthma remains one of the most pressing, costly, and persistent public health problems. It affects more than 26 million people in the United States, including over 6 million children. In-home interventions and other community-based activities can be highly effective in addressing asthma and its triggers. Yet a lack of coverage under the Children’s Health Insurance Program (CHIP) and Medicaid creates barriers to providing these nontraditional services.
Both a call to action and a roadmap for progress, Families USA’s latest report, Health Reform 2.0 lays out a path for securing high-quality, affordable health care to all Americans—regardless of income, age, race, or ethnicity—and for achieving the “Triple Aim”: improving health, enhancing quality of care, and reducing health care costs.
Explains how reference pricing programs, when implemented in consumer-friendly ways, can minimize price variation and encourage consumers to shop for care based on price and quality.
Although the Affordable Care Act now offers individuals greatly expanded access to health coverage, simply having an insurance card does not guarantee access to high-quality health care.
Outlines five key elements of consumer-friendly health insurance marketplaces (also known as exchanges) offers tips for making sure plans sold in those marketplaces meet consumers' needs .
What makes up an “adequate” network of health care providers for consumers from diverse racial and ethnic groups? Our new brief describes policies to help achieve such networks—and strategies to put these policies in place.