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.
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.
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.
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.
Community Health Workers in Delivery and Payment Transformation: How New Delivery and Payment Models Can Incentivize and Support the Use of CHWs
The current attention on implementing delivery and payment reforms to improve the quality of care and health outcomes while reducing costs creates an important opportunity for greater integration of CHWs into the health care system and for providing more sustainable financing for CHWs. In this brief, we detail how health system transformation initiatives in Vermont and Oregon align with the value that CHWs provide and how these initiatives can incentivize CHW integration.
The State Innovation Model (SIM) grant program gives states funding and technical assistance to design and test new ways to provide and pay for health care. This brief examines the six states that received Round 1 SIM Testing grants to identify best practices for consumer advocate engagement.
This brief highlights the value of integrating CHWs into maternal and child health care delivery to effectively address a range of health care concerns and conditions for children and families, offering examples of specific initiatives that are promising or have demonstrated impact in improving health care and health outcomes for children of color.
Explains value-based insurance design and high-value care, outlines the key elements that value-based insurance should include.
Health Coverage Matters for Children: The Role of Medicaid in the Healthy Development of America's Children
Access to health care is crucial to children’s health and development. When children have health insurance, they are more likely to get the health care they need. For more than 40 percent of children in the U.S.—approximately 37 million children—Medicaid is the health insurance they rely on. Another 8.9 million children are enrolled in the Children’s Health Insurance Program (CHIP), Medicaid’s sister program. The success of Medicaid and CHIP is largely responsible for the fact that 95 percent of children under 18 have some form of health coverage.