States recently went through a period of rising Medicaid costs and declining revenue, creating pressure to cut the program, while economic hardships, population expansion, and changes in the private sector created counter pressures to swell its ranks. This roundtable, organized and moderated by Alan Weil, presents a variety of perspectives on recent events, including a national overview of how Medicaid and SCHIP fared relative to other state priorities, one state's experience with significant cuts and the research questions that arose from them, and another state's use of research and evidence to prevent having to make drastic reductions to its programs.
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http://dx.doi.org/10.1111/j.1475-6773.2006.00575.x | DOI Listing |
J Dent Hyg
June 2023
Adult and Child Center for Health Outcomes, Research and Delivery Science, Anschutz Medical Campus, University of Colorado, Aurora, CO, USA.
This case report describes the implementation approach and evaluation of a medical-dental integration (MDI) project in Colorado that embedded dental hygienists (DHs) into 10 medical practice settings. Through the MDI Learning Collaborative, DHs were integrated into primary care medical care practices to provide full-scope dental hygiene care to patients. Dental hygienists were trained to collect quality-improvement metrics on all encounters, including untreated tooth decay, and referred patients with restorative needs to partnering dentists.
View Article and Find Full Text PDFJ Public Health Dent
January 2022
Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
Objective: To examine the association between Medicaid dental coverage for adult pregnant women with dental care utilization during pregnancy.
Methods: Pregnancy risk assessment monitoring system (PRAMS) data (2014-2015) and the Medicaid-SCHIP state dental association (MSDA) national profiles (2014-2015) were used in this study. The study sample included 16,612 Medicaid-enrolled women, for a weighted number of 965,046 women from 26 states and New York City.
J Public Econ
May 2021
Urban Institute, 500 L'Enfant Plaza SW, Washington, DC 20024, United States of America.
We address a question at the center of many policy debates: how effective is the US safety net? Many existing studies evaluate the effect of one program on economic hardship in isolation, though families typically participate in multiple programs. Using 1992-2011 data from the Survey of Income and Program Participation, our analyses examine the simultaneous effect of participation in three programs, TANF, SNAP, or Medicaid/SCHIP, on a set of outcomes of intrinsic importance-measures of material hardship. We find that a 10 percentage point increase in participation in any of these three safety net programs by low-to-moderate income families with children reduces their average number of hardships by 0.
View Article and Find Full Text PDFSoc Sci Med
July 2021
School of Economics, Huazhong University of Science and Technology, 1037 Luoyu Road, Wuhan, 430074, China. Electronic address:
This paper examines the effects of public health insurance expansions on the mental health care utilization and mental and behavioral health of children 6-17 years old. We leverage major expansions in public health insurance eligibility for children and adolescents under Medicaid and the State Children's Health Insurance Program during 1997-2002 to examine mental health care utilization and outcomes for children in the National Survey of America's Families. The study examines these dynamics by gender of children due to their distinct mental health care patterns and risks.
View Article and Find Full Text PDFAcad Pediatr
March 2020
Department of Pediatrics, Albert Einstein College of Medicine/Children's Hospital at Montefiore (REK Stein), New York, NY.
Objective: The Supplemental Security Income (SSI) program for children with disabilities has come under recent public and political scrutiny. We sought to determine if children with special health care needs (CSHCN) on Medicaid/SCHIP who receive SSI for disability were more severely impacted by their health conditions compared to other CSHCN on Medicaid/SCHIP by comparing their health service utilization, markers of quality health care, and family impacts.
Methods: Using the 2009/2010 National Survey of CSHCN, we divided the population of CSHCN on Medicaid/SCHIP into 2 groups: CSHCN on SSI for disability and other CSHCN.
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