Journal article
Medicaid and the Children's Health Insurance Program: Optimization to Promote Equity in Child and Young Adult Health
Pediatrics (Evanston), v 152(5), 2023064088
01 Nov 2023
PMID: 37860840
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The American Academy of Pediatrics envisions a child and adolescent health care system that provides individualized, family-centered, equitable, and comprehensive care that integrates with community resources to help each child and family achieve optimal growth, development, and well-being. All infants, children, adolescents, and young adults should have access to this system. Medicaid and the Children's Health Insurance Program (CHIP) provide critical support and foundation for this vision. Together, the programs currently serve about half of all children, many of whom are members of racial and ethnic minoritized populations or have complex medical conditions. Medicaid and CHIP have greatly improved the health and well-being of US infants, children, adolescents, and young adults. This statement reviews key program aspects and proposes both program reforms and enhancements to support a higher-quality, more comprehensive, family-oriented, and equitable system of care that increases access to services, reduces disparities, and improves health outcomes into adulthood. This statement recommends foundational changes in Medicaid and CHIP that can improve child health, achieve greater equity in health and health care, further dismantle structural racism within the programs, and reduce major state-by-state variations. The recommendations focus on (1) eligibility and duration of coverage; (2) standardization of covered services and quality of care; and (3) program financing and payment. In addition to proposed foundational changes in the Medicaid and CHIP program structure, the statement indicates stepwise, coordinated actions that regulation from the Centers for Medicare and Medicaid Services or federal legislation can accomplish in the shorter term. A separate technical report will address the origins and intents of the Medicaid and CHIP programs; the current state of the program including variations across states and payment structures; Medicaid for special populations; program innovations and waivers; and special Medicaid coverage and initiatives.
Metrics
Details
- Title
- Medicaid and the Children's Health Insurance Program: Optimization to Promote Equity in Child and Young Adult Health
- Creators
- Jennifer D. Kusma - Northwestern UniversityJean L. Raphael - Baylor College of MedicineJames M. Perrin - Harvard UniversityMark L. Hudak - Florida College
- Contributors
- Renee M Turchi (Committee Member) - Drexel University, Community Health and Prevention
- Publication Details
- Pediatrics (Evanston), v 152(5), 2023064088
- Publisher
- American Academy of Pediatrics
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:001154040300028
- Scopus ID
- 2-s2.0-85175742343
- Other Identifier
- 991021474161504721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics