In this Section
241064 Health care reform and its implications for children, nationally and in California
Wednesday, November 2, 2011
Medicaid and CHIP cover roughly one in three children and more than half of low-income children. While these programs have reached more than 80 percent of eligible children, more than two-thirds of currently uninsured children qualify but are not enrolled. This policy analysis examines how the Patient Protection and Affordable Care Act (ACA) could affect coverage and access for low-income children and their families, both nationally and in California.
ACA offers low-income children three potential gains: their parents will experience a substantial reduction in uninsurance, which will benefit their children in various ways; many uninsured children who already qualify for public programs will enroll; and currently ineligible, uninsured children will gain coverage because of new subsidies and ACA's individual mandate.
Several factors will determine if these gains fully materialize, including: cumbersome Medicaid eligibility methods that can prevent eligible families from enrolling; limited Medicaid provider reimbursement that can reduce access to care; potentially insufficient subsidies in new health insurance exchanges that could make coverage unaffordable for parents; and potential termination of federal CHIP funding after 2015, which could increase costs or reduce benefits for children.
To shape how these factors play out, state policymakers can: use new federal resources to develop information technology that makes eligibility determination more data-driven and family-friendly; improve Medicaid provider participation by expediting claims payment, promoting the adoption of telemedicine, and expanding the scope of practice for mid-level practitioners; and adopt ACA's Basic Health Program option to make coverage more affordable for low-income parents and their children.
Learning Areas:Conduct evaluation related to programs, research, and other areas of practice
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Keywords: Child Health, Health Insurance
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am the lead author on the article and possess over 20 years analyzing federal legislation related to children's health insurance.
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
See more of: Changing Systems and Practices in Maternal and Child Health
See more of: Maternal and Child Health