Pediatric Healthcare

Does Medicaid Managed Care Impact Specialty Care Access for Kids?

October 11, 2023 - Medicaid managed care enrollment was not associated with poorer specialty care access for children with special healthcare needs, but it was tied to greater caregiver frustration and reduced mental healthcare access, a study found. Children with special healthcare needs used to be exempted from Medicaid managed care, but as of 2019, they were...

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Mortality Rates Among Women and Children Are Rising, UHG Report Finds

by Victoria Bailey

Mortality rates among women and children grew between 2018 and 2021, emphasizing the importance of prioritizing preventive care and public health interventions, a report from the United Health...

How Does Medicaid Cover Obesity Treatments for Children?

by Victoria Bailey

As obesity treatments become more popular, Medicaid plays a key role in facilitating access to and coverage of these services for children, according to a KFF issue brief. Obesity can increase the...

Partnership to Improve Care Access for Florida Medicaid Beneficiaries

by Mark Melchionna

A value-based agreement between Sunshine Health and Johns Hopkins All Children’s Hospital aims to provide Florida Medicaid beneficiaries with improved access to primary care and incentivize...

CareSource Enters Value-Based Agreement to Improve Pediatric Health Outcomes

by Victoria Bailey

CareSource has entered into a value-based agreement with a clinically integrated network to improve pediatric health outcomes for Georgians. The partnership between the health plan and The...

UHC Grants $275K to Address Social Determinants of Health for Foster Kids

by Victoria Bailey

UnitedHealthcare Community Plan of North Carolina is granting $275,000 to three local organizations to help address social determinants of health for children in kinship and foster care. “Caring...

Out-of-Pocket Spending for Pediatric Hospitalizations Reached $3,000

by Victoria Bailey

The average out-of-pocket spending per non-birth-related pediatric hospitalization was $1,313 for privately insured children, but spending varied depending on the time of the year, chronic condition...

Low Value Care in Pediatric, Inpatient Care Cost $17M in 2019

by Kelsey Waddill

Low-value care in pediatric inpatient care has a high price tag, according to a recent study published in JAMA Network Open on pediatric hospital spending for low-value services. “As...

Medicaid Managed Care Shows Marginal Increase in Preventative Care

by Hannah Nelson

Although children enrolled in Medicaid managed care plans increased over the past seventeen years, children’s preventative care rates still fall short of the Centers for Medicare and Medicaid...

How Do Medicaid Programs Cover Pediatric Curative, Hospice Care?

by Kelsey Waddill

States use Affordable Care Act flexibilities in innovative ways to set definitions for curative care, implement reimbursement models, and care coordination in Medicaid pediatric care for children with...

How Provider Relationships Shape VBC Pediatric Quality Measures

by Kelsey Waddill

If value-based care in pediatric healthcare truly is the future of value-based care, payers need to leverage strong provider relationships to establish effective pediatric quality measures in order to...

Why the Future of Value-Based Care Begins with Children’s Health

by Emily Sokol, MPH

The healthcare industry is continuing to shift its focus from volume to value. Various value-based care models focus on delivering the highest quality care to patients for the lowest...

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