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Published on: January 12, 2018
Improving access to health care for children
1Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, USA. julieas@pobox.upenn.edu
Insights
Many eligible low-income children remain uninsured due to gaps in government health insurance. Improved outreach is crucial for Medicaid and new child health programs to succeed.
Area of Science:
- Public Health
- Health Policy
- Pediatric Health
Background:
- The number of uninsured children is increasing significantly.
- Children in lower-income families are disproportionately affected by gaps in government health insurance programs.
- Current policy initiatives may be insufficient to cover all eligible children.
Purpose of the Study:
- To examine the reasons behind the growing number of uninsured children.
- To assess the adequacy of existing government-sponsored health insurance programs.
- To identify strategies for improving health insurance coverage for low-income children.
Main Methods:
- Analysis of insurance status among children.
- Review of government-sponsored health insurance program policies.
- Assessment of factors contributing to enrollment gaps.
Main Results:
- A substantial number of low-income children are eligible for Medicaid but not enrolled.
- Welfare reform has contributed to an increase in uninsured children.
- Existing outreach efforts are insufficient to connect eligible children with available coverage.
Conclusions:
- Enhanced outreach strategies are necessary for Medicaid and new child health insurance programs.
- Healthcare providers should routinely assess patient insurance status and provide referrals.
- Comprehensive care includes ensuring access to essential health coverage for vulnerable children.
Issues And Purpose:
The number of uninsured children has been growing at an alarming rate. The most vulnerable children are those in lower-income families who are falling through the cracks between evolving government-sponsored health insurance programs. Recent policy initiatives may not be adequate to extend coverage to more children.
Conclusions:
Many low-income children actually are eligible for Medicaid but are not enrolled for a variety of reasons. The numbers of these children have risen due to welfare reform. Better outreach efforts are needed to ensure that new child health insurance programs and Medicaid expansions achieve their goals.
Implications For Practice:
A comprehensive assessment of insurance status and referral to community agencies should be an integral part of patient care for all healthcare providers.
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