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Related Concept Videos

Introduction To Health Care Delivery System01:18

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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Related Experiment Video

Updated: Apr 15, 2026

Effect of Hyaluronic Acid 35 kDa on an In Vitro Model of Preterm Small Intestinal Injury and Healing Using Enteroid-Derived Monolayers
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Assuring Adequate Health Insurance for Children With Special Health Care Needs: Progress From 2001 to 2009-2010.

Reem M Ghandour1, Meg Comeau2, Carol Tobias2

  • 1US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Office of Epidemiology and Research, Division of Epidemiology, Rockville, Md.

Academic Pediatrics
|April 14, 2015
PubMed
Summary

Health insurance for children with special health care needs (CSHCN) shows a shift towards public coverage, which offers better affordability and service adequacy. This trend improved access to necessary providers for CSHCN.

Keywords:
Affordable Care Actchildren with special health care needshealth insurance adequacytrends

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Area of Science:

  • Health Services Research
  • Pediatric Health Policy
  • Insurance Studies

Background:

  • Children with Special Health Care Needs (CSHCN) often face challenges with health insurance coverage and adequacy.
  • Understanding trends in insurance coverage is crucial for ensuring CSHCN receive necessary medical care.
  • Previous studies indicated varying levels of insurance adequacy for this population.

Purpose of the Study:

  • To analyze health insurance coverage and adequacy for CSHCN in 2009-2010.
  • To compare these findings with data from 2001, identifying changes over time.
  • To assess the impact of insurance type on coverage adequacy for CSHCN.

Main Methods:

  • Utilized data from the National Survey of Children with Special Health Care Needs (NS-CSHCN) from 2001 and 2009-2010.
  • Assessed insurance adequacy based on coverage status, service coverage, cost reasonableness, and provider access.
  • Employed bivariate and multivariable analyses to examine factors associated with adequate coverage and changes over time.

Main Results:

  • A notable shift occurred from private to public health insurance coverage for CSHCN between 2001 and 2009-2010.
  • Publicly insured CSHCN experienced increased adequacy in coverage, including better service access and affordability.
  • While overall uninsured rates declined, adequate coverage for privately insured CSHCN saw a slight decrease.

Conclusions:

  • The transition to public insurance for CSHCN is linked to improved affordability and better alignment with CSHCN needs.
  • Public coverage demonstrated superior adequacy in meeting service needs and facilitating access to necessary providers.
  • Policy efforts should consider the benefits of public insurance in ensuring comprehensive care for CSHCN.