• Children with Special Health Care Needs and Managed Care: Approaches from Three States

    For families of children with special health care needs, the idea of managed care can be worrisome. Families fear that in the interest of cost savings and maximizing profits health plans will limit their children's care. A new study by the National Academy for State Health Policy, supported by the Lucile Packard Foundation for Children’s Health, examines how three states, including California, try to ensure that children with special health care needs are identified in managed care organizations and that their needs are assessed and appropriate care provided. The authors propose promising practices that states could adopt to meet the requirements of this population of children.

  • ITUP: Children’s Health Coverage Under the ACA

    This series of issue briefs, prepared by the Insure the Uninsured Project and funded by the Lucile Packard Foundation for Children’s Health, examines the impact of the Affordable Care Act on health insurance coverage for children in California, and offers recommendations on how the state might alter existing programs and systems to better serve children.

  • Next Steps Toward Care Coordination

    A recent survey indicates that California’s fragmented system of care is the main barrier to effective care coordination.

  • Teaching Families to Fish: How to Support Families as Care Coordinators

    What would care coordination look like if families received support and training for their role as principal care coordinators for their child with special health care needs? A new issue brief from the Lucile Packard Foundation for Children’s Health proposes a series of attributes that would characterize true family-centered care coordination. 

  • Private Coverage Under California’s Affordable Care Act: How Will Children with Special Health Care Needs Fare?

    High-end “platinum” coverage or basic catastrophic? In just a few months, many families of children with special health care needs must choose their level of health care coverage for 2014 under the Covered California Health Benefit Exchange. To make informed decisions, families will need to understand the benefits and markedly different cost-sharing requirements of the various products to be offered under the exchange plan. In this issue brief, Peggy McManus and Harriette Fox, of The National Alliance to Advance Adolescent Health, assesses the strengths and weaknesses of the proposed plan, and notes issues of particular concern for families of children with some special health care needs.

  • Habilitative Services Under the ACA: What States Should Consider

    Habilitative services, which help a person keep, learn or improve skills and functioning for daily living, are essential for many children with special health care needs. Under the Affordable Care Act, states will play a primary role in determining which services are covered. This paper outlines key factors states should keep in mind as they make their decisions.

  • Habilitative Services Coverage for Children Under the Essential Health Benefit Provisions of the Affordable Care Act

    Sara Rosenbaum, the Harold and Jane Hirsh Professor of Health Law and Policy at the George Washington University School of Public Health and Health Services, analyzes how habilitative services may be covered under the Essential Health Benefits Provisions of the Affordable Care Act.  The author notes that states will play a primary role in determining Essential Health Benefits, and that establishing state standards for health insurance plans sold in the individual and small group markets will be key to health policy for children with disabilities.

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