Using data from the National Survey for Children with Special Health Care Needs, the authors of an article in Academic Pediatrics examined the 10-year trend in progress towards "adequate private and/or public health insurance and financing to pay for the needed services" for children with special health care needs (CSHCN).
This financing measure is one of six Maternal and Children Health Bureau (MCHB) core outcomes for CSHCN. Overall, from 2001 to 2009-10, there was a decrease in the number of CSHCN without insurance. Other findings include:
- A decline in the number of CSHCN with private insurance and an increase in the number of CSHCN with public coverage;
- Adequacy of insurance (insurance usually or always covered needed services, out-of-pocket costs that were usually or always reasonable, and child's insurance usually or always provided access to needed health providers) improved for children with public coverage (Medicaid or CHIP);
- For children with private coverage, there was no change in covered services or ability to see needed providers; however, an increased number of families reported the out-of-pocket costs associated with their child’s health care were not reasonable; and,
- Inequities in coverage persist for CSHCN by race/ethnicity, age, functional status, and household income.
Subscribers to Academic Pediatrics can read the full article here.
Reem M. Ghandour and Marie Y. Mann, US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau
Meg Comeau, Carol Tobias, Beth Dworetzky, Rose Hamershock and Sara S. Bachman, Catalyst Center, Health & Disability Working Group, Boston University School of Public Health
Lynda Honberg, Family Voices