State Insurance Parity Legislation for Autism Services and Family Financial Burden

2012 ◽  
Vol 50 (3) ◽  
pp. 190-198 ◽  
Author(s):  
Susan Parish ◽  
Kathleen Thomas ◽  
Roderick Rose ◽  
Mona Kilany ◽  
Robert McConville
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Financial Burden ◽  
Children With Autism ◽  
Health Care Expenditures ◽  
Family Characteristics ◽  
Children's Health ◽  
Children’S Health ◽  
Care Costs ◽  
Children’S Health Care

Abstract We examined the association between states' legislative mandates that private insurance cover autism services and the health care–related financial burden reported by families of children with autism. Child and family data were drawn from the National Survey of Children with Special Health Care Needs (N  =  2,082 children with autism). State policy characteristics were taken from public sources. The 3 outcomes were whether a family had any out-of-pocket health care expenditures during the past year for their child with autism, the expenditure amount, and expenditures as a proportion of family income. We modeled the association between states' autism service mandates and families' financial burden, adjusting for child-, family-, and state-level characteristics. Overall, 78% of families with a child with autism reported having any health care expenditures for their child for the prior 12 months. Among these families, 54% reported expenditures of more than $500, with 34% spending more than 3% of their income. Families living in states that enacted legislation mandating coverage of autism services were 28% less likely to report spending more than $500 for their children's health care costs, net of child and family characteristics. Families living in states that enacted parity legislation mandating coverage of autism services were 29% less likely to report spending more than $500 for their children's health care costs, net of child and family characteristics. This study offers preliminary evidence in support of advocates' arguments that requiring private insurers to cover autism services will reduce families' financial burdens associated with their children's health care expenses.

scholarly journals Cutting Children’s Health Care Costs

PEDIATRICS ◽  
2018 ◽  
Vol 142 (2) ◽  
pp. e20181549 ◽  
Author(s):  
Christopher P. Landrigan
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Children's Health ◽  
Children’S Health ◽  
Care Costs ◽  
Children’S Health Care

Making the Case for Value-Based Payment Reform in Children’s Health Care

2018 ◽  
Vol 172 (6) ◽  
pp. 513 ◽  
Author(s):  
Charlene A. Wong ◽  
James M. Perrin ◽  
Mark McClellan
Keyword(s):  
Health Care ◽  
Children's Health ◽  
Children’S Health ◽  
Payment Reform ◽  
Children’S Health Care

Final Report of the FOPE II Financing of Pediatric Education Workgroup

PEDIATRICS ◽  
2000 ◽  
Vol 106 (Supplement_E1) ◽  
pp. 1256-1270 ◽  
Author(s):  
M. Douglas Jones ◽  
Thomas Boat ◽  
Robert Adler ◽  
Harlan R. Gephart ◽  
Lucy M. Osborn ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Medical Student ◽  
Children's Health ◽  
Children’S Health ◽  
Care Hospital ◽  
Children's Hospitals ◽  
Health Maintenance ◽  
Children’S Hospitals ◽  
Children’S Health Care

Some of the challenges of financing pediatric medical education are shared with all medical education; others are specific to pediatrics. The general disadvantage that funding of graduate medical education (GME) is linked to reimbursement for clinical care has uniquely negative consequences for freestanding children's hospitals because they therefore receive little Medicare GME support. This represents both a competitive disadvantage for such hospitals and an aggregate federal underinvestment in children's health care that now amounts to billions of dollars. The need to subsidize medical student and subspecialty education with clinical practice revenue jeopardizes both activities in pediatric departments already burdened by inadequate reimbursement for children's health care and the extra costs of ambulatory care. The challenges of funding are complicated by rising costs as curriculum expands and clinical education moves to ambulatory settings. Controversies over prioritization of resources are inevitable. Solutions require specification of costs of education and a durable mechanism for building consensus within the pediatric community. Pediatrics2000;106(suppl):1256–1269; medical student education, continuing medical education, medical subspecialties, children, pediatrics, health maintenance organizations, managed care, hospital finances, children's hospitals.

scholarly journals Comparing Three Methods to Capture Multidimensional Service Experience in Children’s Health Care: Video Diaries, Narratives, and Semistructured Interviews

2019 ◽  
Vol 18 ◽  
pp. 160940691983511
Author(s):  
Lauri Litovuo ◽  
Nina Karisalmi ◽  
Leena Aarikka-Stenroos ◽  
Johanna Kaipio
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Service Providers ◽  
Health Care Service ◽  
Children's Health ◽  
Children’S Health ◽  
Service Experience ◽  
Semistructured Interviews ◽  
Child Patients ◽  
Children’S Health Care

Interest in studying experiences has grown rapidly; however, little attention has been paid to the applicability of qualitative methods for capturing the service experience in children’s health care. This study examined and compared three data collection methods to capture the multidimensional service experience of child patients and their families: video diaries with child patients, narrative interviews with parents of a child patient, and semistructured interviews with health-care professionals working with child patients. The methods were analyzed with respect to their benefits and limitations and their applicability for capturing the multidimensional service experience presented by service experience co-creation framework, including the temporal, factual, spatial, locus, control, and organizational dimensions. The key findings are as follows: (A) The video diary method has the potential to capture the temporally broad and spatially complex phenomenon of child patients’ service experience and enables researchers to capture service experience created beyond the hospital setting (e.g., through hobbies or in school). (B) Narratives with parents have the potential to capture the temporal, spatial, locus, and organizational dimensions through stories and are well-suited for mapping children’s experiences and the actors influencing them. (C) Semistructured interviews with health-care professionals have the potential to capture a generalized but temporally narrow view of the service experience of child patients, concentrating on experiences within hospital settings. This is beneficial for developing health-care service providers’ actions. Structured analysis and comparison of methods guides researchers to select appropriate methods to take a complementary approach in the understanding of experiences in the context of children’s health care.

scholarly journals A National Survey of Parent Perspectives on Use of Patient Portals for Their Children’s Health Care

2015 ◽  
Vol 06 (01) ◽  
pp. 110-119 ◽  
Author(s):  
L.E. Costello ◽  
A. Gebremariam ◽  
K.J. Dombkowski ◽  
S.J. Clark
Keyword(s):  
Health Care ◽  
National Survey ◽  
Children's Health ◽  
Children’S Health ◽  
Patient Portal ◽  
Parent Perspectives ◽  
Patient Portals ◽  
Current Utilization ◽  
Willingness To Use ◽  
Children’S Health Care

SummaryObjectives: To assess parents’ current utilization and future willingness to use patient portals to interact with their child’s health care provider.Methods: A cross-sectional survey of a nationally representative sample of US parents was conducted using an established online panel. Bivariate analyses assessed associations between current utilization and future willingness to use patient portals, parental concerns, and demographic variables.Results: Among the 1,420 parent respondents, 40% did not know whether their child’s health practice offers the option of setting up a patient portal for their child. Of the 21% of parents who reported being offered the option of setting up a patient portal for their child, 59% had done so. Among parents who had the option but chose not to set up a patient portal for their child, lack of time and low perceived need were the main reasons cited. Current use and likelihood of future use was highest for viewing lab results and immunization records. The most common concern about patient portals was the security of the child portal system.Conclusions: Current use of patient portals by parents is low. Only about half of parents currently using or likely to use a portal perceive value in using portals for certain tasks, which suggests that providers will need to continue traditional communication mechanisms to reach their entire patient population.Citation: Clark SJ, Costello LE, Gebremariam A, Dombkowski KJ. A national survey of parent perspectives on use of patient portals for children’s health care. Appl Clin Inf 2015; 6: 110–119http://dx.doi.org/10.4338/ACI-2014-10-RA-0098

Sign in / Sign up

Export Citation Format

Share Document