Transforming Clinical Practice Initiative Boosted Participation in Medicare Alternative Payment Models

The Centers for Medicare & Medicaid Services' (CMS's) Transforming Clinical Practice Initiative (TCPi) was the largest national-scale practice transformation model.

Factors Associated with Parental COVID-19 Vaccination Acceptance

As the coronavirus pandemic continues to impact families and children, understanding parental attitudes and likely acceptance of the COVID-19 vaccine is essential.

Well-Being of Parents and Children During the COVID-19 Pandemic: A National Survey

As the COVID-19 pandemic spread across the US and protective measures to mitigate its impact were enacted, parents and children experienced widespread disruptions in daily life.

Advancing the Dissemination of Innovations in Pediatric Health Care Delivery

The work of pediatrics is changing rapidly. In recent years, we have seen rises in chronic illness and mental health needs among children.

Learning More for Children from Medicaid and CHIP Policy Experiments

Experiments in Medicaid policy are common, and likely to become more common in the future.

Parent Partners: Evaluation of a Novel Peer-Support Intervention for the Caregivers of Children Hospitalized for Behavioral Health Conditions

Ninety-six percent of caregivers who were offered the intervention engaged with a parent partner.

TRICARE for Children: Between Medicaid and Marketplace Plans for Comprehensiveness and Cost Sharing

This study in a special issue of Health Affairs finds TRICARE in the middle of a spectrum of coverage and cost sharing for children.

Leveraging Benchmarks, Advisory Groups, and Experts to Understand Access in Medicaid

This brief presents a process that staff in state Medicaid agencies can use to engage resources—such as benchmarks, subject matter experts, and advisory groups—in the development of their access monitoring review plans.

Strategies to Compare Access to Care Among Medicaid Beneficiaries Versus other Populations

This brief presents statistical methods that staff in state Medicaid agencies could use to assess how well their Medicaid program is meeting the goal of access to care for Medicaid beneficiaries that is comparable to that for populations with other sources of coverage.

Methods to Identify Changes in Access Among Medicaid Beneficiaries

This brief presents methods that state Medicaid agencies can use to assess changes in access as part of their AMRPs.

Care Coordination for Children with Special Needs in Medicaid: Lessons from Medicare

As increasing numbers of children with special healthcare needs move into Medicaid managed care, health plans can improve care coordination using evidence from Medicare.

The “Battle” of Managing Language Barriers in Health Care

Providing safe and high-quality health care for children whose parents have limited English proficiency (LEP) remains challenging.

Primary Care Physicians’ Experiences With and Attitudes Toward Pediatric Quality Reporting

While pediatric quality reporting is considered a promising strategy, in this study state efforts appeared insufficient to overcome the barriers to using reports to guide practice-based quality improvement.

Physician Perspectives on Medical Home Recognition for Practice Transformation for Children

Patient-centered medical home recognition can be valuable to practices as public acknowledgement to payers and patients that certain processes are in place, and can also catalyze new and continued transformation.

Associations Between Practice-Reported Medical Homeness and Health Care Utilization Among Publicly Insured Children

The patient-centered medical home (PCMH) is widely promoted as a model to improve the quality of primary care and lead to more efficient use of health care services.

Children with Special Health Care Needs in CHIP: Access, Use, and Child and Family Outcomes

The outcomes of Children's Health Insurance Program (CHIP) coverage for children with special health care needs (CSHCN) have not been assessed in the last decade.

Parents' Preferences for Enhanced Access in the Pediatric Medical Home: A Discrete Choice Experiment

Efforts to transform primary care through the medical home model might have limited effectiveness if they do not incorporate families’ preferences for different primary care services.

Evaluating Collaborations in Comparative Effectiveness Research: Opportunities and Challenges for Social Network Analysis

Multidisciplinary, multi-institutional collaboration has become a key feature of comparative effectiveness research (CER), and CER funders have made promotion of these types of collaboration an implicit, and sometimes explicit, goal of funding.

Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, First Annual Report Volume I: Technical Report

In July 2012, the Center for Medicare & Medicaid Innovation (CMMI) awarded cooperative agreements to a select group of programs proposing innovative ways to improve the quality and lower the cost of care for Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollees.

CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings

This is the final report on findings from an evaluation of the Children’s Health Insurance Program (CHIP) that was mandated in the CHIP Reauthorization Act.

CHIPRA Quality Demonstration States Help School-Based Health Centers Strengthen their Medical Home Features (Brief)

This brief presents descriptive and analytic findings from the national evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program.

How are CHIPRA Quality Demonstration States Designing and Implementing Caregiver Peer Support Programs?

This brief focuses on efforts in four states—Georgia, Idaho, Maryland, and Utah—to expand access to peer support for caregivers of children with special health care needs.

Association Between NCQA Patient-Centered Medical Home Recognition for Primary Care Practices and Quality of Care for Children with Disabilities and Special Health Care Needs

The report finds no evidence to suggest that Medicaid-covered CSHCN attributed to NCQA PCMH-recognized providers had more favorable hospital or ED utilization patterns than comparison groups in any of the three states.

Parent Perspectives on Care Received at Patient-Centered Medical Homes for Their Children with Special Health Care Needs

The purpose of this study is to describe parents’ perspectives on the care received at medical homes and offer suggestions for ensuring that PCMH models benefit CSHCN and their families.

Physician Perspectives on the Influence of Medical Home Recognition on Practice Transformation and Care Quality for Children with Special Health Care Needs

The objective of this study was to examine the perspectives of primary care physicians who serve CSHCN on changes they and their practices made in order to achieve the highest level of NCQA PCMH-recognition.

Children with Disabilities and Special Health Care Needs in NCQA-Recognized Patient-Centered Medical Homes: Health Care Utilization, Provider Perspectives and Parental Expectations, Executive Summary

The studies summarized in this document were sponsored by the Office of the Assistant Secretary for Planning and Evaluation at the U.S. Department of Health and Human Services as part of the Center on Excellence in Disabilities Research.

Association Between Enhanced Access Services in Pediatric Primary Care and Utilization of Emergency Departments: A National Parent Survey

Measures the prevalence of enhanced access services in pediatric primary care and assesses whether enhanced access services are associated with lower emergency department utilization.

Parents' Preferences for Enhanced Access to the Pediatric Medical Home: A Qualitative Study

In this study 20 parents were interviewed about experiences accessing primary care for their children, priorities for enhanced access, and willingness to make trade-offs.

Relationship Between NCQA Medical Home Recognition and Health Care Utilization Among Children in Medicaid with Disabilities or Special Health Care Needs