Our team has produced hundreds of papers, peer-reviewed articles, manuals, and other products on a range of topics related to health care access and service delivery.

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Webinar: Innovative Health Care Financing Strategies for Children and Youth with Special Health Care Needs: a supplement to the May 2017 issue of Pediatrics

Authors: Anderson, B., Bachman, S., Comeau, M., Long, T., Terranova, L.

Date: 2017

Project: The Catalyst Center

Keywords: CYSHCN, Financing

The Catalyst Center and the American Academy of Pediatrics (AAP) produced a special supplement to Pediatrics on value-based purchasing (VBP) and value-based insurance design (VBID) and their potential implications for children and youth with special health care needs (CYSHCN). Read the supplement, available to all free of charge.

In this June 13, 2017 webinar, Catalyst Center staff along with colleagues from the AAP presented an overview of VBP/VBID and their potential implications for CYSHCN, the perspective of families of CYSHCN on value and quality, key highlights from each of the Pediatrics supplement papers, and recommended resources.

Title V and Medicaid/CHIP Interactive Worksheets

Authors: Dworetzky, B.A., Charmchi, P., Ablavsky, E.

Date: 2017

Project: The Catalyst Center

Keywords: CYSHCN, Financing, Health Benefits, Maternal and Child Health, Medicaid/CHIP

The Catalyst Center created two interactive worksheets for Title V program staff, family leaders, and other stakeholders. These worksheets provide an overview of Title V, and Medicaid and the Children’s Health Insurance Program (CHIP). Each worksheet includes resources you can use to find and insert state-specific information to help demonstrate the importance of Title V, Medicaid and CHIP for children with special health care needs (CSHCN). The worksheets were created as companion materials to the Catalyst Center’s Public Insurance Programs and Children with Special Health Care Needs: A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program (CHIP).

Statement of the Problem: Health Reform, Value-Based Purchasing, Alternative Payment Strategies, and Children and Youth with Special Health Care Needs

Authors: Bachman, S., Comeau, M., Long, T.

Date: 2017

Project: The Catalyst Center

Keywords: CYSHCN, Financing

With the increasing emphasis on value-based purchasing (VBP), policymakers must critically analyze the potential impact for children and youth with special health care needs (CYSHCN), because this group of children, by definition, uses more health care services than other children and inevitably incurs higher per person costs. We provide a history and definition of VBP and insurance design, noting its origin in employer-sponsored health insurance, and discuss various financing and payment strategies that may be pursued under a VBP framework. The relevance of these approaches for CYSHCN is discussed, and recommendations for next steps are provided. There is considerable work to be done if VBP strategies are to be applied to CYSHCN. Issues include the low prevalence of specific special health care need conditions, how to factor in a life course perspective, in which investments in children’s health pay off over a long period of time, the marginal savings that may or may not accrue, the increased risk of family financial hardship, and the potential to exacerbate existing inequities across race, class, ethnicity, functional status, and other social determinants of health.

This article was part of a May 2017 supplement in Pediatrics, produced by the Catalyst Center and the American Academy of Pediatrics (AAP). The Catalyst Center staff along with colleagues from the AAP presented a webinar with key highlights from each of the Pediatrics supplement papers.  

Webinar: Breaking the Link Between Special Health Care Needs and Financial Hardship

Authors:

Date: 2017

Project: The Catalyst Center

Keywords: CYSHCN, Financial Hardship

In this webinar, which took place on April 26, 2017, Catalyst Center staff introduced the updated edition of Breaking the Link Between Special Health Care Needs and Financial Hardship. They presented about the impact that health care financing and coverage gaps have on the lives of real families and highlighted innovative policy solutions that can improve the system of care for children and youth with special health care needs (CYSHCN). 

Slides from this webinar are available below.

PubMed article: Role of Patient Navigators in Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations

Authors: Sarango, M., DeGroot, A., Hirschi, M., Umeh, C.A., Rajabiun, S.

Date: 2017

Project: Med-HEART

Keywords: Behavioral health, HIV/AIDS, Homelessness, Medical Home

Through interviews and focus groups, clinic and program staff from nine organizations nationwide provided insights about the role of patient navigators in building a medical home for people living with HIV who are homeless/unstably housed and co-diagnosed with substance use and/or mental health disorders. Results of this qualitative research are presented in this peer-reviewed article which will be published in the Journal of Public Health Management Practice and is available online ahead of print publication. Researchers identified ten key responsibilities of patient navigators as part of the HIV care team that seeks to engage this population in care and treatment. The article concludes that patient navigators may be a key component in creating an effective patient-centered medical home for this population.