In the News: June 2013
- Effect of Provider Payment Reforms on Maternal and Child Health Services explores state policy activities to reduce costs while improving maternal and child health outcomes. In particular, the National Governors Association paper addresses reforms that have the potential to significantly improve outcomes for vulnerable populations such as children with special health care needs and women of color. Policy innovations described in the paper include medical and health homes, quality-based payment incentives, bundled payments for episodes of care, and accountable care organizations. The brief is available at http://www.nga.org/files/live/sites/NGA/files/
- Habilitative Services Coverage for Children Under the Essential Health Benefit Provisions of the Affordable Care Act focuses on the manner in which the essential health benefit (EHB) provisions of the Affordable Care Act (ACA) interact with various sources of health insurance. The issue brief, published by the Lucile Packard Foundation for Children's Health, begins with background that reviews the habilitative-services-coverage landscape before passage of the ACA. It then describes the EHB amendments and the course of federal agency implementation. The analysis concludes with a discussion of issues that have arisen as the amendments are translated into coverage in state markets. Topics include coverage definition, permissible limitations and exclusions, medical necessity evaluation, the permissibility of substitution, and the interaction between habilitative services and mental health parity. The brief is available at http://lpfch-cshcn.org/publications/issue-briefs/habilitative-services-coverage-for-
More to come throughout the month; check back soon!
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