Medicaid/CHIP Who are the Children Covered? Covers about half (48%) - - PowerPoint PPT Presentation

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Medicaid/CHIP Who are the Children Covered? Covers about half (48%) - - PowerPoint PPT Presentation

Sep 09, 2023 139 likes •257 views

3/8/2018 Children's Hospitals, the Importance of Health Insurance & Medicaid for Children with Disabilities & Special Health Care Needs Lisa Chamberlain and Sherri Sager have nothing to disclose. Sherri R. Sager, MPA Lisa Chamberlain,

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3/8/2018 1 Children's Hospitals, the Importance of Health Insurance & Medicaid for Children with Disabilities & Special Health Care Needs

Sherri R. Sager, MPA Lisa Chamberlain, MD, MPH Stanford Children’s Health

Lisa Chamberlain and Sherri Sager have nothing to disclose.

Medicaid/CHIP– Who are the Children Covered?

  • Covers about half (48%) of children with special needs (2016)
  • Share of Children with special health care needs covered by

Medicaid/CHIP varies by state from 23% 67%

  • 75% of Medicaid/CHIP children with Special Health Care Needs live in

families below 200% of the FPL

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Medicaid – What it Means for Children

  • Medicaid and Children’s Health Insurance Program (CHIP) benefit

children in part because they help families, not just children

  • Cost-effective programs
  • Benefits include:
  • Less likely to miss school
  • Healthier into adulthood
  • Earn higher wages
  • Pay more in taxes

Medicaid – What it Means for Children

  • Enables low income children to obtain needed care without co-

payments or deductibles

  • Inexpensive way to cover children
  • When parents are covered, children more likely to receive

recommended preventive care

  • Access to prenatal care reduces infant mortality and morbidity

Medicaid is the Underpinning of entire health care delivery system for all children

  • Volume expertise
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Medicaid – What it Means for Children’s Hospitals

  • Children’s Hospitals see more Medicaid patients than the vast

majority of other hospitals

  • In CA, the range at children’s hospitals is 43% 75%
  • Allows for the development of Needed Pediatric Expertise
  • Foundation of financial sustainability
  • Supplemental programs
  • DSH
  • GME
  • Provider Fee

Affordable Care Act

  • For families and persons with pre-existing conditions and/or

disabilities – LifeSaver

  • No Annual Caps
  • No Lifetime Caps
  • Health Insurance Affordable – i.e. can’t discriminate regarding pre-existing

conditions

  • Expanded Medicaid Eligibility

Future of Medicaid - Challenges

  • Attempts will continue to repeal all of the ACA, especially the

Medicaid expansion

  • Cut eligibility
  • Cut benefits
  • Cut funding
  • Block grants
  • Per capita cuts
  • Most Serious – A Non-Realistic Understanding of What Medicaid is

and Does by a Significant Number of Elected Officials and Appointed Officials

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Why us?

“Pediatricians are the ultimate witnesses to failed social policy” Paul Wise

Mobilizing for Child Health

  • Town Hall Fall 2016
  • Medicaid
  • Immigration
  • Pediatric Research Funding
  • All welcome
  • Faculty
  • Staff
  • Trainees

We had two main goals

  • Organize and

strengthen our local professional community to better advocate for children at the policy level

  • Educate the next

generation of pediatrician-advocates

  • n policy issues that

impact our patients

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How we’ve taken action We organized resident conferences We spoke at congress members’ town halls We organized a letter writing campaign

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We coordinated our efforts with the AAP We collaborated with other institutions We posted our #FirstTweets We organized advocacy events…

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...and advocated as a community Taking Action to Protect Kids in Medicaid

#DontCapMyCare

5,804 posts 3,922,689 individual people

#KeepKidsCovered 8,004 posts 8,805,612 individual people

We met with members of congress in D.C. We created a story bank

“A mother of two school-age children with terrible oral sores was afraid to come to the doctor or the emergency room because she has an electronic bracelet and is worried about getting deported. She was so scared to come in that by the time they arrived, both children were severely dehydrated.”

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How did we make it happen? We had the support of our institution We built an infrastructure for rapid response We held regular core team meetings

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What could this look like going forward?

Interdisciplinary Join forces with other voices – Parents and Patients

UC Davis CHRC Oakland UC San Francisco Lucile Packard CH UC San Diego Navy Medical San Diego CH Orange County Harbor Medical UCLA Kaiser LA UC Irvine Loma Linda CHLA UCLA

California Pediatric Training Collaborative

Community peds training Legislative advocacy training & statewide advocacy

Advocacy Role – State Partnership with AAP

Immunizations Protect WIC and SNAP Residents from across CA come to Sacramento

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37

Built / Funded / Underway (2016-17) TOTAL: 57

MO: 4 CA Total: 15 NC: 5 SC: 3 NY: 30

Supported by The California Endowment, The Duke Endowment, The Missouri Foundation for Health

Assessing Feasibility / Needs Assessment (2018) TOTAL: 33

TX: 13 IL: 11 NJ: 9

On Deck (2019) TOTAL: 24

AR: 1 OH: 10 PA 8 GA: 5

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Vision by 2020 TOTAL: 114/198

Summary

  • Medicaid is the vital foundation for child healthcare in the US
  • Medicaid plays an especially important role for children with medical

complexity

  • We are at an “all hands on deck” moment – it is time to unify and

speak up for kids.

Thank You

@LisaChaMD Lchamberlain@Stanford.edu @SherriRSager ssager@stanfordchildrens.org