Variation In State Medicaid Implementation Of The ACA: The Case Of Concurrent Care For Children

Title

Variation In State Medicaid Implementation Of The ACA: The Case Of Concurrent Care For Children

Creator

Laird J; Cozad M J; Keim-Malpass J; Mack J W; Lindley L C

Publisher

Health Affairs

Date

2020

Subject

act; affordable care; care coordination; children's health; healthcare providers; hospice; medicaid; nursing; payment; state medicaid

Description

More than 55,000 children die each year in the United States, and hospice is used for very few of them at the end of their lives. Nearly one-third of pediatric deaths are a result of chronic, complex conditions, and the majority of these children are enrolled in Medicaid because of disability status or the severity of their disease. Changes in Medicaid/Children's Health Insurance Program regulations under Section 2302 of the Affordable Care Act require all state Medicaid plans to finance curative and hospice services for children. The section enables the option for pediatric patients to continue curative care while enrolled in hospice. We examined state-level implementation of concurrent care for Medicaid beneficiaries and found significant variability in guidelines across the US. The implementation of concurrent care has fostered innovation yet has added barriers to how pediatric concurrent care has been implemented.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

November 2020 List

Collection

Citation

Laird J; Cozad M J; Keim-Malpass J; Mack J W; Lindley L C, “Variation In State Medicaid Implementation Of The ACA: The Case Of Concurrent Care For Children,” Pediatric Palliative Care Library, accessed May 14, 2021, https://pedpalascnetlibrary.omeka.net/items/show/17258.

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