DeGrawView Graph # 1 Ambulatory Health Care Use by Children Prevalence/Service Use of Children With Chronic Illness Special Health Care Needs Among Low-Income,

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Presentation transcript:

DeGrawView Graph # 1 Ambulatory Health Care Use by Children Prevalence/Service Use of Children With Chronic Illness Special Health Care Needs Among Low-Income, Uninsured Children Implications for Benefit Package Design Under CHIP OVERVIEW

DeGrawView Graph # 2 AMBULATORY HEALTH CARE VISITS NCHS, 1998

DeGrawView Graph # 3 AMBULATORY VISITS AMONG CHILDREN UNDER AGE 1, BY PRINCIPAL DIAGNOSIS NCHS, 1998

DeGrawView Graph # 4 Children affected by a chronic condition……………….31% Highly prevalent conditions include: Respiratory allergies Repeated ear infections Asthma CHRONIC CHILDHOOD ILLNESS: PREVALENCE, SEVERITY, IMPACT NHIS data, Newacheck and Taylor, 1992

DeGrawView Graph # 5 Mild……………………………66% Moderate……………...……….29% Severe…………………..……….5% PERCENTAGE DISTRIBUTION OF CHILDREN WITH CHRONIC CONDITIONS, BY SEVERITY LEVEL NHIS data, Newacheck and Taylor, 1992

DeGrawView Graph # 6 DISABILITY AMONG UNINSURED CHILDREN IN LOW INCOME FAMILIES 1994 NHIS data, Maternal & Child Health Policy Research Center

DeGrawView Graph # 7 CHRONIC CONDITIONS, SPECIAL NEEDS, AND DISABILITY FOR CHILDREN UNDER 18 YEARS OLD

DeGrawView Graph # 8 SPECIAL HEALTH CARE NEEDS AMONG UNINSURED CHILDREN IN LOW INCOME FAMILIES Source: Newacheck et al. March 1998

DeGrawView Graph # 9 PREVALENCE OF CHILDREN WITH A DISABILITY, BY AGE SIPP data, CDC, 1995

DeGrawView Graph # 10 The 5 % With Severe Conditions Accounted For: 19% of Physician Contacts 33% of Hospital Days SERVICE UTILIZATION BY CHILDREN WITH CHRONIC CONDITIONS NHIS data, Newacheck and Taylor, 1992

DeGrawView Graph # 11 COVERING A CONTINUUM OF CARE FOR CHILDREN Preventive Primary Acute Specialty Ancillary/Support

DeGrawView Graph # 12 Medical Necessity Provider Network Requirements Relationships Between MCOs and Other Agencies/Programs Contracting With MCOs THINK BEYOND THE BENEFITS PACKAGE

DeGrawView Graph # 13 Children Need a Range of Services You Don’t Need to Reinvent the Wheel Make Sure the Benefits Children Need Are Available--Be Creative! SUMMARY POINTS

DeGrawView Graph # 14 BENEFITS ADDITIONAL-CATEGORIES