Access to care among children with disabilities enrolled in the MassHealth CommonHealth Buy-In program

Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community
Melissa HirschiSara S Bachman

Abstract

Children with disabilities utilize more health-care services and incur higher costs than other children do. Medicaid Buy-In programs for children with disabilities have the potential to increase access to benefits while reducing out-of-pocket costs for families whose income exceeds Medicaid eligibility. This study sought to understand how parents and caregivers of Massachusetts children with disabilities perceive access to care under CommonHealth, Massachusetts's Medicaid Buy-In program. Parents and caregivers ( n = 615) whose children were enrolled in CommonHealth participated in a survey assessing the impact of the program. Qualitative data were coded across five access domains-availability, accessibility, accommodation, affordability, and acceptability. Data suggest that CommonHealth improves access to care for children with disabilities by providing the benefits that were limited in scope or unavailable through other insurance before enrollment and by making available services more affordable. Policy and administrative changes could improve the program and further increase access to care for children with complex, costly conditions. Adopting a Medicaid Buy-In program may be an effective way for states to create a pathway to...Continue Reading

References

Feb 1, 1981·Medical Care·R Penchansky, J W Thomas
Aug 26, 1998·Pediatrics·M McPhersonB Strickland
Feb 3, 2004·Pediatrics·Michelle L MayerUNKNOWN National Survey of Children With Special Health Care Needs
Mar 17, 2004·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Stella M YuRenee H Schwalberg
Sep 16, 2006·Health Affairs·John E McDonoughMelissa Shannon
Jul 15, 2015·Maternal and Child Health Journal·Sara S BachmanMelissa Hirschi

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Citations

Oct 28, 2019·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Reshma Parvin NuriHeather Michelle Aldersey

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Software Mentioned

SurveyMonkey
NVivo
CommonHealth
MassHealth
MassHealth CommonHealth

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