Underinsurance of adolescents: Recommendations for improved coverage of preventive, reproductive, and behavioral health care services

Pediatrics

Volumn 123, Issue 1, 2009, Pages 191-196

  Pinzon, Jorge ^a   Blythe, Margaret J ^d   Barratt, Michelle S ^d   Braverman, Paula K ^d   Murray, Pamela J ^d   Rosen, David S ^d   Siegel, Warren ^d   Wibbelsman, Charles J ^d   Diaz, Angela ^d   Klein, Jonathan D ^d   Breech, Lesley L ^b   Shain, Benjamin ^c   Kaufman, Miriam ^a   Smith, Karen ^d   Wegner, Steven E ^d   Barone II, Charles ^d   Johnson, Anthony Dale ^d   Lander, Richard ^d   Reuben, Mark S ^d   Walentik, Corinne Anne ^d   Chiu, Thomas ^d   Libby, Russell Clark ^d   Long, Thomas F ^d   Margaret, McManus ^d   Salus, Teri ^d   more..

^a CANADIAN PAEDIATRIC SOCIETY   (Canada)

^b AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS   (United States)

^c American Academy of Child and Adolescent Psychiatry   (United States)

^d NONE

Author keywords

Adolescents; Health insurance; Underinsurance

Indexed keywords

ADOLESCENT; ADOLESCENT HEALTH; ARTICLE; BILLING AND CLAIMS; CONTRACEPTION; COST MINIMIZATION ANALYSIS; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH INSURANCE; HOSPITAL BILLING; HUMAN; MEDICAL SERVICE; MENTAL HEALTH; PREVENTIVE MEDICINE; PRIORITY JOURNAL; PRIVATE HEALTH INSURANCE; PROSPECTIVE PAYMENT; PUBLIC HEALTH INSURANCE; REPRODUCTIVE HEALTH; SEXUALLY TRANSMITTED DISEASE; SUBSTANCE ABUSE; WELLBEING; ADVISORY COMMITTEE; CHILD; HEALTH BEHAVIOR; HEALTH CARE DELIVERY; METHODOLOGY; PATIENT; PEDIATRICS; PRACTICE GUIDELINE; PREVENTIVE HEALTH SERVICE; REPRODUCTION; STANDARD;

ADOLESCENT; ADVISORY COMMITTEES; CHILD; DELIVERY OF HEALTH CARE; HEALTH BEHAVIOR; HUMANS; INSURANCE, HEALTH; MEDICALLY UNINSURED; PEDIATRICS; PREVENTIVE HEALTH SERVICES; REPRODUCTIVE MEDICINE;

EID: 59449087252     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2008-3308     Document Type: Article

References (39)

1. Newacheck PW, Hughes DC, Hung YY, Wong S, Stoddard JJ. The unmet health needs of America's children. Pediatrics. 2000; 105(4 pt 2):989-997
2. Newacheck PW, Stoddard JJ, Hughes DC, Pearl M. Health insurance and access to primary care for children. N EnglJ Med. 1998;338(8):513-519
3. Tang SF. Children's Health Insurance Status and Medicaid/SCHIP Eligibility and Enrollment, 2006: State Reports. Elk Grove Village, IL: American Academy of Pediatrics; 2007. Available at: www.aap.org/research/cps. pdf. Accessed March 12, 2008
4. American Academy of Pediatrics, Committee on Child Health Financing. Principles of child health care financing. Pediatrics. 2003;112(4):997-999
5. American Academy of Pediatrics, Committee on Child Health Financing. Medicaid policy statement. Pediatrics. 2005;116(1): 274-280
6. 6.American Academy of Pediatrics, Committee on Child Health Financing. State Children's Health Insurance Program: achievements, challenges, and policy recommendation. Pediatrics. 2007;119(6):1224-1228
7. Newacheck PW, Wong ST, Galbraith AA, Hung YY. Adolescent health care expenditures: a descriptive profile. J Adolesc Health. 2003;32(6 suppl):3-11
8. Fox HB, McManus MA, Reichman MB. Private health insurance for adolescents: is it adequate? J Adolesc Health. 2003;32(6 suppl):12-24
9. Tang SF. Medicaid Payment for Commonly Used Services: 2007-2008. Elk Grove Village, IL: American Academy of Pediatrics; 2005. Available at: www.aap.org/research/medreimintro.htm. Accessed September,2008
10. McManus MA, Shejavali KI, Fox HB. Is the Health Care System Working for Adolescents? Perspectives From Providers in Boston, Denver, Houston, and San Francisco. Washington, DC: Maternal and Child Health Policy Research Center; 2003
11. McInerny TK, Cull WL, Yudkowsky BK. Physician reimbursement levels and adherence to American Academy of ediatrics well-visit and immunization recommendations. Pediatrics. 2005;115(4):833-838
12. Fox HF, Limb SJ, McManus MA. Preliminary Thoughts on Restructuring Medicaid to Promote Adolescent Health. Washington, DC: Incenter Strategies; 2007
13. American Academy of Pediatrics, Committee on Practice and Ambulatory Medicine and Bright Futures Steering Committee. Recommendations for Preventive Pediatric Health Care. Pediatrics. 2007;120(6):1376. Available at: www.pediatrics.org/cgi/doi/10.1542/peds.2007-2901. Accessed March 12, 2008
14. American Academy of Pediatrics, Committee on Child Health Financing. Scope of health care benefits for children from birth through age 21. Pediatrics. 2006;117(3):979-982
15. American Academy of Pediatrics, Committee on Community Health Services and Committee on Practice and Ambulatory Medicine. Increasing immunization coverage. Pediatrics. 2003; 112(4):993-996
16. Lee GM, Santoli JM, Hannan C, et al. Gaps in vaccine financing for underinsured children in the United States. JAMA. 007; 298(6):638-643
17. American Medical Association. Current Procedural Terminology: CPT 2008. Professional ed. Chicago, IL: American Medical Association Press; 2007
18. National Committee for Quality Assurance. The Health Plan Employer Data and Information Set (HEDIS). Available at: http:// www.ncqa.org/Portals/0/ HEDISQM/HEDIS2009-Measures.pdf. Accessed March 12, 2008
19. Park E, Solomon J. Health Opportunity Accounts for Low-Income Medicaid Beneficiaries: A Risky Approach. Washington, DC: Center on Budget and Policy Priorities; 2005. Available at: www.cbpp. org/10-26-05health.htm. Accessed March 12, 2008
20. American Academy of Pediatrics, American Academy of Family Physicians; American College of Obstetricians and Gynecologists; Organization for Obstetric, Gynecologic, and Neonatal Nurses; National Medical Association. Confidentiality in adolescent health care. AAP News. 1989;4(5):151
21. American Academy of Pediatrics, Committee on Adolescence. Contraception and adolescents. Pediatrics. 2007;120(5): 1135-1148
22. American Academy of Pediatrics, Committee on Psychosocial Aspects of Child and Family Health, Committee on Adolescence. Sexuality education for children and adolescents. Pediatrics. 2001;108(2):498-502
23. Ford CA, English A. Limiting confidentiality of adolescent health services: what are the risks? JAMA. 2002;288(6): 752-753
24. Reddy DM, Fleming R, Swain C. Effect of mandatory parental notification on adolescent girls' use of sexual health care services. JAMA. 2002;288(6):710-714
25. English A, Kenny KE. State Minor Consent Laws: A Summary. Center for Adolescent Health and the Law. Chapel Hill, NC: Center for Adolescent Health and the Law; 2003
26. Guttmacher Institute. State Policies in Brief: Minors' Access to Contraceptive Services. New York, NY: Guttmacher Institute; 2006. Available at: www.guttmacher.org/statecenter/spibs/spib-MACS.pdf. Accessed March 12, 2008
27. Sonfield A, Gold RB, Frost JJ, Darroch JE. US insurance coverage of contraceptives and the impact of contraceptive coverage mandates, 2002. Perspect Sex Reprod Health. 2004;36(2): 72-79
28. Guttmacher Institute. State Policies in Brief: Insurance Coverage of Contraceptives. New York, NY: Guttmacher Institute; 2006. Available at: www.guttmacher.org/statecenter/spibs/spib-ICC.pdf. Accessed March 12, 2008
29. Fox HB, McManus MA, Reichman MR. The Strengths and Weaknesses of Private Health Insurance Coverage for Children With Special Health Care Needs. Washington, DC: Maternal and Child Health Policy Research Center; 2002
30. 30.Brindis CD, Llewelyn L, Marie K, Blum M, Biggs A, Mater-nowska C. Meeting the reproductive health care needs of adolescents: California's family planning access, care, and treatment program. J Adolesc Health. 2003;32(6 suppl):79-90
31. Kapphahn C, Morreale M, Rickert VI, Walker L. Financing mental health services for adolescents: a background paper. J Adolesc Health. 2006;39(3):318-327
32. Burnam MA, Escarce JJ. Equity in managed care for mental disorders. Health Aff (Milwood). 1999;18(5):22-31
33. American Academy of Pediatrics, Committee on Adolescence. Identifying and treating eating disorders. Pediatrics. 2003; 111(1):204-211
34. American Academy of Pediatrics, BrightFutures Steering Committee. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. Hagan JF Jr, Shaw JS, Duncan P, eds. 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics; 2008
35. Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. 2007; 369(9569):1302-1313
36. Costello EJ, Egger H, Angold A. The epidemiology of child and adolescent psychiatry disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry. 2005;44(10): 972-986
37. US Department of Health and Human Services. Mental Health: A Report ofthe Surgeon General. Rockville, MD: Substance Abuse and Mental Heath Services Administration, Center for Mental Health Services, National Institute of Mental Health; 1999. Available at: www.surgeongeneral.gov/library/ mentalhealth/home.html. Accessed March 12, 2008
38. US Department of Health and Human Services. Report ofthe Surgeon General's Conference on Children's Mental Health: A National Action Agenda. Washington, DC: US Department of Health and Human Services; 2000. Available at: www. surgeongeneral.gov/topics/cmh/childreport.html. Accessed March 12, 2008
39. Costello EJ, Foley DL, Angold A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders II. Developmental epidemiology. J Am Acad Child Adolesc Psychiatry. 2006;45(1):8-25