Issue Briefs

Download recent reports.  Many of our reports are available in Adobe Portable Document Format.  If you do not have a version of Adobe Reader, a free reader is available here.

The National Center on Financing for Children with Special Health Care Needs at the Institute for Child Health Policy, University of Florida has just launched a new Issue Brief Series, Focus on Child Health Policy. The first six briefs in this series have been released and are now available.

• Issue Brief 1: Financing and Reimbursement Strategies for Children with Special Health Care Needs: A Series Overview

• Issue Brief 2: State Strategies for Financing Care for CSHCN: How well do they work?

• Issue Brief 3: Persistence in Health Status and Health Care Expenditures Among Publicly-Insured Children with Special Health Care Needs

Issue Brief 4: Commercial Health Plan Exits and Involuntary Plan Switching Among Children in Medicaid

• Issue Brief 5: The Role of Reinsurance in Financing Children’s Health Care Part I: Plan Size Effects

• Issue Brief 6: The Role of Reinsurance in Financing Children’s Health Care Part II: Case Mix Effects

• Issue Brief 7: Predicting Health Care Expenditures Among New Enrollees in Health Plans. (currently under review by the project's Technical Advisory Council (TAC) and scheduled for release in early 2005)

Reports

The Development of Financing and Reimbursement Strategies for Children with Special Health Care Needs

The National Center on Financing for CSHCN has released two reports that are available electronically. A limited number of hard copies are available upon request from the Institute for Child Health Policy.

• Volume I: Narrative

• Volume II: Appendices

Health Care Use Patterns and Expenditures of Children with Special Health Care Needs (CSHCN):  Using National and State Program-level Data to Inform Decisions About Identification, Financing and Reimbursement. 

(Click here for the report in Adobe PDF format)

The purpose of this report is to provide a detailed, user-friendly compendium of available data sources that can be used to develop profiles of children with special health care needs (CSHCN) and to analyze their healthcare use and expenditures.  The data sets are grouped into two major categories: national data sets and state program-level data sets.

As an initial step in developing recommendations for identification, financing and reimbursement strategies, we have assembled information on a wide range of potential data sources that can be used to address these questions.  The goal is to provide information about each source, and via the conceptual and organizational framework provide guidance that can aid in deciding which sources are of most use for which purposes.

Chart Books

• Identification, Service Use, and Expenditure Profiles of Children with Special Health Care Needs (CSHCN) in Medicaid, the State Children's Health Insurance Program (SCHIP), and Title V

  • Chart Book

  Children and Youth with Special Health Care Needs (CYSHCN) in Commercial, Medicaid, and SCHIP Managed Care Arrangements: A Chart Book for Families. This draft Chart Book is currently being reviewed by family leaders and will be released early in 2005.

  A second chart book, Quality of Care Measures: A Chart Book for the Florida KidCare Program is available on the ICHP website by clicking here. This chart book is under review by family leaders working with staff of the National Center on Financing for CSHCN. The quality chart book will be redesigned based on their input and released in 2005.

The National Center on Financing for CSHCN is located at the Institute for Child Health Policy at the University of Florida in Gainesville, Florida. The Center receives funding from a cooperative agreement between the Maternal and Child Health Bureau (MCHB), HRSA, DHHS and the University of Florida (#1 U93 MC 00179).