G2TT
来源类型Report
规范类型报告
DOIhttps://doi.org/10.7249/RRA782-1
来源IDRR-A782-1
Independent Evaluation of the New York State 1115 Waiver Amendment: The Children's Design: Interim Findings
Harry H. Liu; Joshua Breslau; Stephanie Rennane; Lisa Wagner; Annie Chen; Gabriela Alvarado; Ingrid Estrada-Darley; Andrew W. Dick
发表日期2021-08-06
出版年2021
页码128
语种英语
结论
  • Providers, advocates, Medicaid Managed Care plan representatives, and government partners perceived the transition to the Children's Design as challenging and were particularly concerned about the burden of accessing care for children's families and reductions in service availability.
  • Prior to the implementation of the Children's Design, parents of children with chronic conditions had high levels of satisfaction with their primary care providers but were less satisfied with their ability to access special equipment and therapies and with coordination efforts among multiple providers.
  • Prior to the implementation of the Children's Design, the levels of quality indicators for children did not change significantly, with the exception of some primary care indicators for young children, which improved.
摘要

In an effort to streamline care for children and youth under age 21 with needs for home- and community-based services (HCBS), New York State consolidated several prior 1915(c) waivers into a single Children's Waiver and amended their Section 1115 Medicaid Redesign Team waiver. The 1115 waiver amendment allows the state to move services covered by the consolidated Children's Waiver from fee for service to Medicaid managed care (MMC) and to target eligibility to medically needy family-of-one children who meet clinical criteria and are enrolled in the consolidated Children's Waiver but do not qualify for Medicaid due to family income. Together, these waiver amendments are called the "Children's Design," which was implemented in 2019.

,

In this interim evaluation, the authors identify facilitators of, and barriers to, implementation of the Children's Design and describe baseline trends in outcomes of interest to its future evaluation. The authors found that: (1) providers, advocates, MMC plan representatives, and government partners perceived the transition to the Children's Design as challenging and were particularly concerned about the burden of accessing care on children's families and reductions in service availability; (2) prior to the Children's Design implementation, parents of children with chronic conditions had high levels of satisfaction with their primary care providers but were less satisfied with their ability to access special equipment and therapies and with coordination efforts among multiple providers; and (3) at baseline, the levels of quality indicators for children did not change significantly, with the exception of some primary care indicators for young children, which improved.

目录
  • Chapter One

    Introduction

  • Chapter Two

    Demonstration Description

  • Chapter Three

    Study Design

  • Chapter Four

    Evaluation Findings

  • Chapter Five

    Discussion and Implications

  • Chapter Six

    Interactions with Other State Initiatives

  • Appendix A

    Key Stakeholder Interview Protocol

  • Appendix B

    Qualitative Coding

  • Appendix C

    Statistical Test Results for Quality Measures

  • Appendix D

    Baseline Quality Measures for the Children's Design Target Population, Overall Medicaid Program, and Comparable States

主题Adolescent Health ; Child Health ; Community-Based Health Care ; Health Care Program Evaluation ; Health Care Quality ; Health Interventions ; Medicaid ; New York
URLhttps://www.rand.org/pubs/research_reports/RRA782-1.html
来源智库RAND Corporation (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/524521
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Harry H. Liu,Joshua Breslau,Stephanie Rennane,et al. Independent Evaluation of the New York State 1115 Waiver Amendment: The Children's Design: Interim Findings. 2021.
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