Gateway to Think Tanks
来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RRA782-1 |
来源ID | RR-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 |
|
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 |
|
主题 | Adolescent Health ; Child Health ; Community-Based Health Care ; Health Care Program Evaluation ; Health Care Quality ; Health Interventions ; Medicaid ; New York |
URL | https://www.rand.org/pubs/research_reports/RRA782-1.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/524521 |
推荐引用方式 GB/T 7714 | 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. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RRA782-1.pdf(1062KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
x1628285023082.jpg.p(4KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。