University of Michigan Health System Children with Special Health Care Needs: Looking Back; Looking Forward Gary L. Freed, MD, MPH Director, Division of General Pediatrics Director, Child Health Evaluation and Research (CHEAR) Unit University of Michigan April 16, 2008
23
Embed
Children with Special Health Care Needs: Looking Back; Looking Forward Gary L. Freed, MD, MPH
Children with Special Health Care Needs: Looking Back; Looking Forward Gary L. Freed, MD, MPH Director, Division of General Pediatrics Director, Child Health Evaluation and Research (CHEAR) Unit University of Michigan April 16, 2008. Children’s Special Health Care Services. - PowerPoint PPT Presentation
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
University of MichiganHealth System
Children withSpecial Health Care Needs:
Looking Back; Looking Forward
Gary L. Freed, MD, MPH
Director, Division of General PediatricsDirector, Child Health Evaluation
and Research (CHEAR) UnitUniversity of Michigan
April 16, 2008
University of MichiganHealth System
University of MichiganHealth System
Children’s Special Health Care Services
• Title V enrolled children
• Established by state legislature in 1927
• Eligibility based on residency, medical condition and age– 2,600 qualifying diagnoses– Families with incomes >250% of FPL share in
cost of treatment
University of MichiganHealth System
Traditional Model
• Specialty care to treat qualifying condition
• Fee-for-service
• No gatekeepers
• Children should see specialists “as needed”
• Multi-specialty clinics
• “Crippled children should not be in HMOs”
University of MichiganHealth System
Initial Thoughts about CSHCN and Managed Care
• HMOs were not configured to care for children with chronic conditions