Unit 2 Individual Project CH
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Colorado Technical University *
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Course
HCM612-170
Subject
Health Science
Date
Feb 20, 2024
Type
pptx
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8
Uploaded by HighnessInternet13477
UNIT 2 INDIVIDUAL PROJECT
OVERVIEW OF THE
CHILDREN’S HEALTH INSURANCE PROGRAM
COLORADO TECHNICAL UNIVERSITY
HCM632
CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)
Created under the Balanced Budget Act of 1997
Covers uninsured children whose parents are ineligible for Medicaid
Funded through a combination of federal grants and state budgets
Regulated by the Centers for Medicare and Medicaid services
FUNCTION & EVOLUTION OF CHIP
1996
Formed in response to 10.1 million uninsured children
2000
2000
Every state has CHIP enrollment
2007
2007
Congress extends CHIP funding
2009
2009
CHIPRA increases enrollment, expands benefits, and creates quality of care standards
2022
Consolidated Appropriations Act provides funding through 2029
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CHIP’S INFLUENCE ON THE U.S. HEALTHCARE SYSTEM
Represents substantial percentage of insurance covered individuals
Demonstrates strong bipartisan support for a publicly funded healthcare program
Models successful publicly funded program with flexible structure
Improves overall population health
Contributed to rapid growth of MCOs
CHIP PROGRESS THROUGH THE YEARS
Accomplishments
Decline in rate of uninsured children
Increase in preventative care
Funding renewed through 2029
Better overall population health
Challenges
Subject to funding renewal
Enrollment and retention rates
Low reimbursement rates
Access to care issues
Program rules vary state by state
CHIP PREVENTATIVE HEALTH
CHIP preventative health benefits expanded through CHIPRA and ACA
Early Developmental and Behavioral Screening
Medicaid Prevention Learning Network
EPSDT preventative benefits:
Doctor visits, immunizations, dental, vision, emergency services, diagnostic testing, and prescriptions
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CHIP PERFORMANCE OVERSIGHT
CHIP State Plan Information
CHIP Annual Report
Medicaid/CHIP
Child Core Set
Medicaid/CHIP Score Card
REFERENCES
Center for Medicare and Medicaid Services (n.d.).
CHIP Quality & Performance
. Medicaid.gov. Retrieved November 26, 2023, from https://www.medicaid.gov/chip/chip-quality-performance/index.html
Heller, R. E. et al. (2023). Medicaid and the Children’s Health Insurance Program: An overview for the pediatric radiologist.
Pediatric Radiology
,
53
. https://doi.org/10.1007/s00247-023-05640-7
Niederee, K., & Lawless, J. (2018, January 26).
CHIP Fast Facts: Critical Healthcare Program Is Popular and Effective
. Chairman's News. Retrieved November 26, 2023, from https://www.finance.senate.gov/chairmans-
news/chip-fast-facts-critical-healthcare-program-is-popular-and-effective
Racine, A. D., et al. (2014). Children's Health Insurance Program (CHIP): accomplishments, challenges, and policy recommendations.
Pediatrics
,
133
(3), e784–e793. https://doi.org/10.1542/peds.2013-4059
Shi, L., & Singh, D. (2019). Delivering Health Care in America: A Systems Approach
(7th ed). Jones & Bartlett Learning.