MED 146 Deliverable 1.18 Five Year Florida Medicaid Maternal and Child Health Status Indicators Report:

Size: px
Start display at page:

Download "MED 146 Deliverable 1.18 Five Year Florida Medicaid Maternal and Child Health Status Indicators Report:"

Transcription

1

2 MED 1 Deliverable 1.1 Five Year Florida Maternal and Child Health Indicators Report: 1-1 Presented to the Florida Agency for Health Care Administration Prepared by the University of Florida Family Data Center Final June 1, 1 Acknowledgements Staff of the Performance, Evaluation and Research Unit, Florida Agency for Health Care Administration Staff at the Florida Department of Health Staff at the Florida Department of Children and Families Staff at the Family Data Center

3 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Table of Contents Executive Summary... v Overview...vii Introduction...vii Summary of Statewide Trends... viii Changes in this Year s Report... xvii Structure of the Indicator Tables... xviii Indicators... 1 INDICATOR 1: Deliveries in Florida... INDICATOR : Cesarean Deliveries in Florida... INDICATOR : Deliveries to Women with Inadequate Prenatal Care in Florida... 1 INDICATOR : Mothers who Participated in the Family Planning Waiver Program in Florida... INDICATOR : Pre-term Deliveries in Florida... INDICATOR : Deliveries to Women with First Trimester Entry into Prenatal Care in Florida... INDICATOR : Deliveries to Women Who Reported Smoking during Pregnancy in Florida... INDICATOR : Deliveries to Women with Obese Prepregnancy Body Mass Index (BMI) in Florida... INDICATOR : Deliveries to Women with Underweight Prepregnancy Body Mass Index (BMI) in Florida... INDICATOR 1: Deliveries to Women with Overweight Prepregnancy Body Mass Index (BMI) in Florida... INDICATOR : Deliveries to Adolescents (Age up to 1 Years) in Florida... INDICATOR 1: Vaginal Deliveries without Physical Complications in Florida... Family Data Center College of Medicine University of Florida June 1 Page i

4 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts INDICATOR 1: Vaginal Deliveries with Physical Complications in Florida... INDICATOR 1: Deliveries to Women Participating in Women, Infants, and Children (WIC) Nutrition Program in Florida INDICATOR 1: Mothers Diagnosed with a Mental Health Condition in Florida... INDICATOR 1: Mothers who Plan to Breastfeed in Florida... INDICATOR 1: Deliveries to Pregnant Women Screened by Healthy Start in Florida... INDICATOR 1: Deliveries to Pregnant Women Screened at Increased Risk by Healthy Start in Florida.. 1 INDICATOR 1: Deliveries to Women with Interpregnancy Interval (IPI) Less Than 1 Months in Florida.. INDICATOR : Women who Died within a Year of Giving Birth... INDICATOR 1: Maternal Deaths 1... INDICATOR : Births in Florida... 1 INDICATOR : Infants who required Neonatal Intensive Care... 1 INDICATOR : Infant Mortality in Florida... 1 INDICATOR : Births for Infants Screened for Health and Developmental Risk in Florida... 1 INDICATOR : Infants Diagnosed with a Developmental Delay or Disability... 1 INDICATOR : Infants with Verified Maltreatment... INDICATOR : Infants Diagnosed with Birth Anomalies... 1 INDICATOR : Infants Placed in Foster Care... 1 INDICATOR : Infants Diagnosed with a Mental Health Condition or Mental Retardation Diagnosis Tables for Indicator 1, Maternal Deaths, have not been included. Low number of maternal deaths resulted in blank tables due to data suppression. Tables for indicator, Infants Diagnosed with a Developmental Delay or Disability are populated with data up to 1 due to partial or unavailable 1 and 1 data. Family Data Center College of Medicine University of Florida June 1 Page ii

5 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts INDICATOR 1: Births for Infants Screened at Increased Risk for Health and Developmental Problems in Florida 1 INDICATOR : Infant Readmitted to Hospital after Birth... INDICATOR : Pre-term Births with Low Birth Weight in Florida... 1 INDICATOR : Term Births with Low Birth Weight in Florida... 1 INDICATOR : Post-Neonatal Mortality in Florida... 1 INDICATOR : Neonatal Mortality in Florida... INDICATOR : Births with Low Birth Weight in Florida... INDICATOR : Births with Very Low Birth Weight in Florida... 1 Appendices... Appendix 1: Methodology... Data Sources... Delivery Systems... Beneficiaries Assigned to Delivery Systems... Data Suppression... Appendix : Definitions of Individual Maternal and Child Health Indicators... Appendix : Definitions of Maternal and Child Health Financial Benchmarks... Appendix : Sources for Relevant U.S. ages on Key Maternal and Infant Indicators... 1 Appendix : Family of Diagnostic Codes Related to Mental Health... Appendix : Listing of Diagnostic Codes Related to Major and Minor Birth Anomalies... Appendix : Supplemental Report Comparing Pre-MMA and MMA Health Indicators 1... Family Data Center College of Medicine University of Florida June 1 Page iii

6 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Page Intentionally Left Blank Family Data Center College of Medicine University of Florida June 1 Page iv

7 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts EXECUTIVE SUMMARY Health indicators are measures that reflect a broad range of factors such as personal behavior, environmental influences, and social conditions which together provide a snapshot of the health of specific populations. The Florida Maternal and Child Health Indicators Report (HSI) 1-1 provides information on health indicators related to pregnant women and infants. This executive summary highlights key findings about women and children statewide and those served by. Nine U.S. Healthy People Maternal and Child Health indicator target rates appear below to the right to provide a basis for comparing Florida s current statewide and rates with U.S. national objectives. When rates in the population are better for a given indicator than the rates in the statewide population, a green asterisk (*) appears after the rate. When rates in the population are worse for a given indicator than the rates in the statewide population, a red asterisk (*) appears after the rate. Better or worse refers to the difference between the and statewide rates for a given indicator. None of the differences in and statewide rates for any indicator were tested to determine whether they were statistically significant. When Florida s statewide or rates are currently more favorable than U.S. Healthy People Objectives, they are indicated in a green font. When Florida s statewide or rates are worse for a given indicator than the target rates in the Healthy People Maternal and Child Health Objectives, they appear as a red font. Comparison between 1 Statewide and Indicators s and Healthy People Target s Indicator Statewide s s Pre-term Deliveries 1.% 1.%.% * First Trimester Entry into PNC.%.%.% * Smoking During Pregnancy.%.% 1.% * Cesarean Deliveries.%.%*.% * Low Birth Weight.%.%.% * Very Low Birth Weight 1.% 1.% 1.% * Women Who Plan to Breastfeed.%.% 1.% * Infant Mortality. per 1,. per 1,. per 1, * Neonatal Mortality. per 1,. per 1,.1 per 1, * Women Who Participated in WIC.%.1%* Not Included Pregnant Women Screened by Healthy Start.%.%* Not Included Pregnant Women Screened as High Risk by Healthy Start.%.%* Not Included U.S. Healthy People - Target s of women delivering a live birth who smoked in the months prior to pregnancy. of low-risk females with no prior cesarean deliveries. This indicator is different in that it measures the percent of infants who are ever breastfed retrospectively as compared to prospectively. * U.S. Healthy People Maternal, Infant, and Child Health Objectives generated every 1 years by the U.S. Department of Health and Human Services. Improving the well-being of mothers, infants, and children is an important public health goal for the United States. The well-being of pregnant women and their families determines the health of the next generation and affects the quality of life of all Americans. Family Data Center College of Medicine University of Florida June 1 Page v

8 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts EXECUTIVE SUMMARY (continued) U.S. rates on other key maternal and infant indicators in this report have been derived from the most recent federal and non-governmental organization publications. These rates have been placed below on the right and provide a comparison between Florida s statewide or population and current national rates. When rates in the population are better for a given indicator than the rates in the statewide population, a green asterisk (*) appears after the rate. When rates in the population are worse for a given indicator than the rates in the statewide population, a red asterisk (*) appears after the rate. When Florida s statewide or rates are better than national rates on key maternal and infant indicators, they are indicated in green font. When Florida s statewide or rates are worse than national rates on key maternal and infant indicators, they appear as a red font. None of the differences between the statewide or percentages to U.S. percentages on these key maternal and infant indicators were tested to determine whether they were statistically significant. Comparison between other key 1 Statewide and Indicators s and National s Indicator Statewide s s National s Deliveries to Adolescents.%.%*.% or. per 1, Women who had an interpregnancy interval less than 1 months.%.%*.1% [-1] Infants receiving early intervention services under IDEA, Part C 1.% 1.% 1.% [SY 1-1] Infants placed in foster care.1% or 1. per 1,.% or. per 1,*.% or. per 1, [FY 1] Infants reported with a verified maltreatment.% or. per 1,.% or. per 1,*.% or per 1, Infants who required Neonatal Intensive Care.% 1.%*.% or per 1, [] Denominator excludes first time mothers. ages provided for 1 due to unavailability of 1 and 1 data. age includes substantiated maltreatment, indicated maltreatment for of states, and whether the child received a disposition of alternative response victim for of states. Family Data Center College of Medicine University of Florida June 1 Page vi

9 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Overview Introduction The Florida Maternal and Child Health Indicators Report is an annual publication produced for the Florida Agency for Health Care Administration by the University of Florida s Family Data Center (FDC). The purpose of the report is to provide descriptive statistics, including five-year trends on health indicators about pregnant women and their infants. The report stratifies these statistics by ( and Non- ); Eligibility (Temporarily Eligible within Non- ;, Non-, CMS High Risk OB, SSI, < days or No PNC [Prenatal Care]; Ineligible NonCitizen, Medically Needy within ); Race/Ethnicity (Caucasian, African-American, Hispanic, Asian, Native American, Other); Length of Coverage (High Exposure, Low Exposure); Delivery System (Fee-for-Service [],, ; Provider Service Network []); and Plan Name. Deliveries is the number of Florida resident women who delivered a live newborn during a calendar year. The total number of births during the delivery is not reflected in the number of deliveries as multiple births are counted as one delivery. delivery, as distinct from birth, is the unit of analysis for all indicators related exclusively to the mother s pregnancy experience. Birth is the unit of analysis for all indicators related to newborn outcomes. For purposes of this report, beneficiaries are defined as Florida resident females who were enrolled in for at least one day during their pregnancy. beneficiaries are subdivided into the following eight mutually exclusive eligibility categories: includes pregnant women who have a family income less than 1 percent of the Federal Poverty Level (FPL). These women are eligible for only during their pregnancy and for days following the birth of their child. Non- includes pregnant women who are eligible for as children under age 1 (income less than 1 percent of FPL or as parents/caretakers of a child under 1 or as children age 1- (based on the 1 Aid to Families with Dependent Children (AFDC) income limits). SSI (Supplemental Security Income) includes pregnant women who have a diagnosed disability and who meet specified income requirements. Ineligible NonCitizen includes women who are not U.S. citizens and whose delivery (but not prenatal or postnatal care) was funded by. Medically Needy includes women who have complex medical problems that result in major health care expenditures that reduce their income to a level that enables them to qualify for during pregnancy. Less Than Eight Days or No Prenatal Care (PNC) includes two groups of pregnant women: 1) those who were enrolled in for less than eight days during their pregnancy and therefore, cannot be considered to have received prenatal care funded by (i.e., most of these women were enrolled in just prior to labor and delivery) and ) those whose infant s birth certificate indicated zero prenatal visits. This category is comprised of women who were not assigned to any of the preceding six eligibility subgroups. Non- beneficiaries are subdivided into the following two mutually exclusive categories: Non- includes pregnant women who were not eligible for during their pregnancy and delivery. Temporarily Eligible includes women who were presumptively eligible for and received prenatal care services funded by for thirty or more days, but who were subsequently determined to be financially ineligible for. The Temporarily Eligible category is considered Non- and the women in this category are counted as Non- for all five-trend years. CMS High Risk OB includes women who have a history of difficult deliveries or a current medical condition that could result in a difficult delivery and are patients in the Department of Health's Children s Medical Services (CMS) High Risk Obstetrical Program based in a Regional Perinatal Intensive Care Center (RPICC). Family Data Center College of Medicine University of Florida June 1 Page vii

10 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Summary of Statewide Trends Introduction. This section highlights noteworthy statewide trends presented in a series of charts and graphs that are derived from the body of the report. These highlights do not capture the level of detail that is in the body of the report, but they do demonstrate the important role of in providing support for maternal and child health services in Florida. The charts and graphs also illustrate important differences in birth outcomes among subpopulations within the state. Limitations. This report includes a broad range of descriptive statistics that illustrate the impact that has on the provision of prenatal care as well as labor and delivery services for low-income women. These summary statistics do not establish causal relationships between provision of -funded services and birth outcomes among specific populations. For example, it would be incorrect to assume that different types of health care delivery systems (,,, or ) are responsible for the birth outcomes of different race/ethnicity groups. The five-year trend statistics, however, do provide essential information about the health status of women and children in different classifications, different racial/ethnic groups, or served by different types of health care delivery systems. Where rates are substantially different between groups or higher than expected, state and local officials can review this information and initiate inquiries to better understand possible causes that contribute to these differences. Deliveries [Indicator 1] In 1, 1.% of all deliveries in Florida were to women who were enrolled in (, of 1,), up from.% of the state total in 1. This percentage represents the highest proportion of deliveries ever recorded in Florida. women (those eligible for only during pregnancy and days following the birth of their child) have declined as a proportion of the subgroup (from.% in 1 to.% in 1). Without the program, these women would not have been able to access prenatal care and receive medical management during delivery and postpartum. Figure 1 graphs the number of deliveries in Florida by status over the last five years. Note that in 1 there were over, more deliveries statewide than in 1. Figure 1 of Deliveries in Florida by, 1-1 Figure shows the percent distribution of deliveries by three major race/ethnicity groups in Florida between 1 and 1. The distribution of births among the three major race/ethnicity groups has remained virtually the same over the last five years. Hispanic deliveries in continue to slightly exceed those of Caucasians (by about one percent). This predominance of Hispanic deliveries is consistent with the growth of the Hispanic population in Florida and nationwide over the last decade. Family Data Center College of Medicine University of Florida June 1 Page viii

11 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Figure Distribution of Deliveries by Three Major Race/Ethnicity Groups in Florida, 1-1 In 1,.% of deliveries were through providers, 1.% by s,.% by, and.% by s. In 1, of the delivery systems, women most frequently utilized (.%), while the percentage of Non- women utilizing jumped from 1.% in 1 to.% in 1. Figure displays the percent distribution of deliveries by Delivery System and Eligibility in 1. Inadequate Prenatal Care [Indicator ] Inadequate prenatal care is a measure that combines late (second or third trimester) entry into prenatal care and receipt of fewer than the recommended number of prenatal care visits adjusted for gestational age. Women who receive inadequate prenatal care are more likely to deliver premature, growth retarded, or low birth weight infants. During the past five years, the percent of women with inadequate prenatal care in Florida has increased: from 1.% in 1 to 1.% in 1. There continues to be a disparity between and Non- women with regard to adequacy of prenatal care: nearly 1 percentage points separate and Non- women with inadequate prenatal care (1.% vs..%). Figure shows the percent of women with inadequate prenatal care by and Major Eligibility ( and Non- ) in Florida between 1 and 1. Figure of Women with Inadequate Prenatal Care by and Major in Florida, 1-1 Figure Distribution of Deliveries by Delivery System and Eligibility in Florida, 1 Figure presents the percent of Caucasian, African-American and Hispanic women with Inadequate Prenatal Care by and Major Eligibility in Florida, 1. Within the population, the percent of inadequate prenatal care in 1 was consistently higher in the Non- subgroup compared to the subgroup across all three major race/ethnicity categories. Figure also indicates that African-Americans had the highest percent of inadequate prenatal care among all race/ethnicities and major Eligibility s in 1. Family Data Center College of Medicine University of Florida June 1 Page ix

12 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Figure of Caucasian, African- American and Hispanic Women with Inadequate Prenatal Care by and Major Eligibility in Florida, 1 Figure of Women who Entered Prenatal Care in the First Trimester by and Major in Florida, 1-1 First Trimester Entry into Prenatal Care [Indicator ] The percent of women statewide entering prenatal care in the first trimester declined slightly between 1 and 1 (from.% to.%) (see Table A in the body of the report). Figure illustrates the difference between Non- and pregnant women with regard to this indicator: nearly fifteen percentage points separate these two groups. In 1,.% of Non- women entered prenatal care in the first trimester compared to.% for beneficiaries. so in 1, the percentage of Non- beneficiaries entering prenatal care in the first trimester was six percentage points lower than that of beneficiaries (1.% compared to. %). Figure presents the percent of women who entered prenatal care in the first trimester by and Major Eligibility during the years 1-1. Smoking During Pregnancy [Indicator ] Smoking during pregnancy is correlated with poor birth outcomes, specifically, fetal growth restriction and extreme prematurity. Over the last five years, smoking has decreased among both Non- and pregnant women. However, the rate of smoking in both groups increased slightly, raising the statewide percent from.% in 1 to.% in 1. The rate of pregnant women who reported smoking during pregnancy remains more than four times higher than that of Non- women (.% vs..% in 1). Non- women report slightly higher rates of smoking during pregnancy than women (.% vs. 1.% in 1). Figure shows the percent of deliveries to women who reported smoking during pregnancy by and Major Eligibility during the years 1-1. Family Data Center College of Medicine University of Florida June 1 Page x

13 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Figure of Deliveries to Women Who Reported Smoking during Pregnancy by and Major Eligibility in Florida, 1-1 Figure of Deliveries to Women Who Reported Smoking during Pregnancy by Race/Ethnicity and in Florida, 1 Obese Prepregnancy Body Mass Index [Indicator ] The difference in rates of smoking during pregnancy was especially apparent among women of different race/ethnicity groups:.% of Caucasian women in reported smoking compared to.% of Caucasian women not in in 1 (See Figure ). These percentages, however, need to be interpreted with caution because information for this item on the birth certificate comes exclusively from self-report. Nonetheless, the differences in the percent of women who reported smoking between and Non- are important because of the adverse effects on the developing fetus as a result of exposure to tobacco during pregnancy. A Prepregnancy Body Mass Index (BMI) greater than is considered obese. An obese Prepregnancy BMI has been correlated with a number of adverse birth outcomes, including caesarean section, pre-term delivery, pre-eclampsia, and macrosomia (infant birth weight of, grams [about 1 pounds] or more). In 1, the percent of women who were obese prior to pregnancy was more than eight percentage points higher than that of Non- women (.% vs. 1.%) (see Table A in the body of the report). The disparity in BMI is also apparent across race/ethnicity groups. In the 1 population, the percent of African American women who were obese was nearly ten percentage points higher than that of Caucasian women (.% vs..%). Figure shows the percent of deliveries to women with an obese Prepregnancy BMI by race/ethnicity and status in 1. Family Data Center College of Medicine University of Florida June 1 Page xi

14 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Figure of Deliveries to Women with an Obese Prepregnancy BMI by Race/Ethnicity and in Florida, 1 Figure 1 of Deliveries to Adolescents 1 Years by in Florida, 1-1 Deliveries to Adolescents [Indicator ] In 1, the percent of deliveries to adolescents was seven times higher in the population compared to the Non- population (.% vs..%). Between 1 and 1, the proportion of deliveries to adolescents declined in both and Non- women (from. % to.% and 1.% to.%, respectively). The decline was especially large among women, down three percentage points over the five year period (from.% in 1 to.% in 1) (see Table A in the body of the report). Figure 1 shows a gradual decline in the proportion of deliveries to adolescents in the and Non- population as well as within the major Eligibility s over the last five years, 1-1. Note that the percent of deliveries to adolescents is not equivalent to either the teen pregnancy or teen fertility rates. of deliveries to adolescents will always be affected by the number of deliveries to non-adolescents. WIC Participation [Indicator 1] Participation in the Women, Infant and Child Nutrition Program (WIC) has been shown to be associated with positive birth outcomes, including greater likelihood of receiving prenatal care, longer pregnancies, fewer premature births and infant death, and savings in health care costs during the first year of life. While financial eligibility for the program is identical to s (up to 1% of the federal poverty level),, low-income women in Florida did not enroll in WIC in 1 (arrived at by subtracting, WIC participants from, deliveries). This number of potentially enrollable women in WIC is, larger than it was in 1. It is possible that pregnant women may not qualify for WIC because they also must be determined to be at nutrition risk, in addition to being financially eligible. Table 1A in the body of the report shows that 1,1 women who were not in were enrolled in WIC in 1. WIC enrolled nearly 1, fewer women in 1 than in 1 (and nearly less overall statewide in 1 (see Table 1A in the body of the report). In 1, 1,1 Non- women participated in WIC (down from 1, in 1). This group represents a potential pool of low-income women who may or may not qualify for, depending on whether they have some other form of health insurance. Figure displays the percent of Family Data Center College of Medicine University of Florida June 1 Page xii

15 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts women who delivered and who participated in the WIC Program in Florida from 1 to 1. Figure 1 of Deliveries to Mothers who Plan to Breastfeed by Race/Ethnicity and in Florida, 1 Figure of Women who delivered and who Participated in the WIC Program in Florida, 1-1 Interpregnancy Interval Less Than 1 Months [Indicator 1] Deliveries to Women Planning to Breastfeed [Indicator 1] Breastfeeding is associated with improved infant health outcomes such as decreased incidence and severity of a wide range of diseases (asthma, respiratory infection, Type diabetes), lower rates of obesity, and fewer problems in motor and intellectual development. In 1, the percent of women who planned to breastfeed was higher among Non- than women (.% vs..%) (see Table 1A in the body of the report). Differences among women planning to breastfeed are evident among race/ethnicity groups. In the population, for example, the percent of women who planned to breastfeed in 1 was greater among Hispanics (.%) compared to Caucasian and African-American women (.% and.%, respectively) (see Table 1B in the body of the report). Figure 1 shows the percent of women who plan to breastfeed by race/ethnicity and status in 1. An interpregnancy interval of less than 1 months has been found to be associated with adverse birth outcomes such as neonatal death and premature infants small for gestational age. In 1,.% of beneficiaries in Florida had an interpregnancy interval less than 1 months. This rate has been declining steadily since 1 when it was.%. More than % of women in three Eligibility s (Non-, SSI, and less than days or No Prenatal Care) had an interpregnancy interval of less than 1 months in 1 (see Table 1A in the body of the report). Figure 1 shows the percent of interpregnancy interval less than 1 months by and Major Eligibility s for the years 1-1. Family Data Center College of Medicine University of Florida June 1 Page xiii

16 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Figure 1 of Interpregnancy Interval Less Than 1 Months for Non- and, and Non- in Florida, 1-1 Figure 1 Infant Mortality s per 1, by and Major in Florida, -1 Birth Years Infant Mortality [Indicator ] Infant mortality rates are frequently viewed as a measure of the overall health of a community, state, and country. The United States continues to have one of the highest infant mortality rates among developed nations. However, from 1 to 1, the U.S. infant mortality rate declined from.1 per thousand to. per thousand. (Infant Mortality Statistics From the 1 Period Birth/Infant Death Data Set, National Vital Statistics Reports, Volume,, August, 1). Florida s infant mortality rate also declined, from. per thousand in 1 to. per thousand in 1. African-American infant mortality rates are consistently higher than those of Caucasians or Hispanics in both the and Non- populations. Among women in 1, the African-American infant mortality rate per 1, live births was more than double that of Hispanics (1. vs..). Figure 1 shows infant mortality rates in 1 for Caucasians, African-Americans, and Hispanics by and Major Eligibility ( and Non-). Figure 1 illustrates the infant mortality rates per 1, for the year period, -1, by status and major Eligibility. Family Data Center College of Medicine University of Florida June 1 Page xiv

17 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Figure 1 Infant Mortality s per 1, for Caucasians, African-Americans, and Hispanics by and Major, in Florida, 1 Birth Year Figure 1 of Low Birth Weight Newborns by and Major in Florida, -1 Low Birth Weight [Indicator ] Low birth weight (defined as an infant who weighs less than grams or. pounds at birth) is one of the leading risk factors associated with adverse birth, infant, and child development outcomes, including increased risk for child maltreatment in the first year of life. Numerous state and federal public health initiatives, such as Healthy Start, have begun to lower the low birth weight rate in Florida. Between 1 and 1, it declined slightly from.% to.% (see Table A in the body of the report). Figure 1 shows statewide five-year trends in low birth weight rates by and Major Eligibility. African-American women historically exhibit the highest rates of deliveries of newborns with low birth weight. In 1, the low birth weight rate for African- American beneficiaries was 1.1% compared to.% for Caucasians and.% for Hispanics (see Table B in the body of the report). Figure 1 shows the differences in low birth weight rates by race/ethnicity, and Major Eligibility ( and Non-) for the year 1. The gap separating low birth weight rate in and Non- women has not narrowed over the last five years. The low birth weight rate for women remains almost three percentage points higher than that of Non- women (.% vs..% in 1). There is also considerable variation in low birth weight rates within subgroups. women consistently exhibit a lower low birth weight rate than that of Non- (e.g.,.% vs. 1.% in 1). Family Data Center College of Medicine University of Florida June 1 Page xv

18 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Figure 1 of Low Birth Weight Newborns by Race/Ethnicity and Major in Florida, 1 Family Data Center College of Medicine University of Florida June 1 Page xvi

19 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Financial Benchmarks [Hospitalization vs. Reimbursement] Looking at deliveries statewide [Indicator 1], one can discern differences in hospitalization charges vs. reimbursement for women and infants (Tables IE IH). The mean maternal delivery inpatient hospitalization charge for women in 1 was $1.K (see Table 1E); whereas the mean maternal hospital claims reimbursement for deliveries in 1 was $.K (see Table 1G). This difference represents a reimbursement of approximately % for delivery charges. The mean infant birth inpatient hospitalization charges in 1 for beneficiaries was $1.K (see Table 1F), whereas the mean infant hospital (birth) claims reimbursement was $.1 (see Table 1H). This difference represents a reimbursement of % for infant birth inpatient hospitalization charges. Similar tables contrasting the mean maternal and infant hospitalization charges with reimbursement of allowable charges to appear at the end of each of the indicators. Family Data Center College of Medicine University of Florida June 1 Page xvii

20 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Changes in this Year s Report On August 1, 1, The Agency completed a statewide roll-out of the Managed Medical Assistance (MMA) program. recipients who qualified were enrolled in MMA plans and received health care services from one of the approved managed care plans in their area. The 1-1 HSI report and its accompanying Codebook, however, have continued to categorize outcomes according to pre-mma categories such as,,, and because % of women who delivered in 1 received the majority of their pregnancy services through the previous delivery system. Only % of the women who delivered in 1 received the majority of their services through the MMA program delivery system. UF has produced a supplemental report that identifies the women who delivered in 1 and compares 1 health status indicator rates between the Pre-MMA and the MMA subcategories of this population. [The supplemental report appears as Appendix at the end of this 1-1 HSI Report.] The purpose of the supplemental report is to provide the Agency with a preliminary comparison between the old and new Delivery Systems. The end of this section presents selected findings that highlight differences between the Pre-MMA and MMA populations that indicate potential improvements in health outcomes for pregnant women because of the transition to the MMA delivery system. For the supplemental report, MMA deliveries are defined as 1 deliveries that had the longest pregnancy period between August 1, 1 and December 1, 1. Pre-MMA deliveries on the other hand, are deliveries that had the longest pregnancy period before August 1, 1. Selected findings from the supplemental report Overall, MMA deliveries accounted for only % of the 1 deliveries in the HSI report. MMA program deliveries accounted for more than 1% of all deliveries within the following HSI indicators: Pre-term Deliveries (1.%), Pre-term Births with Low Birth Weight (.%) and Births with Very Low Birth Weight (1.%). These higher percent distributions could be attributed to data being limited to 1 deliveries only. Fewer MMA enrolled women (1.%) reported inadequate prenatal care compared to Pre-MMA women (1.%). More MMA enrolled women (.%) had a First Trimester Entry into Prenatal Care compared to Pre-MMA women (.%). Family Data Center College of Medicine University of Florida June 1 Page xviii

21 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Structure of the Indicator Tables The body of this report provides detailed descriptive statistics on indicators focused on pregnancy and birth outcomes for women in Florida who received prenatal services from both and Non- providers. A common series of tables and figures are provided for each indicator. A tables provide the number and percent distribution, or rate of the indicator by classification and by trend year. Each A table is followed by two figures that graph trend lines for the indicator. Note that Indicators 1 (Deliveries) and (Births) have no percent calculation in the A tables since they are their own denominators. Instead, these two indicators begin with a table showing the percent distribution of vs. Non-, as well as the percent distribution of s within for each trend year. l B tables display the race/ethnicity component of the total population who exhibit the Indicator presented in the A tables. The A tables use as their denominator the total number of deliveries reported for each race/ethnic subgroup reported in Indicator Table 1B. For example, Table 1B reports that there were, deliveries to Caucasians in 1. Table B reports that there were, Cesarean Deliveries among all Caucasian deliveries, a Cesarean delivery rate for Caucasians of.% in 1 (, divided by,.) This same procedure is used to display the number and percent of each race/ethnicity subgroup for each Indicator (Table B). Table B rates are always based on the total annual population for each subgroup reported in the preceding Table A of a given Indicator. C tables provide the number and percent distribution of the indicator by Delivery System (,,, or ) and length of time women were enrolled in a Delivery System during pregnancy. High Exposure includes women who had coverage in for 1 days or more during pregnancy. Low Exposure includes women who had coverage in for less than 1 days during pregnancy. Data for only the two latest available birth cohorts are presented for C tables. D tables provide the number and percent distribution of the indicator between and 1 for women who were enrolled in the same for greater than 1 days or for at least / of their pregnancy. Exceptions to this -year span are tables 1D, 1D, D, D, D and D. They report the number and percent distribution of indicator statistics for the preceding five available years, and 1. There is no Table 1D because the number of deliveries each year is given in the l column of each subsequent indicator, making it unnecessary to include this information in Indicator 1: Deliveries in Florida. Likewise, there is no Table D because the number of births each year is given in the l column of each subsequent indicator, making it unnecessary to include this information in Indicator : Births in Florida. E and F tables supply mean inpatient hospitalization charges and length of stay for mother (delivery) and infant (birth) for each indicator. To answer questions about the financial impact of a certain health condition, these tables present side by side hospitalization charges and length of stay for both mother and child. G and H tables supply mean Reimbursement for delivery and birth hospitalizations by. The is the average amount that paid for mothers and infants who had the health condition represented by each indicator. These tables report data for five birth cohorts (-1). Indicators (Infant Mortality), (Neonatal Mortality), and (Post- Neonatal Mortality) report deaths that occurred within the first year of life. These indicator tables report mortality statistics for five birth cohorts (-1) because final mortality statistics for 1 are compiled by the Florida Department of Health during 1 and do not become available until the end of 1. Similarly, Indicators 1 (Mothers Diagnosed with a Mental Health Condition), (Infants Diagnosed with Birth Anomalies) and (Infants Diagnosed with a Mental Health Condition or a Mental Retardation Diagnosis) also report statistics for -1 because the Non- group for these indicators relies on finding the ICD-s for these conditions in the 1 Hospital Discharge dataset. As of May 1, FDC does not yet have the full 1 calendar year Hospital Discharge dataset. Family Data Center College of Medicine University of Florida June 1 Page xix

22 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Indicators Family Data Center College of Medicine University of Florida June 1 Page 1

23 Florida Maternal and Child Health Indicators 1-1 Birth Cohorts Page intentionally left blank Family Data Center College of Medicine University of Florida June 1 Page

24 Indicator1:DeliveriesinFlorida Non- % 1% % % % % % Figure1A(a):DistributionofDeliveries by Non- CMSHighRisk OB SSI Ineligible NonCitizen Mcaid<Days ornopnc % 1% % % % % % Figure1A(b):DistributionofDeliveriesbybyYearofDelivery Year % % % % 1 % % 1 % % 1 % % Non- Non- Non- SSI Mcaid<DaysorNoPNC Grand.% 1.%.%.%.% 1,,,.% 1.% 1.%.%.%,,1,.%.%.%.%.%, 1,1,.% 1.1%.%.%.%,1,1,1.% 1.%.%.1%.%,1,,.% 1.%.% 1.1%.%.%.%.%.% 1.% 1.%.%.1% 1.%.%,1, 1,,, 1,1,1.% 1.%.% 1.1%.%.1%.%.%.%.% 1.%.%.1% 1.% 1.% 1,, 1,, 1,1 1,, 1.% 1.%.% 1.%.%.1% 1.%.%.1% 1.%.%.%.%.%.% 1,, 1,,1,,1,1.% 1.%.%.%.%.%.%.%.1%.% 1.%.%.% 1.%.% 1,1,1 1, 1, 1,,, 1.% 1.%.% 1.%.%.% 1.%.%.1%.%.%.%.%.%.%,, 1,,1,,,,,,, 1, Table1A:andDistributionofDeliveriesby/ Notes:*TemporarilyEligiblemeansbeneficiarieswhowerepresumptivelyeligiblebutlaterdeterminedtobefinancialyineligible. Page

25 Indicator1:DeliveriesinFlorida Table1B:andDistributionofRace/Ethnicityin1forDeliveriesper/ Caucasian % Race/ Ethnicity African-American % Race/ Ethnicity Hispanic % Race/ Ethnicity Asian % Race/ Ethnicity NativeAmerican % Race/ Ethnicity Other % Race/ Ethnicity Grand % Race/ Ethnicity Non-,1.%,.% 1,.%,.1% 1.%,1.%, Non- 1.% 1.% 1,1.%.%.%.%,,.1%,.%,.%,.1% 1.%,.%,1, 1.% 1, 1.%,.% 1,1 1.% 1.1% 1,1.1%, Non-,.%,.%,.% 1.%.1%.1%, 1,1.%,1 1.%,.% 1.% 1 1.%, SSI.%.% 1 1, 1.% 1.% 1.% 1.% 1 1.%.% 1.1% 1.%,1.%.% 1,.1%.%.%.% 1, Mcaid<DaysorNoPNC 1,.1%.%.% 1.%.% 1.%,,1.%,.%,.% 1, 1.%.1%,.1%, Grand,1.%, 1.1%,1.%,.%.1%,.% 1, Notes:Resultsaresuppressedfornon-zerocelswherethecasecountisunder.ThenumbersintheGrandcolumncanvaryfrom theirrespective/totalsontable1abecausetheempty celsreflectthedatasuppressionandbecausethistablefurtherstratifiestheindicatorbyrace/ethnicitywithineach/,(seeappendix1-methodology,datasuppression). % Figure1B(a):DistributionofRace/Ethnicityin 1forDeliveriesper Non- Race/Ethnicity Caucasian African-American Hispanic Figure1B(b):DistributionofRace/Ethnicityin1forDeliveriesper Non- CMSHigh RiskOB SSI Ineligible NonCitizen Mcaid<Days ornopnc % Asian NativeAmerican Other % % % % % % 1% % % Notes:Resultsaresuppressedfornon-zerocelswherethecase countisunder,(seeappendix1-datasuppression). % Notes:Resultsaresuppressedfornon-zerocelswherethecasecountisunder,(seeAppendix1). Page

26 Indicator1:DeliveriesinFlorida Coverage Delivery System 1 % LOC 1* % LOC Non- 1 % LOC 1* % LOC 1 % LOC 1* % LOC 1 % LOC 1* % LOC High Low.% 1.%.%.%,1, 1, 1.% 1.%.%.1%,1 1,,.% 1.%.%.%, 1,,1, 1.%.%.%.% 1, 1,1 1,1,,.%.% 1.1%.%, 1,.%.% 1.%.1%, 1 1 1,1 1.%.1%.%.% 1.%.%,,1 1,.%.%.%.%, 1,1 1,,,.%.%.%.%,,,1.%.%.%.% 1, 1,1,,.% 1.%.%.%, 1,1.% 1.%.% 1.%,1, 1.%.%.%.% 1.%.%.% 1 1.% 1.%.%.%, 1,1 1,, 1,11.%.%.%.%, 1, 1,,,1.% 1.%.% 1.%,,1, 1,1,.%.%.1%.%,,1,, 1,.%.% 1.%.%, 1 1,1,.%.% 1.%.%, 1,, 1.%.%.1%.% 1.%.%.%.1% 1 Table1C:andDistributionofDeliveriesby,DeliverySystem,Lengthof Coverage(LOC),andYearofDelivery Coverage Delivery System SSI 1 % LOC 1* % LOC 1 % LOC 1* % LOC Mcaid<DaysorNoPNC 1 % LOC 1* % LOC 1 % LOC 1* % LOC High Low.%.%.% 1.% 1,1 1.% 1.% 1.%.% 1, 1 1.%.%.%.%.% 1.%.1%.%.% 1.1%.%.%.% 1.1%.% 1.%.%,1,,,1,.%.% 1.%.%, 1,,,,.% 1.% 1.%.1% 1 1.1% 1.%.%.% 1,1 1.%.%.% 1,1 1,1.%.% 1, 1,.% 1.% 1.%.% 1, 1,.% 1.%.1%.%, 1,.%.% 1.%.%,1, 1,,,.%.% 1.%.%,1,, 1,,1.%.%.% 1.1% 1, 1 1.% 1.% 1.%.%,1 1 1,.%.% 1, 1,.%.% 1, 1,.%.%.%.%,1 1 1,.%.% 1.%.%, 1,1.%.% 1.%.% 1,1,,1 1,,1.%.% 1.%.%,,, 1, 1, Notes:*1deliveriesundertheDeliverySystem includemanagedmedicalassistance(mma)planrecipients. Highexposuremeansmotherhadcoverageinfor1daysormoreduringpregnancy.Lowexposuremeansmotherhadcoverageinforlessthan1daysduringpregnancy. Resultsaresuppressedfornon-zerocelswherethecasecountisunder.Thenumbersintherowscanvaryfrom theirrespectivetotalsontable1abecausetheemptycelsreflect thedatasuppressionandbecausethistablefurtherstratifiestheindicatorbylengthofcoverageanddeliverysystem withineach,(seeappendix1-methodology,datasuppression). Daysofcoveragearenotrequiredtobeconsecutive. Page

27 Indicator1:DeliveriesinFlorida Non- Non- Non- SSI Mcaid<DaysorNoPNC Grand $1.K $1.K $1.K % % $1.K $1.K $1.K % % $1.K $1.K $1.K % % $1.K $1.K $1.K % % % $.K $1.K $.K % % % $1.K $1.K $1.K $1.K $1.K $.K $1.K $1.K % % % % % % % % $1.K $1.K $1.K $1.K $1.K $.K $1.K $1.K % % % % % % % % $1.K $1.K $1.K $1.K $1.K $.K $1.K $1.1K % % % % % % % % $.K $.K $1.K $.K $.K $.K $1.K $.K % % % % % % % % $1.K $.K $1.K $.K $.K $1.K $.K $1.K % % % % % % % % $1.K $1.K % $1.K $.K $1.K Table1E:MaternalDeliveryInpatientHospitalizationandLengthofby/andStatewide Notes:referstotheproportionofaloftheindicator'sdeliveriesthatwerelinkedtotheirdeliveryinpatienthospitalizationdischargerecord. Cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal Non- Non- Non- SSI Mcaid<DaysorNoPNC Grand $.K $.1K $.K % % % $1.K $.K $1.K % 1% % $1.K $.K $.K % % % $.K $.K $.K % % % $1.K $1.K $1.1K % % $.K $.K $.1K $1.K $1.K $.K $1.K $.K % % % % % % % % $1.K $1.K $.K $1.K $1.K $.K $.1K $.K % % % % % % % % $1.K $.K $.K $1.K $1.K $1.K $1.K $.K 1 % % % % % % % % $1.K $.K $.K $1.K $.K $.K $.K $.K % % % % % % % $1.K $.K $.K $1.1K $1.K $1.K $1.K $1.K % % % % % % % % $.K % $.K % $1.K $1.K $1.K % Table1F:InfantBirthInpatientHospitalizationandLengthofby/andStatewide Notes:Birthreferstotheproportionofaloftheindicator'sBirthsthatwerelinkedtotheirbirthinpatienthospitalizationdischargerecord. Cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal. Page

28 * Non- SSI Mcaid<DaysorNoPNC Grand $.K $.K $.K $.K $.K $.K $.1K $.K % % % % % % % $.K $.K $.K $.K $.K $1.K $.K $.K % % % % % % 1% % $.K $.K $.K $.K $.K $1.K $.K $.K % 1% % % % % % % $.K $.1K $1.K $.K $1.K $.K $1.K $1.K % % % % % % % $.K $.K $.K $.K $.K $1.K $.K $.K % % % % % % % % Table1G:MaternalHospital(delivery)ReimbursementforDeliveriesby/ byyearofdelivery Notes:*The1MaternalreimbursementisbasedonlyonFeeforService()claimsanddoesnotincludeManagedMedicalAssistance(MMA)costs. referstotheproportionofaloftheindicator'sdeliveriesthatwerelinkedtoboth,thedeliveryinpatienthospitalization dischargerecordandatleastonematernalrecordwithadateofservicewithinthedeliveryhospitalizationlengthofstay * Non- SSI Mcaid<DaysorNoPNC Grand $.K $1.K $.K $.K $.K $.K $.K $.K % % % % % % % % $.1K $1.K $.K $.K $.K $1.K $.K $.K % 1% % % % % % % $.K $.K $.K $.K $.K $.K $.1K $.K % % % % % % % % $.K $1.K $.K $.K $1.K $.K $.K $.K % % % % % % % % $.1K $.K $.K $.K $.K $1.K $.K $.K % % % % % % % 1% Table1H:InfantHospital(birth)ReimbursementforDeliveriesby/ byyearofdelivery Notes:*The1InfantreimbursementisbasedonlyonFeeforService()claimsanddoesnotincludeManagedMedicalAssistance(MMA)costs. referstotheproportionofaloftheindicator'sbirthsthatwerelinkedtoboth,thebirthinpatienthospitalization dischargerecordandatleastoneinfantrecordwithadateofservicewithinthebirthhospitalizationlengthofstay. Cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal. Indicator1:DeliveriesinFlorida Page

29 Indicator:CesareanDeliveriesinFlorida 1 / / 1 / 1 / 1 / Non- Non- Non- SSI Mcaid<DaysorNoPNC Grand.%.%.1%,,.%.%.%,,.%.%.% 1,,.% 1.%.% 1,1 1,.%.%.%,,.%.%.%.%.%.%.%.%,1 1,,1,,1.1% 1.% 1.%.%.%.%.%.%,, 1,,,.%.%.%.%.% 1.%.1%.%, 1, 1,,,,.% 1.% 1.%.%.1%.%.%.1%,1,1 1,,,1.%.%.%.%.%.%.%.1%, 1, 1,,11,,.1%,.%,.%,.1%,.%, TableA:andofCesareanDeliveriesby/byYearofDelivery Notes:*TemporarilyEligiblemeansbeneficiarieswhowerepresumptivelyeligiblebutlaterdeterminedtobefinancialyineligible. /isthepercentoftheindicator'sdeliveriesforeach/(numerator)from thetotaldeliveriesforthat/(denominator-table1a). Cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal. Non FigureA(a):ofCesareanDeliveries bybyyearofdelivery Notes:Cautionmustbeexercisedininterpretinghighpercentages wheredenominatorsaresmal. Non- CMSHighRisk OB Medicaly Needy SSI Ineligible NonCitizen Mcaid<Days ornopnc FigureA(b):ofCesareanDeliveriesofalDeliveriesbybyYearofDelivery Notes:Cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal. Year Page

30 Indicator:CesareanDeliveriesinFlorida Caucasian / African-American / Hispanic / Asian / NativeAmerican / Other / Grand / Non- Non- Non- SSI Mcaid<DaysorNoPNC Grand.1%.%.1% 1, 1,.%.% 1.%,,1.%.%.%, 1,1.%.%.% 1,1 1,.%.%.%.%.% 1 1.%.%.%,,.%.%.1%.%.%.% 1.%.% 1, 1 1,1 1,1.% 1.%.1%.%.%.%.%.%, ,1,1,1.1%.%.%.%.% 1.%.% 1.% 1, 1, 1 1,1, 1,.%.%.%.% 1.%.% 1 1.%.%.% 1.%.%.%.%.%.% 1.%.% %.%.%.%.%.%.%.1%,, 1,,1,,.% 1,.1% 1,1.%,1.%,.1%.% 1,.%, TableB:andin1ofCesareanDeliveriesbyRace/Ethnicityby/ Notes:Cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal./isthepercentoftheIndicator'sdeliveriesforeach/andRace/Ethnicity category(numerator)from thetotaldeliveriesforthat/andrace/ethnicitycategory(denominator-table1b). Resultsaresuppressedfornon-zerocelswherethecasecountisunder.ThenumbersintheGrandcolumncanvaryfrom theirrespective/totalsontableabecausetheempty celsreflectthedatasuppressionandbecausethistablefurtherstratifiestheindicatorbyrace/ethnicitywithineach/,(seeappendix1-methodology,datasuppression). Non FigureB(a):in1ofCesareanDeliveries byrace/ethnicityby Notes:Cautionmustbeexercisedininterpretinghighpercentages wheredenominatorsaresmal. Non- CMSHigh RiskOB Medicaly Needy SSI Ineligible NonCitizen Mcaid< DaysorNo PNC FigureB(b):in1ofCesareanDeliveriesbyRace/Ethnicityby Notes:Cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal. Resultsaresuppressedfornon-zerocelswherethecasecountisunder, (seeappendix1-methodology,datasuppression). Race/Ethnicity Caucasian African-American Hispanic Asian NativeAmerican Other Page

31 Indicator:CesareanDeliveriesinFlorida Coverage Delivery System 1 / 1* / Non- 1 / 1* / 1 / 1* / 1 / 1* / High Low.%.%.%.%.%, 1 1 1,.%.%.%.%.% 1,1 1 1,.%.%.%.%.1%, 1,.% 1.%.%.%.%, 1 1,,.%.%.%.%.% 1, 1 1,1.%.%.% 1.%.% 1, 1.% 1.%.%.%.%.%.%.%.1%, 1,,.1%.%.%.%.% 1,1 1 1,1 1,.%.%.1%.%.%, 1,.%.%.1%.%.%, 1,,1 1.%.%.%.1% 1.%,,1 1.1%.%.%.% 1.%, 1,.%.%.%.%.%.%.1%.%.%.%.%,1 1,,.1%.%.%.1%.%,,,.%.%.%.%.%, 1,,.%.%.%.1%.%, 1,,.%.%.%.%.%, 1,.%.%.%.%.%,11,.% 1.%.% 1.%.%.% TableC:andofCesareanDeliveriesby,DeliverySystem,Lengthof Coverage(LOC),andYearofDelivery Coverage Delivery System SSI 1 / 1* / 1 / 1* / Mcaid<DaysorNoPNC 1 / 1* / 1 / 1* / High Low.%.%.% 1.%.% 1 1.%.%.%.%.% 1.%.% 1 1.% 1.%.%.%.% %.% 1.%.%.% 1 1.% 1.%.%.%.%, 1 1,1,,.%.%.%.%.% 1,, 1,.%.%.1%.%.%.%.%.%.%.1% %.%,,.%.%,,.%.%.%.%.% 1.%.%.%.%.% 1.%.1%.%.%.% 1, 1, 1,.%.%.%.%.%, 1,1 1,,.% 1.% 1.1% 1.%.% % 1.%.%.%.% 1, 11 1.% 1.%,1,1.%.%,, 1.%.%.%.1%.% 1.%.%.%.%.% %.%.%.%.%,1 1, 1,,,1.%.%.%.%.%, 1, 1,,, Notes:*1deliveriesundertheDeliverySystem includemanagedmedicalassistance(mma)planrecipients. Highexposuremeansmotherhadcoverageinfor1daysormoreduringpregnancy.Lowexposuremeansmotherhadcoverageinforlessthan1daysduringpregnancy. /isthepercentoftheindicator'sdeliveriesforeach,lengthofcoverage,anddeliverysystem combination(numerator)from thetotaldeliveriesforthat, LengthofCoverage,andDeliverySystem combination(denominator-table1c).cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal. Resultsaresuppressedfornon-zerocelswherethecasecountisunder.Thenumbersintherowscanvaryfrom theirrespectivetotalsontableabecausetheemptycelsreflect thedatasuppressionandbecausethistablefurtherstratifiestheindicatorbylengthofcoverageanddeliverysystem withineach,(seeappendix1-methodology,datasuppression). Daysofcoveragearenotrequiredtobeconsecutive. Page 1

32 Indicator:CesareanDeliveriesinFlorida PlanName 1 / / 1 / 1 / 1* / welhealthplan HealtheaseofFlorida,Inc. AmerigroupFlorida UnitedHealthCarePlans UniversalHealthCare,Inc. CitrusHealthCare Humana BuenaVista HealthChoice,Inc. VistaHealthPlanofSouthFlorida PreferedMedical.%.%.%.%.%.1%.%.%.% 1.%.1% ,1 1,,,1.%.%.%.%.%.%.%.%.%.1%.1% , 1 1,,1,,.%.%.%.% 1.%.%.%.%.%.%.% , 1 1, 1,1,,,1.%.%.%.%.%.% 1.%.%.%.%.% , 1,,,.%.%.%.1%.%.%.%.%.%.1% 1.% , 1, 1,,1 TableD:andofCesareanDeliveriesforWomenwhowereEnroledina >=1Daysor>=Two-Thirdsofthe Pregnancyby PlanName Notes:*1deliveriesdonotincludeManagedMedicalAssistance(MMA)recipients. Planswithverysmalcasecountsareexcluded Cautionmustbeexercisedininterpretinghighpercentageswheredenominatorsaresmal Daysofenrolmentarenotrequiredtobeconsecutive Page

MED 146 Deliverable 1.24 Five Year Florida Medicaid Maternal and Child Health Status Indicators Report:

MED 146 Deliverable 1.24 Five Year Florida Medicaid Maternal and Child Health Status Indicators Report: MED 1 Deliverable 1. Five Year Florida Maternal and Child Health Indicators Report: -1 Presented to the Florida Agency for Health Care Administration Prepared by the University of Florida Family Data Center

More information

SELECTED INDICATORS FOR WOMEN AGES 15 TO 44 IN KITSAP COUNTY

SELECTED INDICATORS FOR WOMEN AGES 15 TO 44 IN KITSAP COUNTY SELECTED INDICATORS FOR WOMEN AGES 15 TO 44 IN KITSAP COUNTY TABLE OF CONTENTS Introduction page 2 Data Details page 3 Demographic Indicators page 4 Pregnancy Indicators page 5 Socioeconomic Indicators

More information

Safety Net Programs in Missouri

Safety Net Programs in Missouri Safety Net Programs in Missouri Published November 2017 Missourians across the entire state and from a variety of backgrounds and living situations rely on safety net programs for the basic essentials

More information

OHIO MEDICAID ASSESSMENT SURVEY 2012

OHIO MEDICAID ASSESSMENT SURVEY 2012 OHIO MEDICAID ASSESSMENT SURVEY 2012 Taking the pulse of health in Ohio Policy Brief A HEALTH PROFILE OF OHIO WOMEN AND CHILDREN Kelly Balistreri, PhD and Kara Joyner, PhD Department of Sociology and the

More information

MANAGED MEDICAL ASSISTANCE SECTION 1115 DEMONSTRATION WAIVER AUTHORITIES

MANAGED MEDICAL ASSISTANCE SECTION 1115 DEMONSTRATION WAIVER AUTHORITIES MANAGED MEDICAL ASSISTANCE SECTION 1115 DEMONSTRATION WAIVER AUTHORITIES NUMBER: TITLE: AWARDEE: 11-W-00206/4 Managed Medical Assistance Program Agency for Health Care Administration All requirements of

More information

Chapter 4 Medicaid Clients

Chapter 4 Medicaid Clients Chapter 4 Medicaid Clients Medicaid covers diverse client groups. The Medicaid caseload is always changing because of economic and other factors discussed in this chapter. Who Is Covered in Texas Medicaid

More information

United States Department of Agriculture Nutrition Assistance Program Report Series

United States Department of Agriculture Nutrition Assistance Program Report Series United States Department of Agriculture Nutrition Assistance Program Report Series Food and Nutrition Service, Office of Policy Support Special Nutrition Programs Report No. WIC-17-ELIG Volume I National-

More information

Profile of Ohio s Medicaid-Enrolled Adults and Those who are Potentially Eligible

Profile of Ohio s Medicaid-Enrolled Adults and Those who are Potentially Eligible Thalia Farietta, MS 1 Rachel Tumin, PhD 1 May 24, 2016 1 Ohio Colleges of Medicine Government Resource Center EXECUTIVE SUMMARY The primary objective of this chartbook is to describe the population of

More information

Fiscal Year 2013 Department of Community Health Budget

Fiscal Year 2013 Department of Community Health Budget June 29, 2012 Fiscal Year 2013 Department of Community Health Budget The last week of May, the Conference Committees approved all of their budget bills for fiscal year (FY) 2013, and on June 26, 2012,

More information

NY Laws and Maternal Health: Your Role in Implementing the NY Paid Family Leave Act Barbara A. Dennison, M.D.

NY Laws and Maternal Health: Your Role in Implementing the NY Paid Family Leave Act Barbara A. Dennison, M.D. NY Laws and Maternal Health: Your Role in Implementing the NY Paid Family Leave Act Barbara A. Dennison, M.D. June 8, 2017 The New York State Perinatal Association (NYSPA) Conference Albany, NY June 8,

More information

COMMUNITY REPORT CARD Nine-County Region

COMMUNITY REPORT CARD Nine-County Region LEARN CONNECT ACT COMMUNITY REPORT CARD Nine-County Region COMMUNITY INDICATORS Arts, Culture and Leisure Children and Youth Community Engagement Economy Education Financial Self-Sufficiency Health Housing

More information

For purposes of this subchapter

For purposes of this subchapter TITLE 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 7 - SOCIAL SECURITY SUBCHAPTER XIX - GRANTS TO STATES FOR MEDICAL ASSISTANCE PROGRAMS 1396d. Definitions For purposes of this subchapter (a) Medical assistance

More information

Strategies for Assessing Health Plan Performance on Chronic Diseases: Selecting Performance Indicators and Applying Health-Based Risk Adjustment

Strategies for Assessing Health Plan Performance on Chronic Diseases: Selecting Performance Indicators and Applying Health-Based Risk Adjustment Strategies for Assessing Health Plan Performance on Chronic Diseases: Selecting Performance Indicators and Applying Health-Based Risk Adjustment Appendix I Performance Results Overview In this section,

More information

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS NUMBER: TITLE: AWARDEE: 11-W-00206/4 Managed Medical Assistance Program Agency for Health Care Administration I. PREFACE The following

More information

COMMUNITY REPORT CARD Nine-County Region

COMMUNITY REPORT CARD Nine-County Region LEARN CONNECT ACT COMMUNITY REPORT CARD Nine-County Region COMMUNITY INDICATORS Arts, Culture and Leisure Children and Youth Community Engagement Economy Education Financial Self-Sufficiency Health Housing

More information

Although several factors determine whether and how women use health

Although several factors determine whether and how women use health CHAPTER 3: WOMEN AND HEALTH INSURANCE COVERAGE Although several factors determine whether and how women use health care services, the importance of health coverage as a critical resource in promoting access

More information

Part 5 Eligibility Criteria for Children

Part 5 Eligibility Criteria for Children Part 5 Eligibility Criteria for Children 41. 41 42. 42 43. 44. 43 44 45. 45 46. 46 47. 48. 47 49. 48 50. 49 50 Which children are eligible for the most comprehensive coverage: MassHealth Standard?...52

More information

ACCESS TO CARE FOR THE UNINSURED: AN UPDATE

ACCESS TO CARE FOR THE UNINSURED: AN UPDATE September 2003 ACCESS TO CARE FOR THE UNINSURED: AN UPDATE Over 43 million Americans had no health insurance coverage in 2002 according to the latest estimate from the U.S. Census Bureau - an increase

More information

A State Child Health Walk Through Health Care Reform

A State Child Health Walk Through Health Care Reform A State Child Health Walk Through Health Care Reform The following is an outline of those provisions of the Patient Protection and Affordable Care Act of 2010 (ACA, Public Law 111-148) of particular interest

More information

Behavioral Health Services Revenue Maximization Plan

Behavioral Health Services Revenue Maximization Plan Behavioral Health Services Revenue Maximization Plan Beth Kidder Interim Deputy Secretary for Medicaid Agency for Health Care Administration Senate Health and Human Services Appropriations January 11,

More information

Medicaid State Report

Medicaid State Report Medicaid State Report NEW JERSEY, FY 1996 (October 1, 1995 - September 30, 1996) Produced by the Department of Research Division of Health Policy Research I. POPULATION AND CHILD HEALTH DATA Total Population,

More information

Chapter 6 Section 2. Hospital Reimbursement - TRICARE DRG-Based Payment System (General Description Of System)

Chapter 6 Section 2. Hospital Reimbursement - TRICARE DRG-Based Payment System (General Description Of System) Diagnostic Related Groups (DRGs) Chapter 6 Section 2 Hospital Reimbursement - TRICARE DRG-Based Payment System (General Description Of System) Issue Date: October 8, 1987 Authority: 32 CFR 199.14(a)(1)

More information

Social Services Estimating Conference Medicaid Caseloads and Expenditures February 12 and March 4, 2015 Executive Summary

Social Services Estimating Conference Medicaid Caseloads and Expenditures February 12 and March 4, 2015 Executive Summary Social Services Estimating Conference Medicaid Caseloads and Expenditures February 12 and March 4, 2015 Executive Summary The Social Services Estimating Conference convened on February 12, 2015 to adopt

More information

Evaluation of Florida s Managed Medical Assistance (MMA) Program Demonstration: Project 2 Final Interim Report

Evaluation of Florida s Managed Medical Assistance (MMA) Program Demonstration: Project 2 Final Interim Report Evaluation of Florida s Managed Medical Assistance (MMA) Demonstration: Project 2 Final Interim Report Contract Deliverable No. 12, Managed Medical Assistance Final Interim Report Project 2 DY1: Component

More information

RULES OF TENNESSEE DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL SERVICES CHAPTER COVERAGE GROUPS UNDER MEDICAID TABLE OF CONTENTS

RULES OF TENNESSEE DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL SERVICES CHAPTER COVERAGE GROUPS UNDER MEDICAID TABLE OF CONTENTS RULES OF TENNESSEE DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL SERVICES CHAPTER 1240-03-02 COVERAGE GROUPS UNDER MEDICAID TABLE OF CONTENTS 1240-03-02-.01 Necessity and Function 1240-03-02-.04 Enrollment

More information

How is the TRICARE/CHAMPUS DRG-based payment system to be used in determining inpatient reimbursement for hospitals?

How is the TRICARE/CHAMPUS DRG-based payment system to be used in determining inpatient reimbursement for hospitals? DIAGNOSTIC RELATED GROUPS (DRGS) CHAPTER 6 SECTION 2 HOSPITAL REIMBURSEMENT - TRICARE/CHAMPUS DRG- BASED PAYMENT SYSTEM (GENERAL ISSUE DATE: October 8, 1987 AUTHORITY: 32 CFR 199.14(a)(1) I. APPLICABILITY

More information

USDA, Food and Nutrition Service Version Functional Requirements Document for a Model WIC Information System September 2008

USDA, Food and Nutrition Service Version Functional Requirements Document for a Model WIC Information System September 2008 3.1 The function is intended to support application processing and certification of WIC participants 4. To be certified as eligible to receive WIC benefits, applicants 5 must meet categorical, income,

More information

Medicaid Benchmark Benefits under the Affordable Care Act: Options for New York

Medicaid Benchmark Benefits under the Affordable Care Act: Options for New York Medicaid Benchmark Benefits under the Affordable Care Act: Options for New York PRESENTED TO: NEW YORK STATE DEPARTMENT OF HEALTH JANUARY 2013 PREPARED BY: DENISE SOFFEL, PH.D. ROBERT BUCHANAN TOM DEHNER

More information

Allegheny County HealthChoices Program

Allegheny County HealthChoices Program Allegheny County HealthChoices Program Year-In-Review presented by Allegheny HealthChoices, Inc. 444 Liberty Avenue, Pittsburgh, PA 15222 Phone: 412/325-1100 Fax 412/325-1111 July 2003 AHCI is a contract

More information

CENTERS FOR MEDICARE AND MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS. Indiana Family and Social Services Administration

CENTERS FOR MEDICARE AND MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS. Indiana Family and Social Services Administration CENTERS FOR MEDICARE AND MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS NUMBER: 11-W- 00296/5 TITLE: Healthy Indiana Plan (HIP) 2.0 AWARDEE: Indiana Family and Social Services Administration I. PREFACE

More information

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS NUMBER: TITLE: AWARDEE: 11-W-00206/4 Florida Managed Medical Assistance Program Agency for Health Care Administration I. PREFACE The

More information

Canadian Community Health Survey Summary Report to the District Health Authorities

Canadian Community Health Survey Summary Report to the District Health Authorities Canadian Community Health Survey Summary Report to the District Health Authorities Published by: Performance Measurement and Health Informatics Nova Scotia Department of Health Published on: October 7,

More information

Performance Outcomes System Reports Report run on August 3, 2016

Performance Outcomes System Reports Report run on August 3, 2016 Performance Outcomes System Reports Report run on August 3, 26 Background Three reports will be created during each new reporting period. The reports that will be produced are as follows: statewide aggregate

More information

U.S. Senate Finance Committee Coverage Policy Options Detailed Section by Section Summary May 18, 2009

U.S. Senate Finance Committee Coverage Policy Options Detailed Section by Section Summary May 18, 2009 U.S. Senate Finance Committee Coverage Policy Options Detailed Section by Section Summary May 18, 2009 This document outlines the 61-page report, Expanding Health Care Coverage: Proposals to Provide Affordable

More information

Presumptive Eligibility. Last Updated: February 20, 2018

Presumptive Eligibility. Last Updated: February 20, 2018 Presumptive Eligibility Last Updated: February 20, 2018 Agenda Presumptive Eligibility Overview Covered Benefits Qualified Providers (QPs) How to Become a QP Completing the PE Application Other Resources

More information

CRC Memorandum MEDICAID ELIGIBILITY

CRC Memorandum MEDICAID ELIGIBILITY Governmental Research Since 1916 No. 1074 A A publication of the of the Citizens Research Council of of Michigan July 2003 This CRC Memorandum was made possible by grants from the W.K. Kellogg Foundation

More information

Comments from the Children s Defense Fund: Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans

Comments from the Children s Defense Fund: Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans May 22, 2009 Comments from the Children s Defense Fund: Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans Contact: Alison Buist, PhD Director, Child Health Children

More information

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS NUMBER: TITLE: AWARDEE: 11-W-00206/4 Managed Medical Assistance Program Agency for Health Care Administration I. PREFACE The following

More information

Jackie Prokop, RN, MHA Director Program Policy Division Medical Services Administration Michigan Department of Health and Human Services

Jackie Prokop, RN, MHA Director Program Policy Division Medical Services Administration Michigan Department of Health and Human Services Jackie Prokop, RN, MHA Director Program Policy Division Medical Services Administration Michigan Department of Health and Human Services March 23, 2016 Overview of the Healthy Michigan Plan (HMP) Federal

More information

ANALYSIS OF THE IMPACT OF

ANALYSIS OF THE IMPACT OF ANALYSIS OF THE IMPACT OF THE GOVERNMENT S MYEFO CUTS TO PAID PARENTAL LEAVE Authors: Professor Marian Baird and Dr Andreea Constantin Women and Work Research Group, University of Sydney Business School

More information

kaiser medicaid commission on and the uninsured How Will Health Reform Impact Young Adults? By Karyn Schwartz and Tanya Schwartz Executive Summary

kaiser medicaid commission on and the uninsured How Will Health Reform Impact Young Adults? By Karyn Schwartz and Tanya Schwartz Executive Summary I S S U E P A P E R kaiser commission on medicaid and the uninsured How Will Health Reform Impact Young Adults? By Karyn Schwartz and Tanya Schwartz Executive Summary May 2010 The health reform law that

More information

PE Process Guide. Qualified Provider Responsibilities

PE Process Guide. Qualified Provider Responsibilities PE Process Guide The purpose of this document is to provide Qualified Providers (QP) participating in the Presumptive Eligibility (PE) program guidance on eligibility requirements and the QP s role in

More information

Medicaid Benefits for Children and Adults: Issues Raised by the National Governors Association s Preliminary Recommendations

Medicaid Benefits for Children and Adults: Issues Raised by the National Governors Association s Preliminary Recommendations Medicaid Benefits for Children and Adults: Issues Raised by the National Governors Association s Preliminary Recommendations July 12, 2005 Cindy Mann Overview The Medicaid benefit package determines which

More information

State of California. Financial Feasibility of a. Basic Health Program. June 28, Prepared with funding from the California HealthCare Foundation

State of California. Financial Feasibility of a. Basic Health Program. June 28, Prepared with funding from the California HealthCare Foundation June 28, 2011 State of California Financial Feasibility of a Basic Health Program Prepared with funding from the Mercer Contents 1. Executive Summary...1 2. Introduction...4 Background...4 3. Project Scope

More information

America s Uninsured Population

America s Uninsured Population STATEMENT OF THE AMERICAN COLLEGE OF PHYSICIANS AMERICAN SOCIETY OF INTERNAL MEDICINE TO THE COMMITTEE ON WAYS AND MEANS, SUBCOMMITTEE ON HEALTH UNITED STATES HOUSE OF REPRESENTATIVES APRIL 4, 2001 The

More information

Chapter 6 Section 2. Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (General Description Of System)

Chapter 6 Section 2. Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (General Description Of System) Diagnosis Related Groups (DRGs) Chapter 6 Section 2 Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (General Issue Date: October 8, 1987 Authority: 32 CFR 199.14(a)(1)

More information

Public Health Outcomes Framework. Summary for Eastbourne. Indicators at a glance (February 2017)

Public Health Outcomes Framework. Summary for Eastbourne. Indicators at a glance (February 2017) Public Health Outcomes Framework Indicators at a glance (February 2017) Notes: - Value cells are shaded red, amber or green to show significance compared to England, or where the value can be benchmarked

More information

APPENDIX B ISSUES IN TABULATION CLAIM EXPENDITURES AND IDENTIFYING UNIQUE CLAIMANTS

APPENDIX B ISSUES IN TABULATION CLAIM EXPENDITURES AND IDENTIFYING UNIQUE CLAIMANTS APPENDIX B ISSUES IN TABULATION CLAIM EXPENDITURES AND IDENTIFYING UNIQUE CLAIMANTS Two characteristics of the Medi-Cal claims data were examined to understand their implications for the study analysis.

More information

UPMC Pinnacle. Policy #C-667 Page 1 of 5. Charity Care and Financial Assistance Policy. Policy Statement:

UPMC Pinnacle. Policy #C-667 Page 1 of 5. Charity Care and Financial Assistance Policy. Policy Statement: UPMC Pinnacle Policy #C-667 Page 1 of 5 Subject: Charity Care and Financial Assistance Policy Policy Statement: It is the policy of the UPMC Pinnacle to consider each patient s ability to pay for his or

More information

Women, Families & the Affordable Care Act: Overview of Preventive Services Requirements. Webinar and Discussion December 4 th 2013

Women, Families & the Affordable Care Act: Overview of Preventive Services Requirements. Webinar and Discussion December 4 th 2013 Women, Families & the Affordable Care Act: Overview of Preventive Services Requirements Webinar and Discussion December 4 th 2013 Presentation Quick overview of the Affordable Care Act 1. Coverage and

More information

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS

CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS NUMBER: TITLE: AWARDEE: 11-W-00048/6 SoonerCare Oklahoma Health Care Authority XI. GENERAL FINANCIAL REQUIREMENTS UNDER TITLE XIX 56.

More information

Medicaid 101: Michigan Association of Health Plans

Medicaid 101: Michigan Association of Health Plans Michigan Department of Community Health Director: Nick Lyon Medicaid 101: Michigan Association of Health Plans February 12, 2015 Steve Fitton Medicaid Director 1 2 Medicaid History Condensed Federal legislation

More information

2017 National Training Program

2017 National Training Program 2017 National Training Program Module 12 Medicaid and the Children s Health Insurance Program (CHIP) Contents Lesson 1 Medicaid Overview... Lesson 2 Children s Health Insurance Program (CHIP) Overview...

More information

SUB. H.B. 49 AS PASSED BY THE HOUSE SELECTED HOSPITAL-RELATED PROVISIONS

SUB. H.B. 49 AS PASSED BY THE HOUSE SELECTED HOSPITAL-RELATED PROVISIONS SUB. H.B. 49 AS PASSED BY THE HOUSE SELECTED HOSPITAL-RELATED PROVISIONS HOSPITAL ISSUES: CONTENTS Medicaid payment rates for hospital services... 2 Medicaid eligibility requirements for expansion group...

More information

Florida Managed Medical Assistance Program (Project Number 11-W-00206/4) 3-Year Waiver Extension Request

Florida Managed Medical Assistance Program (Project Number 11-W-00206/4) 3-Year Waiver Extension Request Florida Managed Medical Assistance Program (Project Number 11-W-00206/4) 3-Year Waiver Extension Request Submitted on November 27, 2013 1115 Research and Demonstration Waiver Florida Agency for Health

More information

WHO ARE THE UNINSURED IN RHODE ISLAND?

WHO ARE THE UNINSURED IN RHODE ISLAND? WHO ARE THE UNINSURED IN RHODE ISLAND? Demographic Trends, Access to Care, and Health Status for the Under 65 Population PREPARED BY Karen Bogen, Ph.D. RI Department of Human Services RI Medicaid Research

More information

Kansas Health Policy Authority State of Health Reform in Kansas Kansas Economic Policy Conference October 30, 2008

Kansas Health Policy Authority State of Health Reform in Kansas Kansas Economic Policy Conference October 30, 2008 Kansas Health Policy Authority State of Health Reform in Kansas 2008 Kansas Economic Policy Conference October 30, 2008 Marcia Nielsen, PhD, MPH, Executive Director How We Get Health Care Private Insurance:

More information

The Impact of Program Changes on Health Care for the OHP Standard Population: Early Results from a Prospective Cohort Study

The Impact of Program Changes on Health Care for the OHP Standard Population: Early Results from a Prospective Cohort Study Portland State University PDXScholar Sociology Faculty Publications and Presentations Sociology 2004 The Impact of Program Changes on Health Care for the OHP Standard Population: Early Results from a Prospective

More information

Chapter 6 Section 2. Hospital Reimbursement - TRICARE DRG-Based Payment System (General Description Of System)

Chapter 6 Section 2. Hospital Reimbursement - TRICARE DRG-Based Payment System (General Description Of System) Diagnostic Related Groups (DRGs) Chapter 6 Section 2 Hospital Reimbursement - TRICARE DRG-Based Payment System (General Description Of System) Issue Date: October 8, 1987 Authority: 32 CFR 199.14(a)(1)

More information

Florida Managed Medical Assistance Program

Florida Managed Medical Assistance Program Florida Managed Medical Assistance Program 1115 Research and Demonstration Waiver 2 nd Quarter Report October 1, 2016 December 31, 2016 Demonstration Year 11 This page intentionally left blank. Table of

More information

Charisma Hooda 1/13/14

Charisma Hooda 1/13/14 Charisma Hooda 1/13/14 Link the MCAH population to needed medical, mental, social, dental, and community services to promote equity in access to quality services, especially for those who are eligible

More information

Children's Health Coverage in Mississippi, CPS /27/2010. Center for Mississippi Health Policy

Children's Health Coverage in Mississippi, CPS /27/2010. Center for Mississippi Health Policy 1 Mississippi s children under 19 years of age experience statistically higher rates of uninsurance compared to nationwide children s rates (p

More information

Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans. Senate Finance Committee May 14, 2009

Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans. Senate Finance Committee May 14, 2009 Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans Senate Finance Committee May 14, 2009 1 Introduction Goals of proposed policy options To expand affordable health

More information

FRAMEWORK FOR THE ANNUAL REPORT OF THE CHILDREN S HEALTH INSURANCE PLANS UNDER TITLE XXI OF THE SOCIAL SECURITY ACT

FRAMEWORK FOR THE ANNUAL REPORT OF THE CHILDREN S HEALTH INSURANCE PLANS UNDER TITLE XXI OF THE SOCIAL SECURITY ACT FRAMEWORK FOR THE ANNUAL REPORT OF THE CHILDREN S HEALTH INSURANCE PLANS UNDER TITLE XXI OF THE SOCIAL SECURITY ACT Preamble Section 2108(a) and Section 2108(e) of the Social Security Act (the Act) provides

More information

ANNUAL REPORT STUDY OF THE IMPACT OF THE ACA IMPLEMENTATION IN KENTUCKY. Prepared for: Foundation for a Healthy Kentucky

ANNUAL REPORT STUDY OF THE IMPACT OF THE ACA IMPLEMENTATION IN KENTUCKY. Prepared for: Foundation for a Healthy Kentucky ANNUAL REPORT STUDY OF THE IMPACT OF THE ACA IMPLEMENTATION IN KENTUCKY Prepared for: Foundation for a Healthy Kentucky Prepared by: State Health Access Data Assistance Center (SHADAC) University of Minnesota

More information

GUIDELINES FOR MEASURING DISPROPORTIONATE IMPACT IN EQUITY PLANS CALIFORNIA COMMUNITY COLLEGES CHANCELLORS OFFICE JULY 6, 2014 REVISION

GUIDELINES FOR MEASURING DISPROPORTIONATE IMPACT IN EQUITY PLANS CALIFORNIA COMMUNITY COLLEGES CHANCELLORS OFFICE JULY 6, 2014 REVISION GUIDELINES FOR MEASURING DISPROPORTIONATE IMPACT IN EQUITY PLANS CALIFORNIA COMMUNITY COLLEGES CHANCELLORS OFFICE JULY 6, 2014 REVISION INTRODUCTION AND BACKGROUND This document presents two methodologies

More information

How is the TRICARE/CHAMPUS DRG-based payment system to be used in determining inpatient reimbursement for hospitals?

How is the TRICARE/CHAMPUS DRG-based payment system to be used in determining inpatient reimbursement for hospitals? TRICARE/CHAMPUS POLICY MANUAL 6010.47-M JUNE 25, 1999 PAYMENTS POLICY CHAPTER 13 SECTION 6.1B HOSPITAL REIMBURSEMENT - TRICARE/CHAMPUS DRG- BASED PAYMENT SYSTEM (GENERAL Issue Date: October 8, 1987 Authority:

More information

11/9/2017 MEDICAID, THE VA, AND ELIGIBILITY MEDICAID - DEFINED MEDICAID FUN FACTS - FLORIDA

11/9/2017 MEDICAID, THE VA, AND ELIGIBILITY MEDICAID - DEFINED MEDICAID FUN FACTS - FLORIDA MEDICAID, THE VA, AND ELIGIBILITY NOVEMBER 14, 2017 ELDER AND DISABILITY LAW FORUM KOLE J. LONG, ESQ. SPECIAL NEEDS LAWYERS, PA MEDICAID - DEFINED MEDICAID IS A JOINT FEDERAL AND STATE PROGRAM THAT, TOGETHER

More information

TITLE VI NEWBORNS AND MOTHERS HEALTH PROTECTION ACT OF SEC SHORT TITLE. This title may be cited as the

TITLE VI NEWBORNS AND MOTHERS HEALTH PROTECTION ACT OF SEC SHORT TITLE. This title may be cited as the TITLE VI NEWBORNS AND MOTHERS HEALTH PROTECTION ACT OF 1996 SEC. 601. SHORT TITLE. This title may be cited as the Newborns and Mothers Health Protection Act of 1996. SEC. 602. FINDINGS. Congress finds

More information

HealthStats HIDI A TWO-PART SERIES ON WOMEN S HEALTH PART ONE: THE IMPORTANCE OF HEALTH INSURANCE COVERAGE JANUARY 2015

HealthStats HIDI A TWO-PART SERIES ON WOMEN S HEALTH PART ONE: THE IMPORTANCE OF HEALTH INSURANCE COVERAGE JANUARY 2015 HIDI HealthStats Statistics and Analysis From the Hospital Industry Data Institute Key Points: Uninsured women are often diagnosed with breast and cervical cancer at later stages when treatment is less

More information

Oklahoma Health Care Authority

Oklahoma Health Care Authority Oklahoma Health Care Authority SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration 11-W-00048/6 Application for Extension of the Demonstration, 2016 2018 Submitted to the Centers for Medicare and

More information

City of Los Angeles Periodic Utilization Report 3rd Quarter 2017 (10/1/2016 9/30/2017)

City of Los Angeles Periodic Utilization Report 3rd Quarter 2017 (10/1/2016 9/30/2017) Dr. Craig Collins, MD, MBA, FACS General and Minimally Invasive Surgery Physician Marketing Leader, Los Angeles Metro Area Associate Clinical Professor, UCLA Geffen School of Medicine City of Los Angeles

More information

820 First Street NE, Suite 510 Washington, DC Tel: Fax:

820 First Street NE, Suite 510 Washington, DC Tel: Fax: 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org May 3, 2011 RYAN MEDICAID BLOCK GRANT WOULD CAUSE SEVERE REDUCTIONS IN HEALTH CARE AND

More information

04/04 06/05, 05/10, 12/10, 03/11, 11/11, 03/12, 10/13, 09/14, 08/15, 09/17, 12/17, 09/18, 11/18

04/04 06/05, 05/10, 12/10, 03/11, 11/11, 03/12, 10/13, 09/14, 08/15, 09/17, 12/17, 09/18, 11/18 NMHS CORPORATE POLICIES AND PROCEDURES SUBJECT: FINANCIAL ASSISTANCE APPLICABLE: EFFECTIVE DATE: REVIEWED/REVISED: PURPOSE: Nebraska Methodist Hospital, Methodist Fremont Health, Methodist Jennie Edmundson,

More information

Fall 2010 Fall 2011 Fall 2012 Fall 2013 Fall 2014 Fall 2015

Fall 2010 Fall 2011 Fall 2012 Fall 2013 Fall 2014 Fall 2015 Employee Headcount by Employee Classification Group, s - 2010 through 2015 800 700 Number of Employees 600 500 400 300 200 100 0 Fall 2010 Fall 2011 Fall 2012 Fall 2013 Fall 2014 Fall 2015 Number of Employees

More information

Medicare- Medicaid Enrollee State Profile

Medicare- Medicaid Enrollee State Profile Medicare- Medicaid Enrollee State Profile Pennsylvania Centers for Medicare & Medicaid Services Introduction... 1 At a Glance... 1 Eligibility... 2 Demographics... 3 Chronic Conditions... 4 Utilization...

More information

SENATE, No. 105 STATE OF NEW JERSEY. 218th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 2018 SESSION

SENATE, No. 105 STATE OF NEW JERSEY. 218th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 2018 SESSION SENATE, No. STATE OF NEW JERSEY th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 0 SESSION Sponsored by: Senator LORETTA WEINBERG District (Bergen) Senator LINDA R. GREENSTEIN District (Mercer and Middlesex)

More information

The Uninsured in Texas

The Uninsured in Texas H E A L T H P O L I C Y C E N T E R Funded by The Uninsured in Texas Statewide and Local Area Views Matthew Buettgens, Linda J. Blumberg, and Clare Pan December 2018 The number of insured people in the

More information

Poverty and Food Needs: Carroll County, Iowa

Poverty and Food Needs: Carroll County, Iowa Poverty and Food Needs Iowa Community Indicators Program 9-1-2014 Poverty and Food Needs:, Iowa Liesl Eathington Iowa State University, leathing@iastate.edu Follow this and additional works at: http://lib.dr.iastate.edu/icip_poverty

More information

Healthy Indiana Plan (HIP) Provider Orientation

Healthy Indiana Plan (HIP) Provider Orientation Serving Hoosier Healthwise, Healthy Indiana Plan Healthy Indiana Plan (HIP) Provider Orientation Agenda Program overview Benefit coverage Eligibility HIP offerings Medically frail and various member categories

More information

Fact Sheet: Impact of the President s FY 2019 Budget Request on Children s Health

Fact Sheet: Impact of the President s FY 2019 Budget Request on Children s Health Fact Sheet: Impact of the President s FY 2019 Budget Request on Children s Health February 2018 Earlier this week President Trump released his 2019 budget proposal to Congress. His FY 2019 budget request

More information

Verification of Special Enrollment Periods. Verification Requests from Insurance Companies

Verification of Special Enrollment Periods. Verification Requests from Insurance Companies Guidance: Special Enrollment Periods Over the past year, there have been a number of changes to the ways that Special Enrollment Periods (SEPs) operate for Connect for Health Colorado and health insurance

More information

Statewide Medicaid Managed Care

Statewide Medicaid Managed Care Statewide Medicaid Managed Care Justin M. Senior Deputy Secretary for Medicaid Agency for Health Care Administration Senate Health Policy Committee March 4, 2015 As requested by the Committee, this presentation

More information

KENTUCKY HEALTH: GOVERNOR BEVIN S 1115 MEDICAID WAIVER

KENTUCKY HEALTH: GOVERNOR BEVIN S 1115 MEDICAID WAIVER KENTUCKY HEALTH: GOVERNOR BEVIN S 1115 MEDICAID WAIVER WHAT IS IT? Kentucky HEALTH is Governor Bevin s signature Medicaid program that stands for Helping to Engage and Achieve Long Term Health. Also called

More information

ATTACHMENT I SCOPE OF SERVICES CAPITATED HEALTH PLANS

ATTACHMENT I SCOPE OF SERVICES CAPITATED HEALTH PLANS ATTACHMENT I SCOPE OF SERVICES CAPITATED HEALTH PLANS A. Plan Type The Vendor (Health Plan) is approved to provide contracted services as the following health plan type as denoted by X. When the statewide

More information

ATTACHMENT I SCOPE OF SERVICES CAPITATED HEALTH PLANS

ATTACHMENT I SCOPE OF SERVICES CAPITATED HEALTH PLANS ATTACHMENT I SCOPE OF SERVICES CAPITATED HEALTH PLANS A. Plan Type The Vendor (Health Plan) is approved to provide contracted services as the following health plan type as denoted by X : TABLE 1 Health

More information

COMMUNITY REPORT CARD Nine-County Region

COMMUNITY REPORT CARD Nine-County Region LEARN CONNECT ACT COMMUNITY REPORT CARD Nine-County Region COMMUNITY INDICATORS Arts, Culture and Leisure Children and Youth Community Engagement Economy Education Financial Self-Sufficiency Health Housing

More information

An Analysis of Rhode Island s Uninsured

An Analysis of Rhode Island s Uninsured An Analysis of Rhode Island s Uninsured Trends, Demographics, and Regional and National Comparisons OHIC 233 Richmond Street, Providence, RI 02903 HealthInsuranceInquiry@ohic.ri.gov 401.222.5424 Executive

More information

Assets of Low Income Households by SNAP Eligibility and Participation in Final Report. October 19, Carole Trippe Bruce Schechter

Assets of Low Income Households by SNAP Eligibility and Participation in Final Report. October 19, Carole Trippe Bruce Schechter Assets of Low Income Households by SNAP Eligibility and Participation in 2010 Final Report October 19, 2010 Carole Trippe Bruce Schechter This page has been left blank for double-sided copying. Contract

More information

An Overview of the Kentucky Medicaid Program and Discussion of the Federal Medicaid Landscape

An Overview of the Kentucky Medicaid Program and Discussion of the Federal Medicaid Landscape An Overview of the Kentucky Medicaid Program and Discussion of the Federal Medicaid Landscape Prepared For: The Foundation for a Healthy Kentucky By: HEALTH MANAGEMENT ASSOCIATES September 2005 180 North

More information

ATTACHMENT I SCOPE OF SERVICES FEE-FOR-SERVICE PROVIDER SERVICE NETWORKS

ATTACHMENT I SCOPE OF SERVICES FEE-FOR-SERVICE PROVIDER SERVICE NETWORKS ATTACHMENT I SCOPE OF SERVICES FEE-FOR-SERVICE PROVIDER SERVICE NETWORKS A. Plan Type The Vendor (Health Plan) is approved to provide contracted services as the following health plan type as denoted by

More information

The Status of BadgerCare Cost-Cutting Initiatives Proposed by the Department of Health Services

The Status of BadgerCare Cost-Cutting Initiatives Proposed by the Department of Health Services The Status of BadgerCare Cost-Cutting Initiatives Proposed by the Department of Health Services March 13, 2012 The cost-cutting changes that the Department of Health Services (DHS) has been seeking to

More information

Obesity, Disability, and Movement onto the DI Rolls

Obesity, Disability, and Movement onto the DI Rolls Obesity, Disability, and Movement onto the DI Rolls John Cawley Cornell University Richard V. Burkhauser Cornell University Prepared for the Sixth Annual Conference of Retirement Research Consortium The

More information

[MEDICAID EXPANSION: WHAT IT MEANS FOR COMMUNITY HEALTH CENTERS IN MARYLAND AND DELAWARE]

[MEDICAID EXPANSION: WHAT IT MEANS FOR COMMUNITY HEALTH CENTERS IN MARYLAND AND DELAWARE] 2013 Mid-Atlantic Association of Community Health Centers Junaed Siddiqui, MS Community Development Analyst [MEDICAID EXPANSION: WHAT IT MEANS FOR COMMUNITY HEALTH CENTERS IN MARYLAND AND DELAWARE] Medicaid

More information

Changing Policy. Improving Lives.

Changing Policy. Improving Lives. This is the first of two papers providing basic information about Louisiana s Medicaid program. It is intended as a primer for policymakers, the media and the general public as the program prepares for

More information

The Demographics of Missouri Medicaid: Implications for Work Requirements

The Demographics of Missouri Medicaid: Implications for Work Requirements POLICY BRIEF: The Demographics of Missouri Medicaid: Implications for Work Requirements by Linda Li, MPH, Leah Kemper, MPH, Timothy McBride, PhD, and Abigail Barker, PhD March 2018 Introduction State Medicaid

More information

Help your constituents gain the most from the Affordable Care Act

Help your constituents gain the most from the Affordable Care Act 1 Help your constituents gain the most from the Affordable Care Act Quick refresher course on Covered California: your destination for affordable, quality health care, including Medi-Cal Help your constituents

More information

What the ACA means for pediatricians and children: Talking Points for AAP Media Spokespeople

What the ACA means for pediatricians and children: Talking Points for AAP Media Spokespeople What the ACA means for pediatricians and children: Talking Points for AAP Media Spokespeople Overarching key messages The Affordable Care Act (ACA) provides children with the ABCs: Access to health care

More information

HEALTH BENEFIT PLAN FOR NORTHWESTERN MICHIGAN COLLEGE SCHEDULE OF MEDICAL BENEFITS AND PRESCRIPTION COVERAGE

HEALTH BENEFIT PLAN FOR NORTHWESTERN MICHIGAN COLLEGE SCHEDULE OF MEDICAL BENEFITS AND PRESCRIPTION COVERAGE HEALTH BENEFIT PLAN FOR NORTHWESTERN MICHIGAN COLLEGE SCHEDULE OF MEDICAL BENEFITS AND PRESCRIPTION COVERAGE Preferred Provider Organization (PPO) High Deductible Health Plan (HDHP) Effective Date: January

More information

Himachal Pradesh District Governance Index

Himachal Pradesh District Governance Index Himachal Pradesh District Governance Index Submitted by: Public Affairs Centre, Bangalore Commissioned by: State Government of Himachal Pradesh S: State Page 1 of 6 Dated: 7th December, 2017 Theme 1: Essential

More information