Policy & Regulation

Changes in children's health insurance coverage occur with far greater frequency than the modest year-to-year changes in the proportion uninsured or the proportion with different types of coverage would suggest.

By Marilyn Ellwood & Carol Irvin Mathematica Policy Research, Inc. 50 Church Street, Fourth Floor Cambridge, MA 02138 April 14, 2000

Prescription drugs play an ever-increasing role in modern medicine. New medications are improving health outcomes and quality of life, replacing surgery and other invasive treatments, and quickening recovery for patients who receive these treatments. As important as prescription drugs are, not everyone has access to them.

U.S. Department of Health and Human Services

Policy changes may have both positive and negative effects on programs that are not the primary target of the policy. Policymakers hope that the potential negative effects are minimized and do not outweigh the positive effects on the target program as well as on other programs.

Prepared by: Chapin Hall Center for Children at the University of Chicago Center for Social Services Research, University of California, Berkeley School of Social Work, University of North Carolina, Chapel Hill American Institutes for Research, Prime Contractor

Study Methods Coordination and Client Services Advantages of Coordination for the Client Factors that Promote Coordination Challenges to Coordination

Prepared by Staff of the U.S. Department of Health and Human Services Acknowledgements

Contents Study Purpose and Design Defining Intermediaries Characteristics of Intermediaries Key Decisions Regarding the Use of Intermediaries Implementation of the Intermediary Function Implementati