Performance Improvement 2004. Impact of Publicly Funded Programs on Child Health Safety Nets


This study sought to: (a) identify the characteristics of publicly-funded programs that contribute to the survival and financial viability of pediatric safety-net providers; (b) compare the effects Medicaid Managed Care (and the State Children’s Health Insurance Program) has upon pediatric safety-net hospitals versus the its effects on Federally Qualified Health Centers providing pediatric services; (c) investigate institutional and organizational factors among pediatric safety-net providers; and (d) examine these provider’s success confronting changes in their community. Factors indicative of a viable community pediatric safety net included: 1) the presence of community or regional planning for pediatric safety; 2) engaged academic medical centers; 3) effective Medicaid managed care; 4) adaptive health centers; 5) active public health department; and 6) transformed Federally Qualified Health Centers.

PIC ID: 6039
Agency Sponsor: HRSA-BPHC, Bureau of Primary Health Care
Federal Contact: Pandya, Amisha, 301-594-3724
Performer: Northwestern University, Center for Health Services Policy, Evanston IL

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