Few people would disagree that children with disabilities need adequate health insurance. But what kind of health insurance coverage would be optimal for these children? Peter Szilagyi surveys the current state of insurance coverage for children with special health care needs and examines critical aspects of coverage with an eye to helping policy…

All children, even the healthiest, have preventive and acute health care needs. Moreover, a growing number of children are chronically ill, with preventive, acute, and ongoing care needs that may be much more demanding than those for healthy children. Because children are unable to care for themselves, their parents are expected to provide a range…

The articles in this journal issue provide an overview of ways in which health services are presently delivered to children, youth, and pregnant women; the means by which these services are financed; and some of the major deficiencies in meeting the health needs of these groups. In the first article, the Center for the Future of Children presents…

This issue of "The Future of Children" focuses on efforts to provide publicly funded health insurance to low-income children in the United States through Medicaid and the State Children's Health Insurance Program (SCHIP). The articles summarize current knowledge and research about which children are uninsured and why, discuss ways to…

Examines the demography and the social and health status of Latino children, focusing on the implications for the formulation of public policy and the implementation of programs. Significant health issues by developmental stages are discussed, from infancy through adolescence, as well as issues surrounding access to medical care and health…

The staff of the Center for the Future of Children analyzes policies to make the U.S. health care system more responsive to the needs of children and pregnant women focusing on (1) efficiency; (2) access; and (3) affordability. Recommendations are made in each of these areas. (SLD)

Summarizes the private health insurance market, focusing on recent trends. Efforts should be made to preserve the current private health insurance system through comprehensive reforms that reduce cost and shift from public programs; control costs by competition, managed care, and global spending limits; and guarantee coverage for all groups. (SLD)

Examines changes in children's health insurance status and utilization of health services in the past decade, using 1977 National Medical Care Expenditure Survey data and 1987 National Medical Expenditure Survey data. Policies that could reduce the number of uninsured children (mandated employment-related coverage and incremental Medicaid…

Health care reform needs to assure coverage to all children regardless of income level or illnesses; address benefits, financing, administration, and delivery systems; provide substantial subsidies to low-income families; be equitable for all people; provide better monitoring of child health; protect and strengthen health providers who assist…

Although the Medicaid program has brought health insurance coverage to millions of poor children and their families, children continue to make up a disproportionately large share of uninsured Americans. Discusses the various national reform measures under consideration to expand health insurance coverage and contain the costs of such coverage,…

Examines the benefits which need to be included in a health care reform program to improve coverage for children and adolescents. Reviews three criteria (medical necessity, insurability, and cost effectiveness) that may be used to develop a benefits package and finds them of limited utility. Maintains that informed consensus is the most reliable…

Examines how health care reform might be structured to provide support for a package of primary care services for children of all socioeconomic strata. An insurance-like financing system, such as the special Medicaid payment system adopted by New York State for public and nonprofit primary health care programs, may be useful as a model for a…

Discusses the implications of the Medicare program's rate setting system on health care reform and considers whether such a procedure could be applied to a health insurance system that included children. Examines desirable characteristics of a provider payment system, special health needs of children, and hospital and physician payment issues.…

Examines the claimed advantages and potential disadvantages of managed care plans for children and pregnant women. Although available research does not support most claims that such plans reduce costs and improve care, managed care plans are growing and changing rapidly. Therefore, past experience with managed care may not be a good guide to…

Discusses the advantages and disadvantages of an employer-based health insurance system and the effects of such a system on children. Examines employer decisions regarding coverage, financial limitations, insurer and health plan practices that affect the availability and continuity of coverage, and several new models for providing health insurance…