National Healthcare Quality and Disparities Report
Maternal and Child Health Care Measures
- Periods of uninsurance.
- Prenatal care.
- Receipt of recommended immunizations by young children.
- Children's vision screening.
- Well-child visits in the last year.
- Receipt of meningococcal vaccine by adolescents.
- Receipt of human papillomavirus (HPV) vaccination by adolescents.
- Person-Centered Care:
- Children who had a doctor’s office or clinic visit in the last 12 months who reported poor communication with health providers.
- Patient Safety:
- Birth trauma—injury to neonates.
- Care Coordination:
- Children and adolescents whose health provider usually asks about prescription medications and treatments from other doctors.
- Emergency department (ED) visits with a principal diagnosis related to mental health, alcohol, or substance abuse.
- ED visits for asthma.
Access: Children and Adolescents With Periods of Uninsurance
- Coverage gaps ("uninsurance") are a significant factor in children's access to and use of care, as well as their health outcomes.1-3
- Resources through the Children’s Health Insurance Program Reauthorization Act (CHIPRA) are designed to increase Medicaid/CHIP enrollment:
- Outreach programs.
- Simplified enrollment strategies.4
- Coverage gaps are still found for as many as 40% of new CHIP enrollees5 despite changes in State enrollment, renewal, and outreach processes.
Children and adolescents ages 0-17 years with any period of uninsurance during the year, by insurance, 2002-2013, and by race/ethnicity and income, 2012-2013
|Year||Total||Other Non-Medicaid/CHIP||Any Medicaid/CHIP|
Key: CHIP = Children's Health Insurance Program.
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2013.
Note: White and Black are non-Hispanic. Hispanic includes all races.
- Overall: In 2013, the percentage of children and adolescents ages 0-17 with any period of uninsurance during the year was 14.4%.
- The overall percentage of children and adolescents ages 0-17 years with any period of uninsurance during the year declined from 19.1% in 2002 to 14.4% in 2013.
- Among children and adolescents with any Medicaid or CHIP insurance, the percentage with any period of uninsurance during the year declined from 20.0% in 2002 to 14.2% in 2013.
- Groups With Disparities:
- In 2012 and 2013, White children were less likely to have a period of uninsurance than Black and Hispanic children.
- In 2012 and 2013, children in families with high incomes were less likely than children in every other income category to have a period of uninsurance.