Equity
-Minority, low-income, and uninsured children received lower quality care across most states. In fact, 65 percent of uninsured and 51 percent of poor children did not receive the recommended medical and dental care while only 37 percent of privately insured children and 30 percent of higher income children did not get those services. And, 77 percent of uninsured children and 70 percent of poor children had no medical home while only 47 percent of privately insured and 42 percent in higher income families lacked a medical home.
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Healthy Lives
-The authors found two-fold difference in rates of children at risk for developmental delays. For instance, 33 percent of young children in Louisiana are at moderate to high risk for developmental delay compared with only 16 percent of young children in Vermont.
Moving Forward
The report points to the need for action in key areas: adequate funding for the state children's health insurance program so that all states can expand health insurance coverage for children; national policies that make sure families can afford the health care they need and that their health insurance benefits meet their children's needs; standards for health care quality that would ensure all children have access to high quality health care; and investing in additional research and data collection to help paint an even clearer and more detailed picture of how states are doing with children's health care.
"The health of our children is paramount to our country's long-term success. This scorecard serves notice that children's health and well-being are at risk," said co-author and Commonwealth Fund President Karen Davis. "We must invest in children's health and health care to ensure that they have the opportunity to become healthy and productive adults. The time to begin is now."
Methodology:
The state scorecard includes 13 indicators grouped into five dimensions of performance: access, quality, costs, equity, and potential to lead long healthy lives. The analysis ranks states on each indicator and then averages the indicator ranks to determine the dimension rank. All five dimension scores are averaged to determine a state's overall rank.
The Commonwealth Fund is an independent foundation working toward health policy reform and a high performance health system.
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