SECURING A HEALTHY FUTURE The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 Sabrina K. H. How, Ashley-Kay Fryer, Douglas McCarthy, Cathy Schoen, and Edward L. Schor February 2011 Photo Credits Front cover top: Fotosearch. Front cover middle and bottom, pages 2 and 4: Dwight Cendrowski. Page 8: Bill Gallery. ABSTRACT The State Scorecard on Child Health System Performance, 2011, examines states’ performance on 20 key indicators of children’s health care access, affordability of care, prevention and treatment, the potential to lead healthy lives, and health system equity. The analysis finds wide variation in performance across states. If all states achieved benchmark performance levels, 5 million more children would be insured, 10 million more would receive at least one medical and dental preventive care visit annually, and nearly 9 million more would have a medical home. The findings demonstrate that federal and state policy actions maintained and, in some cases, expanded children’s insurance coverage during the recent recession, even as many parents lost coverage. The report also highlights the need for initiatives specifically focused on improving health system performance for children. The report includes state-by-state insurance coverage projections for children once relevant provisions of the Affordable Health Act are implemented. Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and not necessarily those of The Commonwealth Fund or its directors, officers, or staff. This and other Fund publications are available online at www.commonwealthfund.org. To learn more about new publications when they become available, visit the Fund’s Web site and register to receive e-mail alerts. Commonwealth Fund pub. no. 1468. Sabrina K. H. How, Ashley-Kay Fryer, Douglas McCarthy, Cathy Schoen, and Edward L. Schor February 2011 SECURING A HEALTHY FUTURE The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 [...]... children in Hawaii, the state with the best ratings of coverage adequacy overall Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 ACCESS AND AFFORDABILITY Exhibit 7 Uninsured Rates and Medicaid/CHIP Income Eligibility Standards by State State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida... 2014 At Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 ACCESS AND AFFORDABILITY Exhibit 8 Affordability of Health Insurance: Premiums for Employer-Based Family Coverage Relative to Median Incomes for Family Households Under Age 65 State United States Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia... Source: Commonwealth Fund State Scorecard on Child Health System Performance, 2011 10 Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 Maine, New Hampshire, Rhode Island, Hawaii, Minnesota, Connecticut, North Dakota, Pennsylvania, Wisconsin, Kansas, and Washington— often perform well on multiple indicators and across dimensions (Exhibit 2) At the same... lives, and equity The methods box below explains the Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 Scorecard methodology and limitations on data currently available at the state level The Appendix to this report provides data for all indicators organized by dimension and shows the states’ rates and rankings on each indicator The first two appendix... Source: Commonwealth Fund State Scorecard on Child Health System Performance, 2011 12 Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 Highlights Children’s health insurance coverage has expanded in many states, while parents’ coverage has eroded Yet the number of uninsured children continues to vary widely across states Currently 10 percent of children... Performance, 2011, builds on The Commonwealth Fund s series of scorecards assessing national and state health care systems across core dimensions of performance Prepared for state policymakers, national leaders, and other health care stakeholders, this Scorecard offers information on states’ performance with respect to children’s access to care, health care quality, population health, and equity It also... appendix tables display summary information: Appendix A1 shows overall state rankings and where each state ranks on the four dimensions, and Appendix A2 shows how many indicators each state had in each performance quartile The Appendix also includes demographic tables that profile states by incidence of poverty, health risks, and race/ethnicity The State Scorecard Data Tables, which are available online at... the State Scorecard on Child Health System Performance, 2011 Scorecard Ranking Methodology The State Scorecard on Child Health System Performance, 2011, first ranks states from best to worst on each of the 20 performance indicators We averaged rankings for those indicators within each of the four dimensions to determine a state s dimension rank and then averaged the dimension rankings to arrive at an... Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 principles and goals.30 As of January 2011, 40 states have initiated projects to advance medical homes (Exhibit 12) The National Academy for State Health Policy has partnered with the PatientCentered Primary Care Collaborative to help advance medical homes in state Medicaid and CHIP programs Reflecting this broad support,... income as well as insurance status and race/ ethnicity for the subset of indicators used in the equity dimension State profiles, available online at http://www.commonwealthfund.org/Chartsand-Maps /State- Data-Center /Child- Health. aspx, provide estimates for each state of the potential gain it could achieve if it met the benchmark performance level set by the leading state for each indicator ACCESS AND AFFORDABILITY . lay a foundation for public and private action. 12 Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 State Scorecard Summary of Child Health. SECURING A HEALTHY FUTURE The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 Sabrina K. H. How, Ashley-Kay Fryer, Douglas McCarthy, Cathy Schoen, and Edward. with oral health problems that could be 16 Securing a Healthy Future: The Commonwealth Fund State Scorecard on Child Health System Performance, 2011 addressed with timely, a ordable access to