Cancer, 125, 126

Caring Programs, 25, 55, 103, 106, 107, 109, 116

Case management, 5, 60, 61, 72, 89, 91, 120, 125, 126, 129, 131, 132, 165

see also Coordination of care

Catastrophic health insurance, 84, 108, 146, 148, 150

CHAMPUS, 25

Charity, see Safety net providers

Child care (day care), 7, 20, 21, 129, 131

Child Health Plus, 106, 109, 111, 114

Children's Health Trust Fund, 2, 14

Children's hospitals, 1, 14, 67, 72, 75, 77, 131, 134

Children's Medical Security Plan, 110, 112-113

Chronic conditions, 5, 19, 22, 25, 55, 92, 108, 117, 120, 123-127, 131, 167

see also Special needs children;

specific conditions

Cigarette tax, see Tobacco tax

Civilian Health and Medical Program of the Uniformed Services, see CHAMPUS

Clinical assessments, 58, 75, 84, 92, 93, 133

Colorado, 106, 111, 115

Community health centers, 1, 124, 128, 136

AFDC population, 12

funding, 70, 72, 73-74

immunization, 12

Medicaid, 70, 72, 73

private insurers and, 73

safety net providers, 67, 70, 72, 73

Computer-based approaches, see Information technology

Connecticut, 79, 137

Consumer protection, 21, 42, 99, 110, 155

see also Information infrastructure;

Public education

Continuity of care, 50, 55, 162

Coordination of care, 7, 20, 58, 60, 61, 96, 117, 118, 121, 125, 127, 129, 131, 132, 134, 137

see also Case management

Copayments, 19, 51, 52, 103, 108, 110, 112, 113, 114, 129, 145

Cost and cost-benefit factors, 6, 18, 57, 120, 161

copayments, 19, 51, 52, 103, 108, 110, 112, 113, 114, 129, 145

federal preemption of state insurance laws, 147, 148

information technology, 133

inpatient care, 75

managed care, 4, 136

Medicaid, 4, 81-83

out-of-pocket expenses, 3, 6, 38, 52, 56, 105

preventive services (well care), 57, 120

safety net providers, 4, 68

severe/chronic medical conditions, 5

special needs children, 127-128, 129, 132, 136

state-sponsored programs, 109, 112, 114, 115, 147-148

tax credits, 153

tax subsidies, 16

treatment delays, 3, 23, 25, 38, 44, 56

uncompensated care, 68, 70, 71, 79, 114

Disproportionate Share Hospital payments, 4, 38, 68, 69, 70, 82, 85, 89

uninsured persons, costs to, 146

see also Accountability

Cost sharing, 5, 19, 34, 41, 42, 51, 52, 88, 99, 110, 113, 144, 145-146, 150

Cost-shifting, 3, 68

Counseling, 58, 59, 60, 78, 121, 124, 167

Crowd-out, see Substitution of coverage

Cultural factors, access to care, 52, 53, 54, 129

language, 53, 54

safety net providers, 68

see also Health beliefs

Culturally sensitive services, 3, 7, 54, 56

Current Population Survey, 2, 17, 25, 156, 157

D

Data collection and dissemination, see Current Population Survey;

Evaluation;

Information infrastructure

Deductibles, 19, 52, 127, 129, 145, 146, 148-152 (passim)

Delaware, 111

Demographic factors

educational attainment of parents, 34-37

federal data collection, 157-160;

see also Current Population Survey

rural areas, 54, 90

urban areas, 54, 115

see also Age factors;

Families and households;

Gender factors;

Racial/ethnic

factors;

Socioeconomic status;

specific racial/ethnic groups

Dental health and services, 3, 44, 50, 90, 91, 108, 123, 156, 161, 166

Developmental disabilities, 124, 125, 134, 166

Diabetes mellitus, 5, 46, 120, 125, 167

Digestive system diseases, 122

Digital Equipment Corporation, 162, 164-165

Disabled persons

definitions, legal, 125, 128, 130, 131

developmental disabilities, 124, 125

Medicaid, 13, 82, 84, 98, 99

private programs, 117

rehabilitative care, 55

SCHIP, Medicaid eligibility, 13

Supplemental Security Income, 128, 130

state benefits, 108

utilization rates, 21

see also Special needs children

Diseases and disorders

acute illness, 5, 22, 47, 55, 72, 120, 121-122, 124-126, 137

age factors, 121, 122

cost factors, general, 57

injuries, 3, 5, 19, 46, 55, 92, 120, 122, 125, 158, 166

see also Chronic conditions;

Disabled persons;

Special needs children;

specific diseases, organs, and body systems

Disproportionate Share Hospital payments, 4, 38, 68, 69, 70, 82, 85, 89

Doctors, see Family physicians;

Pediatric specialists;

Physicians

Drug-Free Schools and Communities Act, 79

Drugs, see Prescription medication;

Substance abuse

E

Ear infections, 3, 5, 46, 56, 120, 161

Early and Periodic Screening,

Diagnosis, and Treatment Program, see EPSDT



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