Health Research and Policy

Research in Progress Seminar (RIP)

Date: January 30, 2013
Time: 1:30 pm - 3:00 pm
Location: Medical School Office Building, Rm x303
Speaker: Lee Sanders, MD
Assistant Professor of Pediatrics (General Pediatrics) at the Lucile Salter Packard Children's Hospital
Title: Improving Care for Children with Chronic Conditions: The Need for Systemic Innovation


Children with special health care needs (CSHCN) comprise less than 15% of the US child population, and they use more than 60% of its child health resources. Despite extraordinary advances in health-care technology and expansion of health-insurance coverage, unmet health needs remain common among CSHCN, particularly among those who live in under-resourced and ethnic minority communities. One in 7 US children with special health care needs resides in California, and California Children’s Services (CCS) is the largest program in the country providing insurance coverage and case management for more than 180,000 children. Despite fiscal constraints at the state and federal level, the implementation of the Affordable Care Act has also generated both new opportunities and potential hazards for reorganizing care systems for CSHCN. Longitudinal analyses of detailed CCS billing claims provide essential analytic guidance to policymakers, providers, affected families, and other stakeholders. This seminar will cover an analytic approach to this vulnerable population, including the following:

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