Federal Policy Opportunities - Child & Family Policy Center

Federal Policy Opportunities

Federal Policy Opportunities to Promote Health Equity and Young Children

There are a number of provisions in the Affordable Care Act (ACA) and the Child Health Program Reauthorization Act (CHIPRA) that offer the opportunity to promote healthy child development. CFPC and BUILD outlined these opportunities in Federal Health Reform and Children’s Healthy Development and in a subsequent paper with the Center for the Study of Social Policy, Going Beyond Coverage to Improve Community Health

CFPC has advocated with other child health champions for a federal initiative, through the Center for Medicare and Medicaid Innovation (CMMI), to further innovation and diffusion of exemplary practice in the field (Compilation of CMMI Documents).

Transforming Primary Care Practice Policy Statement and Financing Opportunities

The Health Equity and Young Child’s (HEYC) initiative's national health expert advisory panel produced a policy statement outlining the core components needed for a primary pediatric practice model to improve healthy child development by responding to social determinants of health. The statement is intended to initiate policy discussion within the child health practice and policy communities. Its appendix describes six key resources making this case.

Because Medicaid plays a key role in financing young child health care, the HEYC and national advisory experts produced a discussion paper on Medicaid and EPSDT financing and sustaining the model described in the policy.

HEYC also partnered with Mental Health America, the Help Me Grow National Center, and the Center for the Study of Social Policy to produce a commentary, Alternative Payment Models for Pediatrics: Operationalizing Value-Based Care Over the Life Course. This document describes the need for a fundamentally different approach for supporting high value primary child health practice than currently is in use with adult and chronic care populations. The commentary drew from a synthesis of major themes from 16 organizational responses to a Center for Medicare and Medicaid Innovation Request for Information on Pediatric Payment Alternatives.

The HEYC initiative’s sign-on letter is based on the work of exemplary programs in the field.


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