AHRQ Studies in Health Affairs Examine Child Health Coverage, Medicaid Readmissions, Bundled Payments
AHRQ-funded studies appearing in the August 4 issue of Health Affairsexamine an array of health care issues. Open-access abstracts for the studies are available online. The study, “Children's Health Insurance Program Premiums Adversely Affect Enrollment, Especially Among Lower-Income Children" shows how the relationship between premiums and coverage varies considerably by income level and parental access to employer-sponsored insurance. Another study,“Medicaid Admissions and Readmissions: Understanding the Prevalence, Payments, and Most Common Diagnoses,” found that Medicaid readmissions in 19 states were widespread (averaging 9.4 percent of all admissions), costly ($77 million per state) and represented 12.5 percent of Medicaid payments for all hospitalizations. A third study,“Bundled Payment Fails To Gain a Foothold in California: The Experience of the IHA Bundled Payment Demonstration,” found that the pilot on bundled payment for orthopedic procedures drew few participants due to factors such as administrative burden, state regulatory uncertainty and disagreements about bundle definition.