The measure is designed to ascetain whether or not current insurance program coverage is adequate for the child´s health needs--whether the out of pocket expenses are reasonable; whether the child is limited or not in choice of doctors; and whether the benefits meet child´s healthcare needs.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Percentage of children whose current health insurance coverage is adequate for meeting child´s heathcare needs
Adequate insurance is defined by these criteria: child currently has health insurance coverage AND benefits usually or always meet child´s needs AND usually or always allow child to see needed providers AND either no out-of-pocket expenses or out-of pocket expenses are usually or always reasonable.
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1.15 Denominator
Children age 0-17 years with current health insurance
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Exclusions
Excluded from denominator if child does not fall in target population age range of 0-17 years and/or does not have current health insurance
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Pediatric Performance Measures Phase 2Initial EndorsementLast UpdatedRemoval Date
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StewardThe Child and Adolescent Health Measurement InitiativeSteward Organization POC EmailSteward Organization Copyright
CAHMI- The Child and Adolescent Health Measurement Initiative.
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Risk Adjustment
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6.1.2 Current or Planned Use(s)6.1.3 Current Use(s)
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