Committee on Child Health Financing

​​Committee on Child Health Financing

​​​​The Committee on Child Health Financing (COCHF) monitors and makes policy recommendation to the AAP Board of Directors on various aspects and sources for private and public financing of children’s health care services, including managed care, emerging health insurance product options, and scope of benefits. COCHF collaborates with other Committees, Councils, and Sections on informing chapters of federal and state financing activities to assist chapters in their efforts to influence the monies involved in state determination of Medicaid, Children’s Health Insurance Program (CHIP), and Maternal and Child Health (MCH) and other government health care financing programs.

Our Mission is to develop and disseminate innovative and timely policy statements, reports, and other commentaries and resources to ensure current and emerging child health financing mechanisms are designed to provide unqualified access to high quality health care for all infants, children, adolescents, and young adults.​

Our Vision is that every child health financing mechanism ensures that all infants, children, adolescents, and young adults will have access to comprehensive quality health insurance and all primary care pediatricians, pediatric medical subspecialists, and pediatric surgical specialists will receive adequate payment for delivering those necessary services.​

​​View COCHF members​

The Medical Home for Children: Financing Principles (White Paper)

View policy statements from COCHF​​​​​

    Principles of Child Health Care Financing

    Principles of Child Health Care Financing​​

    The principles outlined in this statement can be used to evaluate the adequacy of current private and public health insurance plans and should guide both the reform of existing plans and the design of new plans. A national focus on improving the financing of health care for children, adolescents, and young adults through the age of 26 years (consistent with all of the principles outlined in this statement) will likely result in a high, long-term societal return on investment associated with the prevention, early detection, and comprehensive diagnosis and treatment of medical, behavioral, and mental health conditions in this population.​

    Financing of Pediatric Home Health Care

    ​Financing of Pediatric Home Health Care​

    To advocate for continued improvements in pediatric home care, the AAP has developed recommendations pertaining to regulatory oversight, care delivery systems and payment, and further research. Implementation of these recommendations is critical so that children and families will have enhanced access to high-quality medically necessary services and all the benefits that essential pediatric home care provides.​

    High-Deductible Health Plans

    ​High-Deductible Health Plans​

    This policy statement seeks to enhance understanding of the basic principles of an HDHP, to evaluate how this model comports with the principles of the AAP in providing health care for children, and to make recommendations as to how (and whether) an HDHP should be implemented.​​

    Children’s Health Insurance Program (CHIP): Accomplishments, Challenges, and Policy Recommendations

    Children’s Health Insurance Program (CHIP): Accomplishments, Challenges, and Policy Recommendations​

    The policy statement reviews the features of CHIP as it has evolved over the 16 years of its existence; summarizes  what is known about the effects that the program has had on coverage, access, health status, and disparities among participants; identifies challenges that remain with respect to insuring this group of vulnerable children; and offers recommendations on how to expand and strengthen the national commitment to provide health insurance to all children regardless of means.

    Guiding Principles for Managed Care Arrangements for the Health Care of Newborns, Infants, Children, Adolescents, and Young Adults

    Guiding Principles for Managed Care Arrangements for the Health Care of Newborns, Infants, Children, Adolescents, and Young Adults

    This policy statement outlines key principles in designing and implementing managed care programs for newborns, infants, children, adolescents, and young adults to maximize the positive potential of managed care for pediatrics.

    Essential Contractual Language for Medical Necessity in Children

    Essential Contractual Language for Medical Necessity in Children​​

    Language in health care contracts should reflect the health care needs of children and families. This policy highlights many of the important elements pediatricians should assess as providers develop a role in emerging care models.

    Medicaid Policy Statement

    ​Medicaid Policy Statement​​​

    This policy statement outlines recommendations on the areas of benefit coverage, financing and payment, eligibility, outreach and enrollment, managed care, and quality improvement for Medicaid programs.​

    Underinsurance of Adolescents: Recommendations for Improved Coverage of Preventive, Reproductive, and Behavioral Health Care Services

    Underinsurance of Adolescents: Recommendations for Improved Coverage of Preventive, Reproductive, and Behavioral Health Care Services​​

    This policy statement addresses problems affecting insured adolescents' access to needed preventive, reproductive, and behavioral health care. In addition, the statement addresses provider payment problems that disproportionately affect clinicians who care for adolescents.

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    Scope of Health Care Benefits for Children from Birth Through Age 26

    ​Scope of Health Care Benefits for Children from Birth Through Age 26​​​

    This policy statement sets forth recommendations for the design of a comprehensive benefit package that covers infants, children, adolescents, and young adults through age 26 and is consistent with the Maternal and Child Health Plan Benefit Model: Evidence-Informed Coverage. These benefit recommendations apply to all public and private health plans. The services outlined in this statement encompass medical care, preventive care, critical care, pediatric surgical care, behavioral health services, and oral health for all children, including those with special health care needs.​

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