Variability in Insurance Adequacy for Children With Special Health Care Needs on Medicaid

Amy J Houtrow; Matt Hall; James M Perrin; Dennis Z Kuo; Jeffrey D Colvin; Allysa Ware; Jeffery S Schiff; Jay Berry; Ryan J Coller

doi:10.1001/jamahealthforum.2025.5366

Variability in Insurance Adequacy for Children With Special Health Care Needs on Medicaid

JAMA Health Forum. 2025 Dec 5;6(12):e255366. doi: 10.1001/jamahealthforum.2025.5366.

Authors

Amy J Houtrow¹, Matt Hall², James M Perrin³, Dennis Z Kuo⁴, Jeffrey D Colvin⁵, Allysa Ware⁶, Jeffery S Schiff⁷, Jay Berry⁸, Ryan J Coller⁹

Affiliations

¹ Department of Physical Medicine & Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
² Children's Hospital Association, Lenexa, Kansas.
³ MassGeneral Brigham for Children, Harvard Medical School, Boston, Massachusetts.
⁴ Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York.
⁵ Department of Pediatrics, Children's Mercy Hospital, University of Missouri-Kansas City School of Medicine, Kansas City.
⁶ Family Voices, Concord, Massachusetts.
⁷ Academy Health, Evidence-Informed State Health Policy Institute, Washington, DC.
⁸ Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
⁹ Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison.

No abstract available

Plain language summary

This survey study quantifies state-to-state variation and predictors of Medicaid insurance continuity and adequacy among children with special health care needs.