MCHbest. NPM 10: Adolescent Well-Visit
Strategy. Expanded Insurance Coverage
Approach. Adopt a protocol to ensure that all persons in adolescent health programs are referred for enrollment in a health insurance program (e.g., state or federal health exchanges, Medicaid, Children's Health Insurance Program).
Overview. Expanded insurance coverage has shown to be effective in increasing use of adolescent preventive services, particularly among minority and low-income groups.1
Target Audience. Payer.
Outcome. Percent of adolescents, ages 12 through 17, with a preventive medical visit in the past year. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field.There are currently XXX ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Adopt a protocol to ensure that all persons in adolescent health programs are referred for enrollment in a health insurance program,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Adams, S. H., Park, M. J., Twietmeyer, L., Brindis, C. D., & Irwin, C. E. (2018). Association between adolescent preventive care and the role of the Affordable Care Act. JAMA pediatrics, 172(1), 43-48.