STAT

Opinion: Medicaid’s unnecessary barriers delay care for children with complex needs

Reforming the process for enrolling physicians in Medicaid programs will make it easier for children to get the care they need.

Children with complex medical conditions often need care in pediatric hospitals outside of their home states. Some need that care right away. Yet the red tape for enrolling and vetting out-of-state hospitals and clinicians often delays the care these children need and makes it more difficult and expensive. That needs to change.

An estimated 2 million children living in the United States need the kind of care that is available only at a limited number of U.S. hospitals — diagnosis and treatment of rare and ultra-rare diseases and disorders; complex treatment and surgery for congenital problems or serious traumatic injuries; organ transplantation; and more. The care for many of these children is fully or partly covered by Medicaid, whose joint federal-state structure perpetuates the delays in their treatment.

Before a clinician can provide Medicaid-related care, federal law requires that she or he must undergo a background screening before enrolling

You're reading a preview, sign up to read more.

More from STAT

STAT5 min read
‘What’s My Real Identity?’: As DNA Ancestry Sites Gather More Data, The Answer For Consumers Often Changes
‘What’s my real identity?’: As DNA ancestry sites gather more data, shifting results are causing genetic whiplash.
STAT1 min readWellness
Watch: How Did The Amyloid Hypothesis Go From Promising To Perilous In The Search For Alzheimer’s Treatments?
How did nearly two decades of failure not convince the brightest minds in science that it was time to move beyond the leading theory about #Alzheimers?
STAT2 min read
Departure Of Top Haven Executive Creates Void At A Crucial Stage
Jack Stoddard left Haven after eight months as COO of the company founded by Amazon, Berkshire Hathaway, and JPMorgan Chase.