Health literacy and the Affordable Care Act: a policy analysis for children with special health care needs in the USA

Jessica Keim-Malpass,1 Lisa C Letzkus,1,2 Christine Kennedy1 1University of Virginia School of Nursing, 2University of Virginia Children’s Hospital, Charlottesville, VA, USA Abstract: Children with special health care needs (CSHCN) represent populations with chronic health conditions that...

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Main Authors: Keim-Malpass J, Letzkus LC, Kennedy C
Format: Article
Language:English
Published: Dove Medical Press 2015-04-01
Series:Risk Management and Healthcare Policy
Online Access:http://www.dovepress.com/health-literacy-and-the-affordable-care-act-a-policy-analysis-for-chil-peer-reviewed-article-RMHP
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author Keim-Malpass J
Letzkus LC
Kennedy C
author_facet Keim-Malpass J
Letzkus LC
Kennedy C
author_sort Keim-Malpass J
collection DOAJ
description Jessica Keim-Malpass,1 Lisa C Letzkus,1,2 Christine Kennedy1 1University of Virginia School of Nursing, 2University of Virginia Children’s Hospital, Charlottesville, VA, USA Abstract: Children with special health care needs (CSHCN) represent populations with chronic health conditions that are often high utilizers of health care. Limited health literacy has emerged as a key indicator of adverse health outcomes, and CSHCN from limited health literacy families are particularly vulnerable. The purpose of this policy analysis is to outline key provisions in the Affordable Care Act (ACA) that incorporate health literacy approaches for implementation and have implications for CSHCN in the USA. Several key provisions are incorporated in the ACA that involve health literacy and have implications for CSHCN. These include: expansion of public insurance coverage and simplifying the enrollment process, provisions assuring equity in health care and communication among all populations, improving access to patient-centered medical homes that can offer care coordination, ensuring enhanced medication safety by changing liquid medication labeling requirements, and provisions to train health care providers on literacy issues. More research is needed to determine how provisions pertaining to health literacy in the ACA are implemented in various states. Keywords: children, special health care needs, health literacy, Affordable Care Act, health policy  
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spelling doaj.art-d11b38c65f5548c99088511fe573c59b2022-12-21T20:56:02ZengDove Medical PressRisk Management and Healthcare Policy1179-15942015-04-012015default313621198Health literacy and the Affordable Care Act: a policy analysis for children with special health care needs in the USAKeim-Malpass JLetzkus LCKennedy CJessica Keim-Malpass,1 Lisa C Letzkus,1,2 Christine Kennedy1 1University of Virginia School of Nursing, 2University of Virginia Children’s Hospital, Charlottesville, VA, USA Abstract: Children with special health care needs (CSHCN) represent populations with chronic health conditions that are often high utilizers of health care. Limited health literacy has emerged as a key indicator of adverse health outcomes, and CSHCN from limited health literacy families are particularly vulnerable. The purpose of this policy analysis is to outline key provisions in the Affordable Care Act (ACA) that incorporate health literacy approaches for implementation and have implications for CSHCN in the USA. Several key provisions are incorporated in the ACA that involve health literacy and have implications for CSHCN. These include: expansion of public insurance coverage and simplifying the enrollment process, provisions assuring equity in health care and communication among all populations, improving access to patient-centered medical homes that can offer care coordination, ensuring enhanced medication safety by changing liquid medication labeling requirements, and provisions to train health care providers on literacy issues. More research is needed to determine how provisions pertaining to health literacy in the ACA are implemented in various states. Keywords: children, special health care needs, health literacy, Affordable Care Act, health policy  http://www.dovepress.com/health-literacy-and-the-affordable-care-act-a-policy-analysis-for-chil-peer-reviewed-article-RMHP
spellingShingle Keim-Malpass J
Letzkus LC
Kennedy C
Health literacy and the Affordable Care Act: a policy analysis for children with special health care needs in the USA
Risk Management and Healthcare Policy
title Health literacy and the Affordable Care Act: a policy analysis for children with special health care needs in the USA
title_full Health literacy and the Affordable Care Act: a policy analysis for children with special health care needs in the USA
title_fullStr Health literacy and the Affordable Care Act: a policy analysis for children with special health care needs in the USA
title_full_unstemmed Health literacy and the Affordable Care Act: a policy analysis for children with special health care needs in the USA
title_short Health literacy and the Affordable Care Act: a policy analysis for children with special health care needs in the USA
title_sort health literacy and the affordable care act a policy analysis for children with special health care needs in the usa
url http://www.dovepress.com/health-literacy-and-the-affordable-care-act-a-policy-analysis-for-chil-peer-reviewed-article-RMHP
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