Resources produced by our team include hundreds of papers, peer-reviewed articles, manuals, and other products on a range of topics related to health and social needs services and supports.

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Relief Funds: A Safety Net for Children and Youth with Special Health Care Needs

Authors Comeau, M. , & other authors

Date 2007

Project Catalyst Center

Keywords CYSHCN, Financial Hardship

Relief Funds pay for services families incur for their children and youth with special health care needs/disabilities that are not covered by private insurance, Medicaid, or any other public or private programs. Relief Funds function as a payer of last resort for families who struggle financially to meet the health care needs of their children and can help relief family financial hardship.

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Frequently Asked Questions about the Family Opportunity Act’s Medicaid Buy-In Option

Authors Comeau, M. , & other authors

Date 2007

Project Catalyst Center

Keywords CYSHCN, Financial Hardship, Medicaid/CHIP

This Catalyst Center policy brief provides answers to frequently asked questions about the Family Opportunity Act (FOA) Medicaid Buy-in option, including what the advantages are for families raising children with disabilities and states, how it affects existing pathways to Medicaid, and any costs for families.  

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Payer of Last Resort: Medical Debt and Financial Hardship Among Families Raising Children and Youth with Special Health Care Needs

Authors Comeau, M. , & other authors

Date 2007

Project Catalyst Center

Keywords CYSHCN, Financial Hardship

Financial hardship is common among families raising CYSHCN. This Catalyst Center policy brief describes the three distinct but interconnected pathways. 

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Medicaid as a Second Language: A Slightly Irreverent Guide to Common Medicaid Terms, Acronyms and Abbreviations

Authors Comeau, M. , & other authors

Date 2007

Project Catalyst Center

Keywords CYSHCN, Financial Hardship

This guide is designed for policymakers, advocates, legislators, consumers, family members, and providers – in short, for anyone interested in financing care for children and youth with special health care needs at the state level, and in particular through the Medicaid program.

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State-at-a-Glance Chartbook on Coverage and Financing of Care for Children and Youth with Special Health Care Needs

Authors Comeau, M. , & other authors

Date 2007

Project Catalyst Center

Keywords CYSHCN, Financing, Research and Evaluation Methods

This interactive chartbook provides data on carefully selected indicators of health coverage and health care financing for CYSHCN in every state plus DC and Puerto Rico.

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Reducing Under-Insurance for Children and Youth with Special Health Care Needs

Authors Comeau, M. , & other authors

Date 2006

Project Catalyst Center

Keywords CYSHCN, Financial Hardship, Health Benefits

This Catalyst Center policy brief provides information about Medicaid Buy-In Programs including what they are, how they work, how they help both families raising Children & Youth with Special Health Care Needs (CYSHCN)/disabilities and the states. Learn about existing Medicaid Buy-in programs in three states. 

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Methodology for Estimating the Impact of State Implementation of the Family Opportunity Act

Authors Comeau, M. , & other authors

Date 2006

Project Catalyst Center

Keywords CYSHCN, Medicaid Buy-In Programs, Medicaid/CHIP

The Family Opportunity Act (FOA) is a state option for creating a Medicaid Buy-in program for families raising children with disabilities whose income is too high for Medicaid but less than 300% of the federal poverty level (FPL). This policy brief provides a methodology for estimating the impact of FOA implementation. 

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PDF: Medicaid Managed Care – The Importance of Risk Adjustment

Authors Tobias, C., Comeau, M. , Bachman, S.S. , Honberg, L.

Date 2014

Project Catalyst Center

Keywords CYSHCN, Health Reform, Medicaid/CHIP

This report has its origins in a one-day meeting held with an expert panel in September 2011 on risk adjustment for children and youth with special health care needs (CYSHCN). This meeting was sponsored by the Division of Services for Children with Special Health Needs, Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services and facilitated by the Catalyst Center at the Boston University School of Public Health, with logistical support provided by John Snow, Incorporated.

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