Journal Article After The Demonstration: What States Sustained After the End of Federal Grants to Improve Children's Health Care Quality
Henry Ireys, Grace Anglin, Kelly J. Devers, Rachel A. Burton
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Through the CHIPRA Quality Demonstration (2010-2015), CMS awarded $100 million to 18 state Medicaid agencies to evaluate promising ideas for improving the quality of children’s health care. This analysis examined the extent to which states sustained activities after the demonstration ended. We identified 115 potentially sustainable elements across the states, and analyzed data from state reports and key informant interviews to assess sustainment outcomes. We found that 56% of these elements were sustained, and that quality measure reporting and practice facilitation were more likely to be sustained than other activities, such as parent advisors to practices. Many demonstration states are now in a strong position to extend and spread specific strategies.

The full open access journal article can be found here (leaving Urban's website).

Research Areas Health and health care
Tags Federal health care reform Health care delivery and payment Medicaid and the Children’s Health Insurance Program  State health care reform Community-based care
Policy Centers Health Policy Center