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New Report on Adolescent and Young Adult Insurance Confidentiality

With the extension of dependent coverage to age 26 under the Affordable Care Act, 8 million adolescents and young adults aged 19-26 years are now covered by their parent's insurance. However, this expanded coverage has implications for patient confidentiality, as issuance of explanation of benefit (EOB) statements by insurers can compromise patient privacy, and in doing so, discourage or delay needed care.   

States Offer Privacy Protections to Young Adults on Their Parents' Health Plan, a report by Kaiser Health News, looks at reforms of state laws and insurer billing practices to prevent breeches of confidentiality. In recent years, California, Colorado, Washington, Oregon, and Maryland have taken steps to improve health insurance confidentiality protections, both through legislation and insurance commissioner actions.

ACP Releases Transition Tools for Pediatric to Adult Health Care Transition

Dr. Wayne Riley, the President of the ACP, and Dr. Carol Greenlee, the chair of ACP’s Transitions Initiative, announced the release of specialized toolkits to facilitate more effective transition and transfer of young adults into the adult health care setting at the ACP’s 2016 Annual Meeting in Washington, DC. The transition toolkit contains condition-specific tools, including transition readiness assessments, self-care assessments, and medical summaries customized from Got Transition’s Six Core Elements of Health Care Transition. Transition tools are available for the following subspecialties and diseases: general internal medicine (intellectual/developmental disabilities and physical disabilities), cardiology (congenital heart disease), endocrinology (type 1 diabetes, turner syndrome, growth hormone deficiency), gastroenterology (inflammatory bowel disease is coming soon), hematology (general hematology, sickle cell disease, hemophilia), nephrology (end-stage renal disease), and rheumatology (juvenile idiopathic arthritic, systematic lupus erythematosus). This ACP Transitions Initiative was a collaborative effort with Got Transition/Center for Health Care Transition Improvement, the Society of General Internal Medicine, and the Society for Adolescent Health and Medicine.

Earn CME Credits in Transition

Health Services for Children with Special Needs (HSCSN) is offering a free online one-hour CME course on health care transition. The course features the experiences of physicians in busy pediatric, family medicine, and internal medicine practices in the District of Columbia who successfully implemented the Six Core Elements of Health Care Transition using quality improvement methodologies. The course was developed in collaboration with The National Alliance to Advance Adolescent Health/Got Transition, HSCSN, and the DC Department of Health.

Also available online: Got Transition's Dr. Patience White sat down with Dr. Mike Patrick (host of PediaCast CME from the Nationwide Children's Hospital) to talk about health care transition and the Six Core Elements. The hour-long podcast, "Transitioning Pediatric Patients to Adult Health Care," describes the design and implementation of a transition program within a clinical practice to ensure a smooth transition for pediatric patients. It is intended for primary care physicians, pediatric subspecialists, and other health care professionals who provide care for pediatric patients. Listeners can take a short Post Test to receive their free Continuing Medical Education (CME) credit.

Two Reports on 32 States Selecting Health Care Transition as a State Public Health Priority

A Got Transition report, “State Title V Health Care Transition Performance Objectives and Strategies: Current Snapshot and Suggestions,” analyzes the FY 2016 State Title V Action Plans from the 32 states that have selected transition as one of their priorities to address over the next five years. The report offers specific suggestions for 1) aligning transition objectives with the new transition measure in the upcoming National Survey of Children's Health and the Six Core Elements of Health Care Transition, and 2) selecting measurable strategies related to expanding availability of adult providers, assessing health care transition implementation, and increasing quality improvement and educational efforts using the Six Core Elements. 

Got Transition has also released a report, “Aligning National Title V Performance Measures on Transition, Medical Home, Preventive Care, and Insurance: Suggested Strategies for States,” which offers strategies to state Title V agencies and their partners on linking performance improvements and innovations for transition with medical home, adolescent well care, well care for women, and adequate health insurance. 

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Got Transition™ is a program of National Alliance Logo The National Alliance to Advance Adolescent Health supported by U1TMC31756 HRSA/MCHB