March 2022
CHAS eNews
Policy Briefs
Home Health Care Utilization in Children With Medicaid 
In this new publication, researchers including Sarah Sobotka, MD, MSCP (CHAS Fellow and Assistant Professor of Pediatrics at UChicago Medicine) conducted a retrospective analysis of children enrolled in Medicaid to understand characteristics of pediatric Home Health Care (HHC) recipients, providers, and payments. Researchers utilized the Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes to codify provider types when possible. Additionally, researchers reviewed enrollee clinical characteristics, HHC provider type, and payments. Chronic conditions were reviewed using Agency for Healthcare Research and Quality’s Chronic Condition Indicators and Feudtner’s Complex Chronic Conditions. The study found that of the 0.8% of children who used HHC, 43.8% were less than one year old, 25% had no chronic condition, 38.6% had a noncomplex chronic condition, 21.5% had a complex chronic condition without technology assistance, and 15.5% had technology assistance. HHC for children with technology assistance accounted for 72.6% of all HHC spending. 45% of HHC utilizers received RN/LPN-level care, 7.9% received companion /personal attendant care, 5.9% received HHA/CNA-level care, and 36% received care from an unspecified provider. For children with technology assistance, the majority received RN/LPN care, 17.5% received companion/personal assistant care, and 13.8% received HHA/CNA care. Ultimately, the study revealed that children using HHC are a heterogeneous population who receive it from a variety of providers, and future investigations should explore the role of non-nurse caregivers, particularly with CMC.
Disparities in Opioid Treatment Access and Retention Among Women Based on Pregnancy Status from 2006 to 2017
Latest research from the Gender Disparities in OpioidTx research team and Jeanne C. Marsh (CHAS Director and George Herbert Jones Distinguished Service Professor at the Crown Family School) assesses differences in wait time and retention in opioid use disorder (OUD) treatment among a sample of pregnant and non-pregnant women from low-income urban communities in Los Angeles. Researchers collected data in 9 waves consisting of consecutive years from 2006 to 2011, and then including 2013, 2015, and 2017. The sample consisted of 12,558 women, with 285 being pregnant and 12,273 being non-pregnant. They compared pregnant women with non-pregnant women at admission on key characteristics and relied on two multilevel negative binomial regressions analyses to examine factors related to access (days on the waiting list) and retention (days in treatment). The study found that pregnant women spent less time waiting to initiate treatment than non-pregnant women and, once in treatment, had longer treatment episodes. Among pregnant women, clients identifying as Latina or Other waited longer to enter treatment compared to clients identifying as non-Latina White or Black. Furthermore, women entering residential waited longer than those entering methadone or counseling services. Pregnant women were more likely to be in treatment longer if they had mental health issues, greater parenting responsibilities (number of children less than 18), and greater SUD severity (number of prior treatment episodes). The study’s findings suggest pregnant women's access and retention can be improved through Medicaid coverage and through the implementation of a standard of care that includes MOUD (methadone) along with ancillary health and social services.
Upcoming Lectures
Spring Michael M. Davis eLectures Begin Next Tuesday!

4/05/2022 @ 12:30pm CDT
Matthew A. Davis, MPH, PhD
University of Michigan School of Nursing; Dartmouth Geisel School of Medicine

4/12/2022 @ 12:30pm CDT
Tamara J. Cadet, PhD, LICSW, MPH
Pennsylvania School of Social Policy & Practice

4/19/2022 @ 12:30pm CDT
Shuang Lu, PhD
University of Hong Kong Department of Social Work and Social Administration

4/26/2022 @ 12:30pm CDT
Angela S. García, PhD
UChicago Crown Family School
Presenting with: Ilana Ventura, MA, MAPSS
UChicago Dept. of Sociology

5/03/2022 @ 12:30pm CDT
Neda Laiteerapong, MD, MS
UChicago Medicine

5/10/2022 @ 12:30pm CDT
Matt Epperson, PhD, MSW
UChicago Crown Family School
Presenting with: Samantha Guz, MSSW, LSW
UChicago Crown Family School
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Our Spring Michael M. Davis eLecture Series Begins Next Week!
Each academic quarter, CHAS sponsors the Michael M. Davis Lecture Series, which brings renowned policy experts, researchers, and commentators to the University to explore the intersection of health policy and the broad needs of vulnerable and disadvantaged populations. The Spring 2022 Series will run from April 5th through May 10th and all lectures will be held online via Zoom.
Reminder: CHAS Seed Grant Applications Due Before April 30, 2022
CHAS Seed Grant proposals are currently being accepted online through April 30, 2022. New awards will be funded for the performance cycle of July 2022 through June 2024. Please see PI criteria at our website.

To learn more about the CHAS Seed Grant program or to submit a proposal, please visit our website.