Evidence map›Paper›PMID 32174157›Full record

ReviewThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2020

State-Mandated Coverage of Cleft Lip and Cleft Palate Treatment.

Tanya Wanchek, George Wehby

Open access · greenAbstract readReview
In one paragraph

Review in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 24 citations in OpenAlex.

  1. Third-party Compliance With State-Mandated Orthodontic Coverage for Cleft Palate and Craniofacial Care in California: An Insurance Claim Thematic Analysis.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2023
    Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Tanya WanchekDepartment of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0002-0824-1461
George WehbyDepartment of Health Management and Policy, College of Public Health, University of Iowa, IA, USA.
University of Iowa · USUniversity of Virginia · US

Funding

IMPROVING KNOWLEDGE & UNDERSTANDING OF APPROPRIATE TREATMENT OF OROFACIAL CLEFTSU38DD000868 · DD · OPERATION SMILE, INC. · PI LU, TIMOTHY · 2012 to 2013
$475k
Insurance Coverage Policies and Outcomes of Children with Oral CleftsR03DE025044 · NIDCR · UNIVERSITY OF IOWA · PI WANCHEK, TANYA N, WEHBY, GEORGE L · 2016 to 2017
$323k
NCBDD CDC HHS U38 DD000868NIDCR NIH HHS R03 DE025044
6 · The paper itself

Abstract

objectiveWe conducted a comprehensive review of state laws and regulations that require private health insurance plans to cover the services needed by children born with cleft lip and/or cleft palate (CL/P). The goal is to better understand how states are reducing the barriers children with CL/P face when seeking recommended health care services.

designWe identified all state laws and regulations mandating insurance coverage of services for children with CL/P by private insurance carriers from 1999 through 2017 using Westlaw legal database. We categorized laws and regulations into ten services: facial surgery (facial, corrective, reconstructive), oral surgery, orthodontics, dental care, habilitation/rehabilitation/speech therapy, prosthetic treatment, audiology, nutrition counseling, genetic testing, and psychological counseling. We also captured broad mandates indicating coverage for all necessary treatments.

resultsThere was a trend toward increased coverage of services for CL/P over time. In 1999, 27 states and Washington, DC did not have relevant laws or regulations. By 2017, there were 19 states without laws or regulations mandating services. The most common mandated service was facial surgery followed by habilitation/rehabilitation/speech therapy, orthodontics, dental care, and oral surgery. Nutrition, audiology, genetic testing and psychological counseling were rarely included in mandated services.

conclusionsStates vary widely in their requirements for coverage of services needed by children with CL/P in private health insurance plans. There has been an increase in mandates over the past two decades to cover services, although significant variation continues to exist across states.

Indexed as

Cleft LipCleft PalateOrthodonticsChildHumansInsurance CoverageInsurance, Healthcraniofacial growthethics/health policiesquality of lifesocial support

Identifiers

PMID32174157
PMCPMC7357273
OpenAlexW3012171336

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.