CONCLUSIONS: We collated and synthesised information and knowledge about the current state of digital health interventions. Our findings can inform future interventions so that they are planned, deployed, scaled, and evaluated to have long-lasting positive impacts on population health. [...]

BackgroundMedicaid provides health insurance for 40% of the United States (US) pediatric population. There is an increasing trend among states to transition from a fee-for-service model for Medicaid reimbursement to relying on risk-based delivery systems using Managed Care Organizations (MCOs). In 2021, most beneficiaries in North Carolina (NC) transitioned to one of five MCOs from Medicaid Direct. While research has examined the effects of these transitions, less is known on the impact of MCOs [...]

CONCLUSION: Hospitals most affected by the removal of the LWIHP, particularly rural facilities, serve communities with limited economic resources. These findings highlight the importance of Medicare payment policies that consider geographic and structural disadvantages to maintain health care access in underserved areas. [...]