The Continuity Cliff
2024 Medicaid/CHIP · child vs adult by shared domain
State detail
Iowa
Split: kids fare better in 2 of 4 shared domains, adults in 1. Widest kid-advantage is Maternal and Perinatal Health; widest adult-advantage is Care of Acute and Chronic Conditions.
IA
Domains compared
4 / 5
Shared domains with data for both programs
Mean delta
−0.11
Average child − adult across compared domains
Widest cliff
+0.17
Maternal and Perinatal Health
delta = child − adult+ children fare better− adults fare better
Child vs adult by shared domain
Bars show each program’s domain composite (0 = national bottom quartile, 1 = top). The delta is child − adult. Domains where only one program reported are shown as not compared — never imputed.
- Behavioral Health Care+0.01Child0.62 · n=6Adult0.61 · n=8
- Care of Acute and Chronic Conditions−0.66Child0.00 · n=3Adult0.66 · n=11
- Experience of Carenot compared
Only one Core Set program reported a measure in this domain, so no directional comparison is possible.
- Maternal and Perinatal Health+0.17Child0.43 · n=5Adult0.26 · n=3
- Primary Care Access and Preventive Care+0.06Child0.40 · n=8Adult0.34 · n=4