Provisions of the Patient Protection and Affordable Care Act (ACA) of 2010 hold promise for improving access to and receipt of preventive services for adolescents and young adults (AYAs). The Title V Block Grant transformation also includes a focus on improving adolescent preventive care. In a new brief report, this article describes and discusses an inquiry of promising strategies for improving access and preventive care delivery identified in selected high-performing states.

Researchers interviewed stakeholders across seven top-performing states to identify promising practices across insurance enrollment and preventive service delivery for AYAs. Four strategies were identified regarding insurance enrollment: use of partnerships; special populations outreach; leveraging laws and resources; and youth engagement. Four strategies were identified regarding preventive service delivery: expand provider capacity to serve AYAs; adopt medical home policies; establish quality improvement projects; and enhance consumer awareness of well-visit. States focused more on adolescents than young adults and on increasing health insurance enrollment than provision of preventive services. This study identified strategies and areas for improvement that may be useful, as Title V programs and their partners across the country focus on the health needs of AYAs in the context of ACA implementation and the Title V Transformation.

This study was produced by the National Adolescent and Young Adult Health Information Center (NAHIC), as part of the Adolescent and Young Adult Health National Resource Center (AYAH-NRC). For more information about the Resource Center, please click here.

To view the abstract, click here.

Looking for more resources related to this study? Read our compendium that offers extended state-level examples and resources for each identified strategy.