HJAR Mar/Apr 2025

DEPARTMENTS Editor’s Desk ......................................................................................... 7 Healthcare Briefs ............................................................................ 38 Hospital Rounds .............................................................................. 56 Ad Index ................................................................................................ 58 FEATURES Across the Spectrum: A Special Report on Pediatric Autism Care in Arkansas ...................... 8 Jayne Bellando, PhD Pediatric Psychologist and Professor of Pediatrics at the University of Arkansas for Medical Sciences Jaimie Flor, MD Developmental-Behavioral Pediatrician and an Associate Professor at UAMS Department of Pediatrics Maya Lopez, MD Developmental-Behavioral Pediatrician and Chief of the Section of Developmental and Behavioral Pediatrics at UAMS Shruti Tewar, MD Developmental-Behavioral Pediatrician and an Adjunct Associate Professor at UAMS Kimberly Macferran, MD Associate Professor in the Section of Developmental and Behavioral Pediatrics at the University of Arkansas for Medical Sciences and Arkansas Children’s Hospital Trenesha Hill, PhD Pediatric Psychologist and Assistant Professor in the Department of Pediatrics at UAMS Tiffany Lepard, MS, LCGC Genetic Counselor at the University of Arkansas Partners for Inclusive Communities Chayla Slaton, PhD Pediatric Psychologist and Assistant Professor in the Department of Pediatrics at the University of Arkansas for Medical Sciences Elizabeth Pulliam, PsyD Pediatric Psychologist and Associate Professor at the University of Arkansas for Medical Sciences, Department of Pediatrics Rachel Wingfield, PhD Pediatric Psychologist and Assistant Professor of Pediatrics at the University of Arkansas for Medical Sciences CORRESPONDENTS ADH Corner ....................................................................................... 42 Medicaid .............................................................................................. 44 Children’s Health ........................................................................... 46 Rural Health ...................................................................................... 48 Nursing ................................................................................................. 50 Oral Health ........................................................................................ 52 March / April 2025 I Vol. 12, No. 2 Contents 8 FEATURES What’s Wrong with Healthcare? Part 1: The History of Health Insurance .......... 32 Kenny J. Cole, MD, MHCDS Value-Based Healthcare Correspondent