Managed Care and Children
Managed Care and Children With Special Health Care Needs
... primary care physician as- sumes financial risk for all ...primary care physician de- creases with increasing need for subspecialty care and hospital ...services. Children with disabilities ...
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Managed Care and Children With Special Health Care Needs: A Subject Review
... Children with disabilities differ from adults with disabilities in a managed care environment in a va- riety of ways. Three major differences include: 1) The changing dynamics of child development ...
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The Impact of Managed Care Insurance on Use of Lower-Mortality Hospitals by Children Undergoing Cardiac Surgery in California
... with managed care insurance would use a lower-mortality center were substantially reduced relative to children with indemnity insurance, rang- ing from ...For children with Medicaid insur- ...
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Health Care Utilization by Children With Chronic Illnesses: A Comparison of Medicaid and Employer-insured Managed Care
... plan. Children with any of the chronic conditions studied had from 2 to almost 5 times more ED visits if they were enrolled in Medicaid than if they were enrolled in employer-based managed care, ...
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Guiding Principles for Managed Care Arrangements for the Health Care of Newborns, Infants, Children, Adolescents, and Young Adults
... of care in any cost-containment process. c. Managed care plans have developed a broad and diverse clinical database related to children’s health care ...result, managed care ...
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Effects of Managed Care on Service Use and Access for Publicly Insured Children With Chronic Health Conditions
... of managed care programs operating in the state, the covered services, the included and excluded populations, and for each plan, the counties in which it is ...on managed care type and whether ...
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Guiding Principles for Managed Care Arrangements for the Health Care of Newborns, Infants, Children, Adolescents, and Young Adults
... health care costs, employers, state Medicaid programs, the State Children’s Health Insurance Program, and other purchasers of care have turned from tra- ditional fee-for-service reimbursement to ...
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Guiding Principles for Managed Care Arrangements for the Health Care of Newborns, Infants, Children, Adolescents, and Young Adults
... for children. The fi nancial arrangements inherent in managed care plans often include discounted charges and modi fi ed fee schedules, performance incentives, capitation, case rates, and bundled or ...
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Medicaid Managed Care and the Health Care Utilization of Foster Children
... Medicaid managed care (MMC) who were initially carved out of such coverage, such as foster children or those with ...foster children from fee-for-service Medicaid coverage to MMC coverage on ...
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Children With Chronic Illness and Medicaid Managed Care
... Children With Chronic Illness and Medicaid Managed Care.. As the nation debates approaches to reforming the.[r] ...
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Guiding Principles for Managed Care Arrangements for the Health Care of Infants, Children, Adolescents, and Young Adults
... During this period of change in the deliv- ery and financing of health care services, new and expanded efforts are needed to strengthen managed care systems serving infants, children, ad[r] ...
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Managed Care Organization Characteristics and Outpatient Specialty Care Use Among Children With Chronic Illness
... health care than their counterparts abroad, but they don’t actually receive more ...health care so high? One answer is doctors’ salaries: although average wages in France and the United States are similar, ...
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Oral Corticosteroid Prescribing for Children With Asthma in a Medicaid Managed Care Program
... In each of the years from 2011 to 2015, health plan members with asthma were identified by having a claim with a code for asthma (International Classification of Diseases, Ninth Revision, code 493. XX or International ...
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A Statewide Assessment of Lead Screening Histories of Preschool Children Enrolled in a Medicaid Managed Care Program
... the children and their families were obtained from computerized records maintained by the Rhode Island Department of Human ...mary care providers while enrolled in RIte Care also were deter- mined ...
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Medicaid Managed Care: Can It Work for Children?
... rolled in an HMO, they did find reduced acute care visits among children, particularly among those with no health problems at the start of the program, sug- gesting that the HMO successf[r] ...
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Assuring Quality of Care for Children With Special Needs in Managed Care Organizations: Roles for Pediatricians
... Pediatricians, including those within and outside of the public health system, have played and will continue to play an important role in assessing ser- vices for children with special h[r] ...
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Assuring Quality of Care for Children With Special Needs in Managed Care Organizations: Roles for Pediatricians
... Pediatricians, including those within and outside of the public health system, have played and will continue to play an important role in assessing ser- vices for children with special h[r] ...
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Monitoring and Evaluating Managed Care for Children With Chronic Illnesses and Disabilities
... Evaluation and monitoring strategies should focus on outcomes in a number of domains in- cluding: (1) access to care; (2) utilization of services; (3) quality of care; (4) satisfaction w[r] ...
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Fetal Programming and Risk of Metabolic Syndrome: Prevention Efforts for High-Risk Populations: In Reply
... specialty care, pharmaceuticals, durable medical equipment, and physical ...basis. Children enrolled in this “specialty care managed care plan” have access to a full array of pediatric ...
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Impact of the Oregon Health Plan on Children With Special Health Care Needs
... aged care has not had a substantial differential im- pact on children with disabilities relative to those in the general OHP ...Similarly, children with disabilities who are enrolled in capitated ...
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