Medicaid Managed Care
Medicaid Managed Care and the Health Care Utilization of Foster Children
... state Medicaid programs is the transition of vulnerable populations into Medicaid managed care (MMC) who were initially carved out of such coverage, such as foster children or those with ...
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Effectiveness of a Practice-Based, Multimodal Quality Improvement Intervention for Gastroenteritis Within a Medicaid Managed Care Network
... not-for-profit Medicaid managed care network in North Carolina) that served 73 000 Medicaid-enrolled children participated in the ...of Medicaid enrollees in North ...the care of ...
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A Tale of Two Cities? The Heterogeneous Impact of Medicaid Managed Care
... about Medicaid managed care in the Kentucky context, it is not necessarily clear how well these findings would translate to other ...state Medicaid programs, there is a trade-off between the ...
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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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The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction
... the Medicaid Demonstration Program. In reform counties, Medicaid enrollees were required to pick a managed care plan; either a Health Maintenance Organization or a Provider Service Network ...
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Medicaid Managed Care Structures and Care Coordination
... state Medicaid system and among providers for an independent care coordination system rather than a capitated ...high-quality managed care within a state or region, specialist physician ...
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Child Development Services in Medicaid Managed Care Organizations: What Does It Take?
... After inquiring about obstacles encountered in implementing child development services, we asked informants to describe how they addressed these obstacles. Included here was a ques- tion concerning the modifications that ...
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The Use of Physician Financial Incentives and Feedback to Improve Pediatric Preventive Care in Medicaid Managed Care
... Research on actual clinical practice cannot be highly controlled. During the course of the study, much public attention was focused on improving pediatric preventive care, including the Childhood Immunization ...
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Effects of Medicaid Managed Care on Health Care Use: Infant Emergency Department and Ambulatory Services
... tertiary care center that provides primary ob- stetric ...or managed care Medicaid and had a birth weight of ⱖ2 kg and gestational age of ⱖ 34 ...emergency care is sought at our ...
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Qualitative perspectives of primary care providers who treat Medicaid managed care patients
... Three female researchers with extensive backgrounds in qualitative research and doctorates in relevant fields conducted the qualitative interviews. The methodo- logical approach was a content analysis with a grounded ...
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Health Insurance Generosity and Conditional Coverage: Evidence from Medicaid Managed Care in Kentucky
... reduced Medicaid participation, but with small overall magnitudes and effects that are restricted to important sub-groups (such as African Americans and young ...“managed care” only after they have a ...
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Precision of provider licensure data for mapping member accessibility to Medicaid managed care provider networks
... state Medicaid agencies to establish network and access stan- dards for beneficiaries in effort to ensure adequate ac- cess to primary care and a host of other specialty providers and ...primary care ...
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A Statewide Assessment of Lead Screening Histories of Preschool Children Enrolled in a Medicaid Managed Care Program
... mary care provider chart when the test is ...primary care provider site was controlled for, the selected family sociodemographic characteristics in this study were not associated with screening ...this ...
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Oral Corticosteroid Prescribing for Children With Asthma in a Medicaid Managed Care Program
... primary care provider type, substantial variation in prescribing rates among pediatrician providers, minimal to no significant differences in emergency department visits and hospitalizations associated with this ...
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Impact of a Decline in Colorado Medicaid Managed Care Enrollment on Access and Quality of Preventive Primary Care Services
... In 1999 the percentages of children 12 to 24 months of age having any type of visit with a PCP were ⬎ 80% for PCPP, Kaiser Permanente, and the UFFS programs. However, although the proportion with any visit remained ⬎ 85% ...
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Medicaid managed care: how to target efforts to reduce costs
... Results for the regression analysis for the two part model of log total costs are given in Table 5. For a pooled mo- del of adults and children of log total costs, the comor- bidity index was a key correlate of total ...
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Increasing Immunization: A Medicaid Managed Care Model
... the care of Med- icaid recipients, there is a need to develop working relationships with other MCOs and public institu- tions that serve this ...states, Medicaid recipients who select an MCO can, on a ...
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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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Effects of Medicaid Managed Care on Quality: Childhood Immunizations
... primary care (Fig 3). The most notable differ- ence was found among primary care sites with re- gard to proportion of patients achieving up-to-date immunization status at 24 months of ...primary care ...
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Defining and Determining Medical Necessity in Medicaid Managed Care
... as care that is necessary to correct and ameliorate a child ’ s condition? Fur- thermore, we asked: Do states replicate this standard in their model MMC con- tracts? Finally, do Medicaid health plans ...
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