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[PDF] Top 20 Increasing Immunization: A Medicaid Managed Care Model

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Increasing Immunization: A Medicaid Managed Care Model

Increasing Immunization: A Medicaid Managed Care Model

... This study has several implications—for services provided by Medicaid MCOs, program planning, and the development of public-private partnerships between managed care and public health institu- tions. ... See full document

7

The Use of Physician Financial Incentives and Feedback to Improve Pediatric Preventive Care in Medicaid Managed Care

The Use of Physician Financial Incentives and Feedback to Improve Pediatric Preventive Care in Medicaid Managed Care

... trative policies to an office manager. Thus, physi- cians either remain unaffected by policy change or they remember an amalgam of policies and proce- dures that they apply to all patients, regardless of insurance type. ... See full document

7

Effects of Medicaid Managed Care on Quality: Childhood Immunizations

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 ...recommended ... See full document

10

Medicaid managed care: how to target efforts to reduce costs

Medicaid managed care: how to target efforts to reduce costs

... that Medicaid is not a single program but a diverse group of state run programs, and that as a result it is hard to generalize about the impact of MMC on costs ...part model of ... See full document

8

A Tale of Two Cities? The Heterogeneous Impact of Medicaid Managed Care

A Tale of Two Cities? The Heterogeneous Impact of Medicaid Managed Care

... serving Medicaid recipients in the same state, and operating less than 100 miles apart, the two plans selected very different reimbursement mechanisms for physicians and diverged along other plan dimensions as ... See full document

69

Rural access to MAT in Pennsylvania (RAMP): a hybrid implementation study protocol for medication assisted treatment adoption among rural primary care providers

Rural access to MAT in Pennsylvania (RAMP): a hybrid implementation study protocol for medication assisted treatment adoption among rural primary care providers

... chronic care model paradigm, we employed the Framework for Systems Transformation to implement the American Society for Addiction Medicine care model for the use of medications in the ... See full document

9

Child Development Services in Medicaid Managed Care Organizations: What Does It Take?

Child Development Services in Medicaid Managed Care Organizations: What Does It Take?

... Perceived Benefits of Child Development Program Four MMCOs reported having documented ben- efits of the program (eg, data on pregnancy rates, immunization rates, readmission rates, lengths of stay, rates of Early ... See full document

10

Health Care Utilization by Children With Chronic Illnesses: A Comparison of Medicaid and Employer-insured Managed Care

Health Care Utilization by Children With Chronic Illnesses: A Comparison of Medicaid and Employer-insured Managed Care

... for Medicaid and commercially- insured members, it was more appropriate to com- pare health care utilization rather than ...coverage, Medicaid covered services without deductibles or ...for ... See full document

11

The impact of provider service networks in Florida Medicaid managed care on enrollees’ satisfaction

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 ... See full document

8

Impact of a Decline in Colorado Medicaid Managed Care Enrollment on Access and Quality of Preventive Primary Care Services

Impact of a Decline in Colorado Medicaid Managed Care Enrollment on Access and Quality of Preventive Primary Care Services

... primary care visit from 1999 to 2001 across all 3 age groups ...an increasing number of children in the UFFS program and a decreasing willingness of private physicians to accept new patients with UFFS ... See full document

8

Health Insurance Generosity and Conditional Coverage: Evidence from Medicaid Managed Care in Kentucky

Health Insurance Generosity and Conditional Coverage: Evidence from Medicaid Managed Care in Kentucky

... The Medicaid program during this period was highly targeted to several groups, such as low- income children, pregnant women and participants in AFDC/TANF or ...and Medicaid participation for them is ... See full document

38

Patterns of Vision Care Among Medicaid-Enrolled Children

Patterns of Vision Care Among Medicaid-Enrolled Children

... eye care supply, we developed separate logistic regression models for the receipt of eye care (Table 3) and lens services (Table 4) stratified by rural/urban ...eye care or lens services, regardless ... See full document

9

Building Positive Future Orientations: The Role of Natural Mentors in the Lives of African American Girls

Building Positive Future Orientations: The Role of Natural Mentors in the Lives of African American Girls

... postpartum care; childhood immunization status; comprehensive diabetes care; and member satisfaction surveys of both children and ...state’s managed care program. Over 95% of the ... See full document

95

Medicaid Managed Care Structures and Care Coordination

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 ... See full document

11

Medicaid Managed Care and the Health Care Utilization of Foster Children

Medicaid Managed Care and the Health Care Utilization of Foster Children

... outpatient care among foster children in the Louisville region is driven by the implementation of MMC, we per- form multiple robustness ...difference-in-differences model comparing it with the rest of the ... See full document

11

Defining and Determining Medical Necessity in Medicaid Managed Care

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 ... See full document

9

NH MEDICAID TODAY AND TOMORROW: FOCUSING ON VALUE MAY 31, 2017 A SYMPOSIUM SUMMARY

NH MEDICAID TODAY AND TOMORROW: FOCUSING ON VALUE MAY 31, 2017 A SYMPOSIUM SUMMARY

... New Hampshire’s move towards APMs has been largely driven by pressure from Medicare as a significant payer for many providers, and growing demand for value by public health plans and employer groups. Providers too have ... See full document

46

Medicaid Managed Care: Can It Work for Children?

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] ... See full document

6

Diverting Managed Care Medicaid Patients From Pediatric Emergency Department Use

Diverting Managed Care Medicaid Patients From Pediatric Emergency Department Use

... Medicaid claims data was used to com- pare the six month health care utilization of the denied group to age and complaint matched children seen in the PED (PED-seen) or in a primary care[r] ... See full document

11

Children With Chronic Illness and Medicaid Managed Care

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] ... See full document

6

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