Featured Research

from universities, journals, and other organizations

Impact Of Managed Care On Pediatric Medicaid Patients

Date:
June 4, 1997
Source:
Johns Hopkins Children's Center
Summary:
A Maryland Medicaid managed care program that provided preventive and primary care to children reduced avoidable hospitalizations and their associated costs.

COOPERSTOWN, NY ... Bassett researchers have found that the number of hospital admissions and associated costs can be reduced when children are enrolled in and utilize a Medicaid managed care program which provides them with regular primary and preventive care.

The study involved analyzing pediatric hospitalization data before and after the implementation of the Maryland Access to Care (MAC) Program, a fee-for-service managed care program which emphasized the establishment of a medical "home base" for Medicaid recipients. Each recipient chose (or was assigned to) a primary care provider who authorizes emergency, specialty or inpatient care. The MAC Program began in December 1991 for all adults and children insured by Medicaid in Maryland.

The researchers looked at five years of insurance claims (three years pre-MAC and two years post-MAC). They studied hospital admissions that were likely to have been avoided with improved preventive and primary care. Examples of these include hospital stays for conditions such as asthma, diabetes, bronchitis or gastroenteritis where the children did not receive sufficient outpatient care prior to the hospitalization.

By comparing data prior to and after implementation of the MAC Program, the researchers found that the number of outpatient pediatric visits increased 38 percent. Visits to the emergency department did not change. Children who used the MAC Program were less likely to be hospitalized for avoidable conditions than those not enrolled in the MAC Program. Children who received preventive care were less likely to be admitted for avoidable conditions. Children using the emergency room frequently were more likely to be hospitalized for avoidable conditions.

"These results are encouraging to pediatricians and others who care for children because they suggest that we can prevent certain hospitalizations when children receive regular primary and preventive health care. When routine health care and preventive measures are more accessible to children, hospital admission and costs are lower," said Anne M. Gadomski, M.D., M.P.H., Bassett Healthcare pediatrician/researcher and principal investigator for the study. Other Bassett researchers involved in the study were Melissa Nichols, M.S., and biostatistician Paul Jenkins, Ph.D.

The researchers presented the findings at the 1997 annual meeting of the Pediatric Academic Societies held in Washington DC May 2-6, 1997. The abstract was also published in a special issue of Ambulatory Child Health.


Story Source:

The above story is based on materials provided by Johns Hopkins Children's Center. Note: Materials may be edited for content and length.


Cite This Page:

Johns Hopkins Children's Center. "Impact Of Managed Care On Pediatric Medicaid Patients." ScienceDaily. ScienceDaily, 4 June 1997. <www.sciencedaily.com/releases/1997/06/970604093405.htm>.
Johns Hopkins Children's Center. (1997, June 4). Impact Of Managed Care On Pediatric Medicaid Patients. ScienceDaily. Retrieved August 23, 2014 from www.sciencedaily.com/releases/1997/06/970604093405.htm
Johns Hopkins Children's Center. "Impact Of Managed Care On Pediatric Medicaid Patients." ScienceDaily. www.sciencedaily.com/releases/1997/06/970604093405.htm (accessed August 23, 2014).

Share This




More Health & Medicine News

Saturday, August 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Newsy (Aug. 21, 2014) An experimental drug used to treat Marburg virus in rhesus monkeys could give new insight into a similar treatment for Ebola. Video provided by Newsy
Powered by NewsLook.com
Two US Ebola Patients Leave Hospital Free of the Disease

Two US Ebola Patients Leave Hospital Free of the Disease

AFP (Aug. 21, 2014) Two American missionaries who were sickened with Ebola while working in Liberia and were treated with an experimental drug are doing better and have left the hospital, doctors say on August 21, 2014. Duration: 01:05 Video provided by AFP
Powered by NewsLook.com
Cadavers, a Teen, and a Medical School Dream

Cadavers, a Teen, and a Medical School Dream

AP (Aug. 21, 2014) Contains graphic content. He's only 17. But Johntrell Bowles has wanted to be a doctor from a young age, despite the odds against him. He was recently the youngest participant in a cadaver program at the Indiana University NW medical school. (Aug. 21) Video provided by AP
Powered by NewsLook.com
American Ebola Patients Released: What Cured Them?

American Ebola Patients Released: What Cured Them?

Newsy (Aug. 21, 2014) It's unclear whether the American Ebola patients' recoveries can be attributed to an experimental drug or early detection and good medical care. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins