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 April 24, 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 April 24, 2014).

Share This



More Health & Medicine News

Thursday, April 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Deadly Fungus Killing Bats, Spreading in US

Deadly Fungus Killing Bats, Spreading in US

AP (Apr. 24, 2014) A disease that has killed more than six million cave-dwelling bats in the United States is on the move and wildlife biologists are worried. White Nose Syndrome, discovered in New York in 2006, has now spread to 25 states. (April 24) Video provided by AP
Powered by NewsLook.com
Companies Ramp Up Wellness to Lower Health Costs

Companies Ramp Up Wellness to Lower Health Costs

AP (Apr. 24, 2014) That little voice telling you to exercise, get in shape and get healthy is probably coming from your boss. More companies are beefing up wellness programs to try and cut down their health care costs. (April 24) Video provided by AP
Powered by NewsLook.com
Blood From World's Oldest Woman Suggests Life Limit

Blood From World's Oldest Woman Suggests Life Limit

Newsy (Apr. 24, 2014) Scientists say for the extremely elderly, their stem cells might reach a state of exhaustion. This could limit one's life span. Video provided by Newsy
Powered by NewsLook.com
FDA Wants To Ban Sales Of E-Cigarettes To Minors

FDA Wants To Ban Sales Of E-Cigarettes To Minors

Newsy (Apr. 24, 2014) The Food and Drug Administration wants to crack down on the use of e-cigarettes, banning the sale of the product to minors. 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