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 October 1, 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 October 1, 2014).

Share This



More Health & Medicine News

Wednesday, October 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Cases Keep Coming for Monrovia's Island Hospital

Ebola Cases Keep Coming for Monrovia's Island Hospital

AFP (Oct. 1, 2014) A look inside Monrovia's Island Hospital, a key treatment centre in the fight against Ebola in Liberia's capital city. Duration: 00:34 Video provided by AFP
Powered by NewsLook.com
Ebola Puts Stress on Liberian Health Workers

Ebola Puts Stress on Liberian Health Workers

AP (Oct. 1, 2014) The Ebola outbreak is putting stress on first responders in Liberia. Ambulance drivers say they are struggling with chronic shortages of safety equipment and patients who don't want to go to the hospital. (Oct. 1) Video provided by AP
Powered by NewsLook.com
Doctors Reassure Public Ebola Patient Won't Cause Outbreak

Doctors Reassure Public Ebola Patient Won't Cause Outbreak

Newsy (Sep. 30, 2014) After the announcement that the first U.S. patient had been diagnosed with Ebola, doctors were quick to say a U.S. outbreak is highly unlikely. Video provided by Newsy
Powered by NewsLook.com
TX Hospital Confirms Patient Admitted With Ebola

TX Hospital Confirms Patient Admitted With Ebola

AP (Sep. 30, 2014) Medical officials from Texas Health Presbyterian Hospital confirm they are treating a patient with the Ebola virus, the first case found in the US. (Sept. 30 Video provided by AP
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:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

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