Featured Research

from universities, journals, and other organizations

Impact Of Managed Care On Pediatric Medicaid Patients

June 4, 1997
Johns Hopkins Children's Center
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.

Related Articles

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, 2015 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, 2015).

Share This

More From ScienceDaily

More Health & Medicine News

Friday, April 24, 2015

Featured Research

from universities, journals, and other organizations

Featured Videos

from AP, Reuters, AFP, and other news services

85 Killed in Niger by Meningitis Since Start of Year

85 Killed in Niger by Meningitis Since Start of Year

AFP (Apr. 24, 2015) A meningitis outbreak in Niger has killed 85 people since the start of the year prompting authorities to close schools in the capital Niamey until Monday. Video provided by AFP
Powered by NewsLook.com
Anti-Malaria Jab Hope

Anti-Malaria Jab Hope

Reuters - News Video Online (Apr. 24, 2015) The world&apos;s first anti-malaria vaccine could get the go-ahead for use in Africa from October if approved by international regulators. Paul Chapman reports. Video provided by Reuters
Powered by NewsLook.com
3D Food Printing: The Meal of the Future?

3D Food Printing: The Meal of the Future?

AP (Apr. 23, 2015) Developers of 3D food printing hope the culinary technology will revolutionize the way we cook and eat. (April 23) Video provided by AP
Powered by NewsLook.com
Your Genes Could Influence How Much Mosquitoes Love You

Your Genes Could Influence How Much Mosquitoes Love You

Newsy (Apr. 23, 2015) New research suggests genetics play a big part in how appetizing you smell to mosquitoes. 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.


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


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