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Transition to managed care impacts health care service utilization by children insured by Medicaid. | LitMetric

Transition to managed care impacts health care service utilization by children insured by Medicaid.

J Asthma

University of Maryland School of Medicine, Department of Pediatrics, Division of Pediatric Pulmonology/Allergy, Baltimore, Maryland 21201, USA.

Published: November 2007

AI Article Synopsis

  • The study aimed to assess how transitioning Maryland Medicaid children from fee-for-service to managed care affected their asthma-related healthcare usage.
  • Analysis of healthcare claims from 1997 to 2000 showed that the use of inhaled corticosteroids and outpatient asthma visits increased, while hospitalizations and emergency department visits decreased.
  • The findings suggest that the shift to managed care resulted in better asthma-related healthcare service utilization for children under Maryland Medicaid.

Article Abstract

Purpose. To evaluate the impact of transition to managed care from fee for service on asthma service utilization among Maryland Medicaid insured children. Methods. Healthcare claims from 1997-2000 for children with asthma insured by Maryland Medicaid were extracted and analyzed. Results. Between 1997-2000, inhaled corticosteroid use increased as a proportion of all asthma medications. Outpatient asthma visits increased from 4.2% to 5.9% of all outpatient claims as both asthma-related hospitalizations and emergency department visits decreased. Conclusions. Restructuring of Maryland Medicaid for children from fee for service to managed care was associated with improvement in asthma-related healthcare utilization claims.

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Source
http://dx.doi.org/10.1080/02770900701595584DOI Listing

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