Primary care case management and birth outcomes in the Iowa Medicaid program
Bibliographic Data
| ID | 11022303 |
|---|---|
| Authors | Elizabeth D Schulman (University of Kentucky), Doris Jean Sheriff, Elizabeth T Momany (0000-0002-9265-070X) |
| Year | 1997 |
| Volume | 87 |
| Issue | 1 |
| Pages | 80-84 |
| Publication date | 1997-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.87.1.80 |
| PMID | 9065232 |
| OpenAlex | W2051529097 |
| Language | EN |
| Citations received | 10 |
| References cited | 16 |
OBJECTIVES: This study compares prenatal care utilization and birth outcomes between Iowa Medicaid recipients receiving care in a primary care case management (PCCM) system and those receiving care in a fee-for-service (FFS) system. METHODS: Birth certificates linked with Medicaid hospitalization claims were analyzed for seven PCCM and seven FFS counties. RESULTS: From 1989 through 1992, there was (1) a 20% increase in the number of women who received adequate prenatal care in the FFS counties, vs a 5% increase in the PCCM counties; (2) a 17% increase in the number of women who initiated care within the first trimester in the FFS counties, vs a 6% increase in the PCCM counties; and (3) a 442% increase in the number of women who received enhanced prenatal services in the FFS counties, vs a 278% increase in the PCCM counties. There were no significant differences between groups in mean gestational age or birthweight; however, there was an increase of very-low-birthweight babies in both groups. CONCLUSIONS: PCCM, as implemented by the Iowa Medicaid program, has not appreciably improved prenatal care utilization or birth outcomes
Case management · Environmental health · Family medicine · Health care · Medicaid · Medicaid managed care · Population · Pregnancy · Prenatal care · Healthcare Policy and Management · Maternal and Perinatal Health Interventions · Medicine · Nursing · Primary Care and Health Outcomes
Medicaid managed care and low-income women
Use of Social Services by Pregnant Medicaid Eligible Women in Baltimore
Effects of Maternity Care Coordination on Pregnancy Outcomes
The Impact of Interdisciplinary Case Management on Client Outcomes
A note on policymakers as research subjects
The effect of a Medicaid managed care program on the adequacy of prenatal care utilization in Rhode Island
The road from managed care
Schulman and Colleagues Respond
The Role of Public Insurance and the Public Delivery System in Improving Birth Outcomes for Low-Income Pregnant Women
Third World medicine in First World cities
The effects of prenatal care upon the health of the newborn
Effect of a gatekeeper plan on health services use and charges
Emergency room use and primary care case management
Medicaid prenatal care
An Evaluation of Utah??s Primary Care Case Management Program for Medicaid Recipients
Measuring the Impact of Programs for Mothers and Infants on Prenatal Care and Low Birth Weight
Impact of a Mandatory Medicaid Case Management Program on Prenatal Care and Birth Outcomes
| Citations per year | 0.34 |
|---|---|
| Citation span | 1997 - 2014 (18) |
| Highly cited | No |