Health Supervision Visits among SSI-Eligible Children in the D.C. Medicaid Program
A Comparison of Enrollees in Fee-for-Service and Partially Capitated Managed Care
Bibliographic Data
| ID | 13775680 |
|---|---|
| Authors | Jean M Mitchell (0000-0002-2765-4624, Georgetown University, corresponding author), Darrell J Gaskin (0000-0002-0822-1583, University of Maryland, College Park), Chahira Kozma (Georgetown University) |
| Year | 2008 |
| Volume | 45 |
| Issue | 2 |
| Pages | 198-214 |
| Publication date | 2008-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.5034/inquiryjrnl_45.02.198 |
| PMID | 18767384 |
| OpenAlex | W1965497962 |
| Language | EN |
| Citations received | 3 |
| References cited | 19 |
Managed care plans that involve some form of capitation may have adverse effects on children with special health care needs because the financial incentives to control costs may result in under-treatment and restrict access to expensive services and specialty providers. Proponents highlight the advantages of a managed care model, including case management and coordination of services. In light of this debate, only a few state Medicaid programs have implemented a managed care option for children with special health care needs. This study evaluates the effects of plan choice (partially capitated managed care versus fee-for-service) on whether children with disabilities eligible for Supplemental Security Income (SSI) and enrolled in the District of Columbia's Medicaid program are in compliance with the guidelines for health supervision visits established by the American Academy of Pediatrics (AAP). Our findings, based on five years of claims data, show that SSI-eligible children with disabilities enrolled in a partially capitated managed care plan are significantly more likely to be in compliance with the AAP guidelines for health supervision visits compared to their fee-for-service counterparts. Moreover, we find that selection due to unobservable characteristics does not significantly bias the estimated program effects
Actuarial science · Business · Capitation · Capitation fee · Family medicine · Fee-for-service · Health care · Incentive · Managed care · Medicaid · Medicaid managed care · Payment · Service (business · Specialty · Emergency and Acute Care Studies · Finance · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes
A New Definition of Children With Special Health Care Needs
Choosing among Alternative Nonexperimental Methods for Estimating the Impact of Social Programs
Problems with Instrumental Variables Estimation when the Correlation between the Instruments and the Endogenous Explanatory Variable is Weak
Instrumental Variables Regression with Weak Instruments
Estimation and inference in econometrics
Natural and Quasi-Experiments in Economics
Plan Choice and Changes in Access to Care over Time for SSI-Eligible Children with Disabilities
Scattering of primary care
Managed Care and Children
Improving State Medicaid Contracts and Plan Practices for Children with Special Needs
Caregivers’ Ratings of Access
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,19 |
| Citation span | 2010 - 2013 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 3 |