Has Medicaid Managed Care Affected Beneficiary Access and Use
Bibliographic Data
| ID | 13775726 |
|---|---|
| Authors | Stephen Zuckerman (Urban Institute, corresponding author), Niall Brennan, Alshadye Yemane |
| Year | 2002 |
| Volume | 39 |
| Issue | 3 |
| Pages | 221-242 |
| Publication date | 2002-08-01 |
| 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_39.3.221 |
| PMID | 12479536 |
| OpenAlex | W2168083056 |
| Language | EN |
| Citations received | 12 |
| References cited | 14 |
This paper uses data from the 1997 National Survey of America's Families to examine the effects of the various forms of mandatory Medicaid managed care on access and use among beneficiaries not receiving Supplemental Security Income or Medicare benefits. The results show that mandatory health maintenance organization (HMO) programs have had a positive impact on both children and adults, particularly when compared to Medicaid fee-for-service plans. We observed less dependence on emergency rooms as a usual source of care, a greater probability of visiting a doctor and, for children, greater use of preventive care. In contrast, mandatory primary care case management plans (PCCM) provided some benefits to children, but appeared to have very little impact on adult Medicaid beneficiaries. Mandatory programs that use both HMOs and PCCM produced mixed results. With the exception of mandatory HMO programs, discrepancies in access and use continue to exist between Medicaid managed care enrollees and low-income privately insured people
Beneficiary · Business · Environmental health · Family medicine · Health care · Low income · Managed care · Medicaid · Medicaid managed care · Preventive care · Service (business · Socioeconomics · Finance · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine
Quality of Care for Chronic Conditions Among Disabled Medicaid Enrollees
Factors Associated With Emergency Department Use Among the Rural Elderly
The Managed Care Backlash
Difference in Hospital Utilization Within the First 12 Months Among Low-Birth-Weight Infants in Medicaid Managed Care Versus Fee-for-Service
The Effect of Medicaid Managed Care on Prenatal Care
Does Managed Care Improve Access to Care for Medicaid Beneficiaries with Disabilities? A National Study
Access to Healthcare Among Working‐Aged Hispanic Adults in the United States
Medicaid Managed Care and Cost Containment in the Adult Disabled Population
Characteristics of Occasional and Frequent Emergency Department Users
National Estimates of the Effects of Mandatory Medicaid Managed Care Programs on Health Care Access and Use, 1997–1999
Has the Increase in HMO Enrollment Within the Medicaid Population Changed the Pattern of Health Service Use and Expenditures
The Impact of Medicaid Managed Care on Primary Care Physician Participation in Medicaid
| Unique citing works | 12 |
|---|---|
| Citations per year | 0,52 |
| Citation span | 2003 - 2021 (19) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 11 |