Medicaid managed care in new york: problems and promise for childhood immunizations

Journal of Public Health Management and Practice

Volumn 2, Issue 1, 1996, Pages 59-66

  Fairbrother, Gerry ^a   Hanson, Karla L ^b   Butts, Gary ^c  

^a ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^b NEW YORK UNIVERSITY   (United States)

^c MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

Immunization; Managed care; Medicaid; Quality indicators

Indexed keywords

ARTICLE; HEALTH CARE PLANNING; HEALTH CARE QUALITY; HEALTH INSURANCE; HUMAN; IMMUNIZATION; INFANT; MEDICAID; ORGANIZATION AND MANAGEMENT; PREVENTIVE HEALTH SERVICE; UNITED STATES; UTILIZATION REVIEW;

HEALTH PLAN IMPLEMENTATION; HUMANS; IMMUNIZATION; IMMUNIZATION PROGRAMS; INFANT; MANAGED CARE PROGRAMS; MEDICAID; NEW YORK; QUALITY INDICATORS, HEALTH CARE; UNITED STATES;

EID: 0030309449     PISSN: 10784659     EISSN: 15505022     Source Type: Journal    
DOI: 10.1097/00124784-199600210-00010     Document Type: Article

References (30)

1. Freund, D.A., et al. “Interim Findings from the Medicaid Competition Demonstrations.” Advances in Health Economics and Health Services Research 10 (1989): 153-81.
2. Rowland, D., et al. Report of the Kaiser Commission on the Future of Medicaid. Menlo Park, Calif.: Henry J. Kaiser Family Foundation, 1995.
3. Child Health Action Management Plan. Medicaid Managed Care in New York City: How Will the Children fare? New York, N.Y.: Mayor’s Advisory Council on Child Health, 1993.
4. United Hospital Fund of New York. New York City Community Health Atlas, 1994. New York, N.Y.: United Hospital Fund, 1994.
5. New York State Department of Social Services, Office of Quality Assurance and Audit, Metropolitan Regional Office. Southwest Brooklyn Managed Care Program: Compliance Review of the Freedom of Choice Waiver Requirements Issued by the Health Care Financing Administration of the United States Department of Health and Human Services. DHHS Publication no. 93-T01-8046. New York, N.Y.: NYSDOSS, 1994.
6. New York State. The Partnership Plan: A Public-Private Initiative Ensuring Healthcare for Needy New Yorkers. (1115 waiver application submitted by the State of New York to the Secretary of Health and Human Services and Administrator of the Health Care Financing Administration by Governor Pataki, March 17,1995).
7. McCaughey, B., and Chairperson, D. Comprehensive Medicaid Task Force. Report to Governor George E Pataki Regarding State Fiscal Year 1995-1996 Medicaid Budget Albany, N.Y.: State of New York Executive Chamber, 1995.
8. New York State Department of Social Services. “Recipients Eligible for Enrollment in Managed Care: Enrollment Status by Aid Category and County, and Percent Enrolled by Provider Plan.” Unpublished data, June 1995.
9. McKinney, L. “Paying for Quality.” Family Practice Medicine (January 1995): 30-40.
10. Fairbrother, G., et al. “Physicians in New York City with Large Volume Children’s Medicaid Practices: Who Are They and How Do They Practice.” Inquiry, forthcoming.
11. New York State Department of Health, Immunization Program. “New York State Physician Immunization Survey.” Unpublished data, 1993.
12. Fairbrother, G., et al. “Markers for Immunization: Missed Opportunities To Immunize.” Pediatrics, forthcoming. National Committee on Quality Assurance. Report Card Pilot Project. Washington, D.C.: NCQA, 1995.
13. New York State Department of Health and New York State Department of Social Services. “Managed Care Quality Assurance Reporting Requirements.” Unpublished, 1993.
14. Miller, R.H., and Luft, H.S. “Managed Care Plan Performance Since 1980.” JAMA 271, no. 19 (1994): 1512-19.
15. Freund, D.A., et al. “Evaluation of the Medicaid Competition Demonstrations.” Health Care Financing Review 11, no. 2 (1989): 81-97.
16. Carey, T., Weis, K., and Homer, C. “Prepaid versus Traditional Medicaid Plans: Effects on Preventive Health Care.” Journal of Clinical Epidemiology 43, no. 11 (1990): 1213-20.
17. Balaban, D., McCall, N., and Jones Bauer, E. Quality of Medicaid Managed Care: An Evaluation of the Arizona Health Care Cost Containment System (AHCCCS) Research Report No. 94-2. San Francisco, Calif: Laguna Research Associates, 1994.
18. Wood, D., et al. “Access to Infant Immunizations for Poor, Inner-City Families: What Is the Impact of Managed Care?” Journal of Health Care for the Poor and Underserved 5, no. 2 (1994): 113-23.
19. U.S. General Accounting Office. Medicaid: Oregon’s Managed Care Program and Implications for Expansions. GAO/ HRD 92-89. Washington, D.C.: Government Printing Office, 1992.
20. Minnesota Department of Human Services. Minnesota Prepaid Medical Assistance Status Report. St. Paul, Minn.: Minnesota Department of Human Services, 1992.
21. Schlenker, T., and Fessler, K. “Measles in Milwaukee.” Wisconsin Medical Journal (1990): 403-7.
22. Cecil G. Sheps Center for Health Services Research. All Kids Count National Program Evaluation Project—Survey II: Implementation Process. Chapel Hill, N.C.: University of North Carolina at Chapel Hill, 1994.
23. “More Good News: Additional Funds for New York Project.” All Kids Count: A Quarterly Update on Immunization Monitoring and Follow-up Systems. Atlanta, Ga.: The Task Force for Child Survival and Development, 1, no. 3 (Summer/Fall, 1994): 8.
24. Salisbury, D. “The Immunization Program in England.” In 25th National Immunization Conference Proceedings. Atlanta, GA.: U.S. Dept, of Health and Human Services, Centers for Disease Control and Prevention, 1992.
25. Lieu, T.A., et al. “Health Insurance and Preventive Care Sources of Children at Public Immunization Clinics.” Pediatrics 93, no. 3 (1994): 373-78.
26. Nannis, P. “Managed Care, An Early Review.” Local Health Officer’s News 32, no. 5 (1992): 3-7.
27. Bergman, S., et al. “Guiding Principles for Managed Care Arrangements for the Health Care of Infants, Children, Adolescents, and Young Adults.” Pediatrics 95, no. 4 (1995): 613-15.
28. Wessler, J., and Stoakley, D. “Criteria/Standards and Ratios for Provider Capacity in New York State.” New York, N.Y.: Children’s Defense Fund-New York, 1995.
29. Mayor’s Advisory Council on Child Health Primary Care Work Group. Pediatric Ambulatory Care Services in New York City: Are They Giving Children a Medical Home? New York, N.Y.: New York City Department of Health, 1993.
30. Inglehart, J.K. “Health Policy Report: Medicaid and Managed Care.” New England Journal of Medicine 332, no. 25 (1995): 1727-31.