Comparison of preventive care in medicaid managed care and medicaid fee for service in institutions and private practices

Ambulatory Pediatrics

Volumn 1, Issue 6, 2001, Pages 294-301

  Fairbrother, Gerry ^a,f   Hanson, Karla L ^b   Butts, Gary C ^c,e   Friedman, Stephen ^d  

^a NEW YORK ACADEMY OF MEDICINE   (United States)

^b NEW SCHOOL FOR SOCIAL RESEARCH   (United States)

^c MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^d NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE   (United States)

^e New York City Department of Health   (United States)

^f ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

Medicaid managed care; Plan attributes; Preventive care; Quality of care

Indexed keywords

ARTICLE; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; HEALTH INSURANCE; HUMAN; IMMUNIZATION; INFANT; MEDICAID; MEDICAL FEE; ORGANIZATION AND MANAGEMENT; PREVENTIVE HEALTH SERVICE; PRIVATE PRACTICE; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

CROSS-SECTIONAL STUDIES; FEE-FOR-SERVICE PLANS; HUMANS; IMMUNIZATION; INFANT; MANAGED CARE PROGRAMS; MEDICAID; NEW YORK CITY; PREVENTIVE HEALTH SERVICES; PRIVATE PRACTICE;

EID: 0035525287     PISSN: 15301567     EISSN: None     Source Type: Journal    
DOI: 10.1367/1539-4409(2001)001<0294:COPCIM>2.0.CO;2     Document Type: Article

References (35)

1. Freund DA, Rossiter LF, Fox PD, et al. Evaluation of the Medicaid competition demonstrations. Health Care Financing Rev. 1989;11:81-97.
2. Miller RH, Luft HS. Managed care plan performance since 1980: a literature analysis. JAMA. 1994;271:1512-1519.
3. Miller RH, Luft HS. Does managed care lead to better or worse quality of care? Health Aff (Millwood). 1997;16:7-25.
4. Gaus CR, Cooper S, Hirschman CG. Contrasts in HMO and fee-for-service performance. Soc Security Bull. 1976;39(5):3-14.
5. Fairbrother G, Hanson KL, Butts G. Medicaid managed care in New York: problems and promise for childhood immunizations. J Public Health Manage Pract 1996;2:59-66.
6. Szilagyi PG. Medicaid managed care and childhood immunization delivery. J Public Health Manage Pract. 1998;4:67-72.
7. Carey T, Weis K, Homer C. Prepaid versus traditional Medicaid plans: effects on preventive health care. J Clin Epidemiol. 1990; 43:1213-1220.
8. Hanson KL, Fairbrother G, Kory P, Butts GC, Friedman S. The transition from Medicaid fee-for-service to managed care among private practitioners in New York City: effect on immunization and screening rates. Matern Child Health J. 1998; 2:5-14.
9. Agency for Health Care Policy and Research. Quality of care under varying features of managed care organizations. RFA:HS-98-005. NIH Guide. 1997;26:(31).
10. Landon BE, Wilson IB, Cleary PD. A conceptual model of the effects of health care organizations on the quality of medical care. JAMA. 1998;279:1377-1382.
11. Brook RH, McGlynn EA, Cleary PD. Part 2: measuring quality of care. N Engl J Med. 1996;335:966-969.
12. Fairbrother G, Friedman S, Butts G, Cukor J. Issues in monitoring quality of care for children in Medicaid managed care. Paper presented at: Annual Symposium on Health Services Research in New York City; November 16, 1999; New York, NY.
13. United Hospital Fund. Total enrollment, Medicaid managed care: New York City 1993-February 2000. Currents. 2000;5(1):1.
14. Health Care Financing Administration. New York Statewide Health Reform Demonstration fact sheet. Revised November 8, 1999. Available at: http://www.hcfa.gov/medicaid/nyfact.htm. Accessed August 1, 2000.
15. Fairbrother G, Friedman S, Hanson K, Butts GC. Effect of the Vaccines for Children program on inner-city neighborhood physicians. Arch Pediatr Adolesc Med. 1997;151:1220-1235.
16. Guidelines for Assessing Vaccination Levels of the 2-Year-Old Population in a Clinic Setting. Atlanta, Ga: Centers for Disease Control; October 1992.
17. Centers for Disease Control and Prevention. Preventing Lead Poisoning in Young Children. Washington, DC: US Department of Health and Human Services, Public Health Services; October 1991.
18. Centers for Disease Control and Prevention. Recommendations to prevent and control iron deficiency in the U.S. MMWR. 1998; 47(3):1-36.
19. United Hospital Fund. Medicaid managed care enrollment, New York City, November 1998. Currents 1998;3(4):8.
20. New York State Department of Health. 1998 Quality Assurance Reporting Requirements: A Report on Managed Care Performance. Albany, NY: Office of Managed Care; January 2000.
21. Lee ES, Forthofer RN, Lorimer RJ. Analyzing Complex Survey Data. Newbury Park, Calif: Sage Publications; 1989.
22. Shah BV, Barnwell BG, Bieler GS. SUDAAN User's Manual, Release 7.5. Research Triangle Park, NC: Research Triangle Institute; 1997.
23. Partnership Plan. Submitted by the State of New York to the Health Care Financing Committee.
24. United Hospital Fund. Total enrollment, Medicaid managed care New York City 1993-1998. Currents. Winter 1998;3(4):1.
25. Dick AW, Holl JL, Herbert TM, et al. Changes in health care utilization and costs associated with managed care Medicaid among children and adolescents. Paper presented at: Association of Health Services Research Annual Meeting; June 1999; Chicago, Ill. Abstract 398.
26. DeLia D, Cantor JC, Sandman D. Medicaid managed care in New York City: recent performance and coming challenges. Am J Public Health 2001;93:458-460.
27. Billings J, Mijanovich T, Frenkel T, Cantor J. Analysis of selection effects in New York City's Medicaid managed care population prior to mandatory enrollment. J Urban Health. 2000; 77:625-644.
28. Joffe GP, Rodewald LE, Herbert T, Earth R, Szilagyi PG. Scattering of primary care: doctor switching and utilization of health care by children on fee-for-service Medicaid. J Urban Health. 1999;76:322-334.
29. Fairbrother G, Friedman S, Butts GC, Cukor J, Tassi A. Problems with quality monitoring for Medicaid managed care: perceptions of institutional and private providers in New York City. J Urban Health. 2000;77:573-591.
30. Berenson RA. Beyond competition. Health Aff (Millwood). 1997;16:171-180.
31. Sennett C. An introduction to the National Committee for Quality Assurance. Pediatr Ann. 1998;27:210-214.
32. Landon BE, Tobias C, Epstein AM. Quality measurement by state Medicaid agencies converting to managed care: plans and current practices. JAMA. 1998;279:211-216.
33. Landon BE, Epstein AM. Quality management practices in Medicaid managed care: a national survey of Medicaid and commercial health plans participating in the Medicaid program. JAMA. 1999;282:1769-1775.
34. New York State Department of Health. Medicaid Managed Care Enrollment and Disenrollment Report. Available at: www.health.state.ny.us/nysdoh/research/mcare.htm. Accessed May 14, 1999.
35. Carrasquillo O, Himmelstein DU, Woolhandler S, Bor DH. Can Medicaid managed care provide continuity of care to new Medicaid enrollees? an analysis of tenure on Medicaid. Am J Public Health. 1998;88:464-466.