Impact of the health choice program on cesarean section and vaginal birth after c-section deliveries: A retrospective analysis

Maternal and Child Health Journal

Volumn 12, Issue 2, 2008, Pages 266-274

  Misra, Arpit ^a,b  

^a UNIVERSITY OF MARYLAND BALTIMORE COUNTY   (United States)

^b NONE   (United States)

Author keywords

Cesarean sections; HealthChoice; Managed care; Medicaid

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CESAREAN SECTION; CONTROLLED STUDY; FEMALE; HEALTH INSURANCE; HEALTH PROGRAM; HOSPITAL DISCHARGE; HUMAN; LABOR COMPLICATION; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MANAGED CARE; MANAGED CARE ORGANIZATION; MATERNAL BEHAVIOR; MEDICAID; MEDICAL DECISION MAKING; OUTCOME ASSESSMENT; PREGNANCY; PRIORITY JOURNAL; PROSPECTIVE PAYMENT; RETROSPECTIVE STUDY; UNITED STATES; VAGINAL DELIVERY; COMPARATIVE STUDY; DELIVERY; ECONOMICS; FACTUAL DATABASE; INSURANCE; ORGANIZATION AND MANAGEMENT; STATISTICAL MODEL; STATISTICS; UTILIZATION REVIEW;

ADOLESCENT; ADULT; CESAREAN SECTION; DATABASES, FACTUAL; FEMALE; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; LOGISTIC MODELS; MANAGED CARE PROGRAMS; MARYLAND; MEDICAID; PREGNANCY; PRIVATE SECTOR; RETROSPECTIVE STUDIES; UNITED STATES; VAGINAL BIRTH AFTER CESAREAN;

EID: 38549120213     PISSN: 10927875     EISSN: 15736628     Source Type: Journal    
DOI: 10.1007/s10995-007-0234-z     Document Type: Article

References (32)

1. Centers for Medicare and Medicaid Services. (2003). Medicaid managed care overview. Baltimore, MD. Available at: http://www.cms.hhs.gov/ medicaid.
2. Schwalberg, R., Mathis, S. A., Giffen, M., Mohamadi, L., & Zimmerman, B., Sines, E. (2001). Medicaid coverage of perinatal services: Results of a National Survey. Menlo Park, California: Henry J. Keiser Family Foundation.
3. Sharkey, P. D., Derrick, F. W., Freeze, J., & Bush, R. et al. (2000). Opportunities and challenges in Medicaid managed care: The experience in Maryland. The American Journal of Managed Care, 6 (3), 341-350.
4. Figura, S. Z. (1997). Maryland Medicaid marries choice and managed care. AHA News. 33 (24), 6.
5. Ware, J. E., Bayliss, M. S., Rogers, W. H., Kosinski, M., & Tarlov, A. R. (1996). Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems. Journal of American Medical Association, 276 (13), 1039-1047.
6. Shaugnessy, P. W., Schlenker, R. E., & Hittle, D. F. (1994). Home health care outcomes under capitated and fee-for-service payments. Health Care Financing Review, 16 (1), 187-222.
7. Haile, P. A., & Stein, R. M. (2002). Managed care incentives and inpatient complications. Journal of Economics and Management Strategy, 11 (1), 37-79.
8. Hellinger, F. J. (1998). The effect of managed care on quality: A review of recent evidence. Archives of Internal Medicine, 158 (8), 833-841.
9. Yelin, E. H., Criswell, L. A., & Feingenbaum, P. G. (1996). Health care utilization and outcomes among persons with rheumatoid arthritis in fee-for-service and prepaid. Group practice settings. Journal of American Medical Association, 276 (13), 1048-1053.
10. Greenfield, S., Rogers, W., Mangotich, M., Carney, M. F., & Tarlov, A. R. (1995). Outcomes of patients with hypertension and non-insulin dependent diabetes Mellitus treated by different Systems and Specialties. Journal of American Medical Association, 274 (18), 1436-1444.
11. Quick, J. D., Greenlick, M. R., & Roghmann, K. J. (1981). Prenatal care and pregnancy outcome in an HMO and general population: A multivariate cohort analysis. American Journal of Public Health, 71 (4), 381-389.
12. Carey, T. S, Weis, K., & Homer, C. (1991). Prepaid versus traditional Medicaid plans: Lack of effect on pregnancy outcomes and prenatal care. Health Services Research, 26 (2), 165-181.
13. Goldfarb, N. I., Hillman, A. L., Eisenberg, J. M., Kelley, M. A., Cohen, A. V., & Dellheim, M. (1991). Impact of mandatory Medicaid case management program on prenatal care and birth outcomes: A retrospective analysis. Medical Care, 29 (1), 64-71.
14. Krieger, J. W., Connell, F. A., & LoGerfo, P. (1992). Medicaid prenatal care: A comparison of use and outcome in fee-for-service and managed care. American Journal of Public Health, 82 (2), 185-190.
15. Blendon, R. J., Mollyann, B., & Benson, J. M. et al. (1998). Understanding the managed care backlash. Health Affairs, 17 (4), 80-94.
16. Miller, R. H., & Luft, H. S. (1997). Does managed care lead to better or worse quality of care? Health Affairs, 16 (5), 7-25.
17. Oleske, D. M., Branca, M. L., Schmidt, J. B., Ferguson, R., & Linn, E. S. (1998). A comparison of capitated and fee-for-service Medicaid reimbursement methods on pregnancy outcomes. Health Services Research, 33 (1), 55-73.
18. Levinson, A., & Ullman, F. (1998). Medicaid managed care and infant health. Journal of Health Economics, 17 (3), 251-268.
19. Riley, G. F., Potosky, A. L., Lubitz, J. D., & Brown, M. L. (1994). Stage of cancer at diagnosis for medicare HMO and fee-for-service enrollees. American Journal of Public Health, 84 (10), 1598-1604.
20. Roohan, P. J., Anarella, J. P., & Gesten, F. C. (2004). Quality oversight and improvement in Medicaid managed care. Journal of Public Health Management Practice, 10 (4), 321-329.
21. Womeodu, R. J., Graney, M. J., Gibson, D. V., & Bailey, J. E. (2003). Diabetic patient experiences in a Medicaid managed care system. Tennessee Medicine, 96 (10), 465-469.
22. Howell, E. M., Dubay, L., Kenney, G., & Sommers, A. S. (2004). The impact of Medicaid managed care on pregnant women in Ohio: A cohort analysis. Health Services Research, 39 (4), 825-846.
23. Menacker, F., & Curtin, F. C. (2001). Trends in cesarean birth and vaginal birth after previous cesarean, 1991-1999 (DHHS Publication No. PHS 2002-1120). Hyattsville, MD: Department of Health and Human Services. National Center for Health Statistics.
24. Agency for Health Care Research and Quality. (2002). Care of women in U.S. hospitals, 2000 (HCUP Fact Book No. 3, AHRQ Publication No. 02-0044). Rockville, MD: Agency for Health Care Research and Quality.
25. Cesarean Fact Sheet. ICEA Cesarean Options. Childbirth.Org. Available at: http://www.childbirth.org/section/CSFact.html.
26. University of Michigan Health System. (2004). Women's Health Advisor 2004: Vaginal birth after a previous cesarean delivery. University of Michigan. Available at: http://www.med.umich.edu/1libr/wha/ wha_vbac_crs.htm.
27. Introduction to The HCUP State Inpatient Databases. (2006). Healthcare Cost and Utilization Project. Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.hcup-us.ahrq.gov/db/ state/siddist/Introduction_to_SID.pdf.
28. Maryland Vital Statistics: Annual Report 2000. (2000). Vital statistics administration. Maryland Department of Health and Mental Hygiene, Baltimore, MD. Available at: http://www.vsa.state.md.us/vsa/doc/ 00annual.pdf.
29. Meikle, S. F., Steiner, C. A., Zhang, J., & Lawrence, W. L. (2005) A national estimate of the elective primary cesarean delivery rate. Obstetrics and Gynecology, 105, 751-756.
30. American Academy of Pediatrics, American College of Obstetricians and Gynecologists. (1997). Guidelines for perinatal care (4th ed.). Elk Grove Village, IL, and Washington DC: American College of Obstetricians and Gynecologists.
31. Goldfarb, M. (1984). Who receives cesareans: Patient and hospital characteristics (HCUP Research Note 4, Publication No. (PHS) 84-3345). Rockville, MD: Department of Health and Human Services.
32. Iezzoni, Lisa I. (1997). Data source and implications: Administrative database. In: Iezzoni LI (Eds.) Risk adjustment for measuring health outcomes (pp. 169-242). Chicago, Ill: Health Administration Press.