Health services appraisal and the transition to Medicaid Managed Care from fee for service

2016 ◽  
Vol 9 (2) ◽  
pp. 239-247 ◽  
Author(s):  
Randall Owen ◽  
Tamar Heller ◽  
Anne Bowers
Keyword(s):  
Managed Care ◽  
Health Services ◽  
Fee For Service ◽  
Medicaid Managed Care

Impact of Medicaid Managed Care on Illinois's Acute Health Services Expenditures for Adults With Intellectual and Developmental Disabilities

2018 ◽  
Vol 56 (2) ◽  
pp. 133-146 ◽  
Author(s):  
Kiyoshi Yamaki ◽  
Coady Wing ◽  
Dale Mitchell ◽  
Randall Owen ◽  
Tamar Heller
Keyword(s):  
Developmental Disabilities ◽  
Managed Care ◽  
Health Services ◽  
Cost Savings ◽  
Intellectual And Developmental Disabilities ◽  
Fee For Service ◽  
Access To Health Services ◽  
Medicaid Managed Care ◽  
The Difference ◽  
The Impact

Abstract States have increasingly transitioned Medicaid enrollees with disabilities from fee-for-service (FFS) to Medicaid Managed Care (MMC), intending to reduce state Medicaid spending and to provide better access to health services. Yet, previous studies on the impact of MMC are limited and findings are inconsistent. We analyzed the impact of MMC on costs by tracking Illinois's Medicaid acute health services expenditures for adults with intellectual and developmental disabilities (IDD) living in the community (n = 1,216) before and after their transition to MMC. Results of the difference-in-differences (DID) regression analysis using an inverse propensity score weight (IPW) matched comparison group (n = 1,134) design suggest that there were no significant state Medicaid cost savings in transitioning people with IDD from FFS to MMC.

scholarly journals Provision of Sexual Health Services to Adolescent Enrollees in Medicaid Managed Care

2002 ◽  
Vol 92 (11) ◽  
pp. 1779-1783 ◽  
Author(s):  
William E. Lafferty ◽  
Lois Downey ◽  
Christine M. Holan ◽  
Alice Lind ◽  
William Kassler ◽  
...  
Keyword(s):  
Managed Care ◽  
Health Services ◽  
Sexual Health ◽  
Medicaid Managed Care

scholarly journals Effects of Medicaid Managed Care Programs on Health Services Access and Use

2003 ◽  
Vol 38 (2) ◽  
pp. 575-594 ◽  
Author(s):  
Bowen Garrett ◽  
Amy J. Davidoff ◽  
Alshadye Yemane
Keyword(s):  
Managed Care ◽  
Health Services ◽  
Medicaid Managed Care ◽  
Managed Care Programs ◽  
Health Services Access

scholarly journals Medicaid Managed Care and the Health Care Utilization of Foster Children

2017 ◽  
Vol 54 ◽  
pp. 004695801769855
Author(s):  
Makayla Palmer ◽  
James Marton ◽  
Aaron Yelowitz ◽  
Jeffery Talbert
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care Utilization ◽  
Foster Children ◽  
The State ◽  
Care Utilization ◽  
Fee For Service ◽  
Medicaid Managed Care ◽  
Outpatient Utilization ◽  
The Impact

A recent trend in state Medicaid programs is the transition of vulnerable populations into Medicaid managed care (MMC) who were initially carved out of such coverage, such as foster children or those with disabilities. The purpose of this article is to evaluate the impact of the transition of foster children from fee-for-service Medicaid coverage to MMC coverage on outpatient health care utilization. There is very little empirical evidence on the impact of managed care on the health care utilization of foster children because of the recent timing of these transitions as well as challenges associated with finding data sets large enough to contain a sufficient number of foster children for such analysis. Using administrative Medicaid data from Kentucky, we use retrospective difference-in-differences analysis to compare the outpatient utilization of foster children transitioned to MMC in one region of the state with foster children in the rest of the state who remained in fee-for-service coverage. We find that the transition to MMC led to a 4 percentage point reduction in the probability of having any monthly outpatient utilization. We also estimate that MMC leads to a reduction in outpatient spending.

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