The Impact of Medicaid Managed Care on Health Service Utilization Among Adults With Intellectual and Developmental Disabilities

2019 ◽  
Vol 57 (4) ◽  
pp. 289-306 ◽  
Author(s):  
Kiyoshi Yamaki ◽  
Coady Wing ◽  
Dale Mitchell ◽  
Randall Owen ◽  
Tamar Heller
Keyword(s):  
Developmental Disabilities ◽  
Managed Care ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Intellectual And Developmental Disabilities ◽  
Medicaid Managed Care ◽  
The Impact

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.

Contributions of Mental and Behavioral Health Conditions to Health Service Utilization Among People With Intellectual and Developmental Disabilities in Massachusetts

Inclusion ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 188-201 ◽  
Author(s):  
Emily Lauer ◽  
Nassira D. Nicola ◽  
Kimberley Warsett ◽  
Rodrigo Monterrey
Keyword(s):  
Developmental Disabilities ◽  
Health Service ◽  
Behavioral Health ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Population Based ◽  
Health Conditions ◽  
Intellectual And Developmental Disabilities ◽  
Related Factors ◽  
Inpatient Hospitalizations

Abstract Although existing evidence suggests an increased prevalence mental and behavioral health conditions for people with intellectual and developmental disabilities (IDD), little is known about health service utilization patterns related to these conditions. This study provides population-based data on hospital service utilization. Medicaid claims for people under 65 years of age in Massachusetts were used (years 2008-2013) to identify a cohort of people with IDD. Utilization of inpatient hospitalizations and outpatient Emergency Department (ED) was compared with the U.S. and MA general population through risk ratios. Findings suggest mental and behavioral health conditions were major contributors to increased utilization of inpatient and outpatient ED services and underscore the need for community-based service options that understand how to treat these conditions in people with IDD and address the myriad of related factors to identify, treat, and minimize the potential adverse life impact of these conditions for people with IDD.

O25. The Impact of a Community Based Intervention for People with Arthritis on Quality of Life and Health Service Utilization

Rheumatology ◽  
2014 ◽  
Vol 53 (suppl_1) ◽  
pp. i40-i40
Author(s):  
Chandrika Gordon ◽  
Rebecca J. Stack ◽  
Marilyn Robinson ◽  
Karim Raza ◽  
Ishraga Awad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Community Based ◽  
The Impact

The Impact of Insurance Instability on Health Service Utilization: Does Non-metropolitan Residence Make a Difference?

2014 ◽  
Vol 31 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Bronwyn E. Fields ◽  
Janice F. Bell ◽  
Sally Moyce ◽  
Jeri L. Bigbee
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Impact

The impact of individual room on rehospitalization and health service utilization in preterms after discharge

2008 ◽  
Vol 84 ◽  
pp. S47-S48
Author(s):  
Omer Erdeve ◽  
Saadet Arsan ◽  
Sule Yigit ◽  
Didem Armangil ◽  
Begum Atasay ◽  
...  
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Impact
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