Quality measurement in medicaid managed care and fee-for-service

被引:10
|
作者
Roohan, Patrick J. [1 ]
Butch, Jacqueline M. [1 ]
Anarella, Joseph P. [1 ]
Gesten, Foster [1 ]
Shure, Kathleen [1 ]
机构
[1] New York State Dept Hlth, Off Managed Care, Bur Qual Management & Outcomes Measurement, Albany, NY 12237 USA
关键词
Medicaid managed care; quality; performance measurement; Medicaid;
D O I
10.1177/1062860606287199
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
New York State has transitioned 1.7 million Medicaid recipients from a fee-for-service delivery system to a managed care model. To evaluate whether managed care has had a positive effect on access and quality, the New York State Department of Health compared rates of performance across standardized measures of quality (ie, childhood immunization, well-child visits, prenatal care in the first trimester, cervical cancer screening, use of appropriate medications for people with asthma, and comprehensive diabetes care) in both systems. For almost all measures, Medicaid managed care rates were statistically higher than Medicaid fee-for-service.
引用
收藏
页码:185 / 191
页数:7
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