Medicaid Managed Care in Florida and Racial and Ethnic Disparities in Preventable Emergency Department Visits.
Background: In an effort to address health care spending growth, coordinate care, and improve access to primary care in the Medicaid program, Florida implemented the Statewide Mandatory Managed Care (SMMC) program in May of 2014.Objectives: The objective of this study is to investigate the impact of...
| Publicado en: | Medical Care Vol. 56; no. 6; pp. 477 - 484 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jun2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129675949&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129675949 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257079 21B jtl: Medical Care issn: 00257079 maglogo: N pubinfo: dt: Jun2018 vid: 56 iid: 6 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 129675949 129675949 NLM29629922 129675949 10.1097/MLR.0000000000000909 NLM29629922 129675949 ppf: 477 ppct: 7 formats: tig: atl: Medicaid Managed Care in Florida and Racial and Ethnic Disparities in Preventable Emergency Department Visits. aug: au: Hu, Tianyan Mortensen, Karoline Chen, Jie affil: Department of Health Policy and Management, Robert Stempel College of Public Health and Social Work, Florida International University, Miami sug: subj: Emergency Service Statistics and Numerical Data Quality of Health Care Statistics and Numerical Data Managed Care Programs Statistics and Numerical Data Health Services Accessibility Statistics and Numerical Data Healthcare Disparities Statistics and Numerical Data Minority Groups Statistics and Numerical Data Female Adult Insurance Coverage Statistics and Numerical Data Florida Middle Age Male Young Adult Funding Source Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: In an effort to address health care spending growth, coordinate care, and improve access to primary care in the Medicaid program, Florida implemented the Statewide Mandatory Managed Care (SMMC) program in May of 2014.Objectives: The objective of this study is to investigate the impact of implementation of mandatory managed care in Medicaid on the preventable emergency department (ED) utilizations, with a focus on racial/ethnic minorities.Research Design: The primary data source is the universe of Florida ED visit and inpatient discharge data from 2010 to 2015, maintained by the Florida Agency for Health Care Administration. We adopt the New York University Billing's ED Classification Algorithm to create measures for preventable ED visits. Using difference-in-differences estimation, we examine preventable ED visits for Florida residents aged 18-64 with a primary payer of Medicaid (treatment group) and private health insurance (control group) pre-SMMC and post-SMMC reform.Results: Our findings show that SMMC is statistically significantly associated with more reductions in preventable ED visits among non-Hispanic African American (incidence rate ratio=0.81; 95% confidence interval, 0.70-0.94) and Hispanic (incidence rate ratio=0.72; 95% CI, 0.60-0.87) Medicaid enrollees relative to their white counterparts. We also find significant reduction of racial/ethnic disparities only in counties with above median preimplementation Medicaid managed care penetration rate.Conclusions: Our findings suggest that implementation of Medicaid mandatory managed care in Florida is associated with reduced racial/ethnic disparities in preventable ED visits. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|