Difference in Hospital Utilization Within the First 12 Months Among Low-Birth-Weight Infants in Medicaid Managed Care Versus Fee-for-Service: A Regression Discontinuity Study.

Objective: To examine the effect of Medicaid managed care (MMC) versus Medicaid fee-for-service (FFS) on emergency department (ED) use and hospitalization during the first 6 and 12 months of life among low-birth-weight (LBW) infants. Methods: We used the New York City Office of Vital Statistics—Stat...

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Publicado en:Maternal & Child Health Journal Vol. 25; no. 9; pp. 1410 - 1420
Autores principales: Liu, Sze Yan, Lim, Sungwoo
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2021
      vid: 25
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10995-021-03185-5
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        atl: Difference in Hospital Utilization Within the First 12 Months Among Low-Birth-Weight Infants in Medicaid Managed Care Versus Fee-for-Service: A Regression Discontinuity Study.
      aug:
        au:
          Liu, Sze Yan
          Lim, Sungwoo
        affil: Department of Public Health, Montclair State University, Montclair, NJ, USA
      sug:
        subj:
          Health Resource Utilization Evaluation
          Emergency Service
          Hospitalization Evaluation
          Managed Care Programs
          Medicaid
          Fee for Service Plans
          Human
          Apgar Score
          Infant, Newborn
          Scales
          Data Management
          New York
          Regression
          Descriptive Statistics
          Probability
          Treatment Outcomes
          Data Analysis Software
          Software
          Sensitivity and Specificity
          Socioeconomic Factors
          Adult
          Female
          Cesarean Section
          Infant, Newborn: birth-1 month
          Adult: 19-44 years
          Female
      ab: Objective: To examine the effect of Medicaid managed care (MMC) versus Medicaid fee-for-service (FFS) on emergency department (ED) use and hospitalization during the first 6 and 12 months of life among low-birth-weight (LBW) infants. Methods: We used the New York City Office of Vital Statistics—Statewide Planning and Research Cooperative System (OVS-SPARCS) dataset to identify 9135 LBW infants born to female Medicaid beneficiaries in New York City from January 2008–March 2012. We applied a robust regression discontinuity framework using a New York State Medicaid policy in effect at that time. This policy automatically enrolled infants born to female Medicaid beneficiaries to Medicaid managed care (MMC) or Medicaid fee-for-service (FFS) based on their birth weight (less than 1200 g vs. 1200–2500 g) during the first 6 months of their lives. Results: LBW infants in MMC had an average 0.16% points higher probability of being hospitalized within the first year of their lives than those in Medicaid FFS (p-value = 0.04). Conclusions for Practice: More research is necessary to understand possible differences in healthcare utilization between MMC and FFS participants with high health risks.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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