Managing access: extending Medicaid to children through school-based HMO coverage.

Part of a special section on mental health services and vulnerable populations. The writers explore whether a health maintenance organization's (HMO's) capacity and incentives to manage care might be exploited to improve access. In the early 1990s, the Florida Healthy Kids demonstration extended M...

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Publicado en:Health Care Financing Review Vol. 18; pp. 149 - 176
Autores principales: Coulam, Robert F., Irvin, Carol V., Calore, Kathleen A.
Formato: Artículo
Publicado: HCFA ORDS Publications Spring 1997
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Managing access: extending Medicaid to children through school-based HMO coverage.
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          Coulam, Robert F.
          Irvin, Carol V.
          Calore, Kathleen A.
      su:
        Health maintenance organizations
        Medically uninsured persons
        School health services
        Student health
        Utilization of child health services
        Medicaid
        Florida
      sug:
        subj:
          Florida
          Health maintenance organizations
          Medically uninsured persons
          School health services
          Student health
          Utilization of child health services
          Medicaid
      keyword: Volusia County (Fla.) -- Medical care
      ab: Part of a special section on mental health services and vulnerable populations. The writers explore whether a health maintenance organization's (HMO's) capacity and incentives to manage care might be exploited to improve access. In the early 1990s, the Florida Healthy Kids demonstration extended Medicaid-like HMO coverage to poor children in the public schools of Volusia County, Florida. Uninsured student months in area public schools were probably reduced by one half. In addition, measures of access, utilization, and satisfaction for enrollees were similar to, and sometimes superior to, non-enrollees possessing private insurance, and utilization and cost levels for the enrollees were indistinguishable from commercial clients. These results indicate the value of using schools as a medium for providing coverage and highlight the importance of taking steps to manage access to reduce nonfinancial barriers to care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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