The Experts below are selected from a list of 3318 Experts worldwide ranked by ideXlab platform

Lisa Dubay - One of the best experts on this subject based on the ideXlab platform.

  • Moving to mandatory Medicaid Managed Care in Ohio: impacts on pregnant women and infants.
    Medical care, 2005
    Co-Authors: Genevieve M. Kenney, Anna S. Sommers, Lisa Dubay
    Abstract:

    This study examined the impact of mandatory HMO enrollment on prenatal Care use, smoking, and birth weight for Medicaid-covered pregnant women in Ohio using linked birth certificate and Medicaid data in 10 Ohio counties. They found that mandatory HMO enrollment had positive effects on prenatal Care and led to a reduction in maternal smoking but found no effects on birth weight. The authors conclude that with Careful implementation and attention to individual differences, outcomes for pregnant women may improve with Medicaid Managed Care. (Kenney, Genevieve, Anna Sommers, and Lisa Dubay. July 2005. Moving to Mandatory Medicaid Managed Care in Ohio: Impacts for Pregnant Women and Infants. Medical Care 43(7): 683-690.)

  • Implementation of Mandatory Medicaid Managed Care in Missouri: Impacts for Pregnant Women
    The American journal of managed care, 2005
    Co-Authors: Anna S. Sommers, Genevieve M. Kenney, Lisa Dubay
    Abstract:

    This study assesses the impact of mandatory Medicaid Managed Care in Missouri, relative to fee-for-service on prenatal Care, maternal behavior, and low birth weight among pregnant women. Using birth certificate data linked to Medicaid enrollment data in 1995 and 2000, the authors found that Managed Care appears to have a positive effect on smoking cessation among pregnant women, but a negative effect on prenatal Care and no effect on birth weight. The authors concluded that Managed Care appears to have a positive impact on smoking cessation but other policy changes may be needed to improve birth outcomes. (Sommers, Anna S., Kenney, Genevieve, and Dubay, Lisa. July 2005. Implementation of Mandatory Medicaid Managed Care in Missouri: Impacts for Pregnant Women. American Journal of Managed Care 11(7): 433-442.)

  • Medicaid Managed Care AND INFANT HEALTH: A NATIONAL EVALUATION
    2002
    Co-Authors: Robert Kaestner, Lisa Dubay, Genevieve M. Kenney
    Abstract:

    In this study, we examine the effects of Medicaid Managed Care (MMC) on prenatal Care utilization and infant health. We obtain separate estimates of the effect of primary Care case management (PCCM) Managed Care programs and HMO Managed Care plans on prenatal Care utilization, birth weight, and cesarean section. The results suggest the following: MMC was associated with a small, clinically unimportant decrease in the number of prenatal Care visits; MMC had no statistically significant relationship to the APNCU index of the adequacy of prenatal Care; MMC was associated with a significant increase in the incidence of low-birth weight and pre-term birth; and MMC had no association with the incidence of cesarean section. We argue that a causal interpretation of the first and third findings is unsupported by a Careful reading of the evidence, and we conclude that Medicaid Managed Care had virtually no causal effect on, prenatal Care use, birth outcomes, and cesarean section.

Anna S. Sommers - One of the best experts on this subject based on the ideXlab platform.

  • Implementation of Mandatory Medicaid Managed Care in Missouri: Impacts for Pregnant Women
    The American journal of managed care, 2005
    Co-Authors: Anna S. Sommers, Genevieve M. Kenney, Lisa Dubay
    Abstract:

    This study assesses the impact of mandatory Medicaid Managed Care in Missouri, relative to fee-for-service on prenatal Care, maternal behavior, and low birth weight among pregnant women. Using birth certificate data linked to Medicaid enrollment data in 1995 and 2000, the authors found that Managed Care appears to have a positive effect on smoking cessation among pregnant women, but a negative effect on prenatal Care and no effect on birth weight. The authors concluded that Managed Care appears to have a positive impact on smoking cessation but other policy changes may be needed to improve birth outcomes. (Sommers, Anna S., Kenney, Genevieve, and Dubay, Lisa. July 2005. Implementation of Mandatory Medicaid Managed Care in Missouri: Impacts for Pregnant Women. American Journal of Managed Care 11(7): 433-442.)

  • Moving to mandatory Medicaid Managed Care in Ohio: impacts on pregnant women and infants.
    Medical care, 2005
    Co-Authors: Genevieve M. Kenney, Anna S. Sommers, Lisa Dubay
    Abstract:

    This study examined the impact of mandatory HMO enrollment on prenatal Care use, smoking, and birth weight for Medicaid-covered pregnant women in Ohio using linked birth certificate and Medicaid data in 10 Ohio counties. They found that mandatory HMO enrollment had positive effects on prenatal Care and led to a reduction in maternal smoking but found no effects on birth weight. The authors conclude that with Careful implementation and attention to individual differences, outcomes for pregnant women may improve with Medicaid Managed Care. (Kenney, Genevieve, Anna Sommers, and Lisa Dubay. July 2005. Moving to Mandatory Medicaid Managed Care in Ohio: Impacts for Pregnant Women and Infants. Medical Care 43(7): 683-690.)

Genevieve M. Kenney - One of the best experts on this subject based on the ideXlab platform.

  • Moving to mandatory Medicaid Managed Care in Ohio: impacts on pregnant women and infants.
    Medical care, 2005
    Co-Authors: Genevieve M. Kenney, Anna S. Sommers, Lisa Dubay
    Abstract:

    This study examined the impact of mandatory HMO enrollment on prenatal Care use, smoking, and birth weight for Medicaid-covered pregnant women in Ohio using linked birth certificate and Medicaid data in 10 Ohio counties. They found that mandatory HMO enrollment had positive effects on prenatal Care and led to a reduction in maternal smoking but found no effects on birth weight. The authors conclude that with Careful implementation and attention to individual differences, outcomes for pregnant women may improve with Medicaid Managed Care. (Kenney, Genevieve, Anna Sommers, and Lisa Dubay. July 2005. Moving to Mandatory Medicaid Managed Care in Ohio: Impacts for Pregnant Women and Infants. Medical Care 43(7): 683-690.)

  • Implementation of Mandatory Medicaid Managed Care in Missouri: Impacts for Pregnant Women
    The American journal of managed care, 2005
    Co-Authors: Anna S. Sommers, Genevieve M. Kenney, Lisa Dubay
    Abstract:

    This study assesses the impact of mandatory Medicaid Managed Care in Missouri, relative to fee-for-service on prenatal Care, maternal behavior, and low birth weight among pregnant women. Using birth certificate data linked to Medicaid enrollment data in 1995 and 2000, the authors found that Managed Care appears to have a positive effect on smoking cessation among pregnant women, but a negative effect on prenatal Care and no effect on birth weight. The authors concluded that Managed Care appears to have a positive impact on smoking cessation but other policy changes may be needed to improve birth outcomes. (Sommers, Anna S., Kenney, Genevieve, and Dubay, Lisa. July 2005. Implementation of Mandatory Medicaid Managed Care in Missouri: Impacts for Pregnant Women. American Journal of Managed Care 11(7): 433-442.)

  • Medicaid Managed Care AND INFANT HEALTH: A NATIONAL EVALUATION
    2002
    Co-Authors: Robert Kaestner, Lisa Dubay, Genevieve M. Kenney
    Abstract:

    In this study, we examine the effects of Medicaid Managed Care (MMC) on prenatal Care utilization and infant health. We obtain separate estimates of the effect of primary Care case management (PCCM) Managed Care programs and HMO Managed Care plans on prenatal Care utilization, birth weight, and cesarean section. The results suggest the following: MMC was associated with a small, clinically unimportant decrease in the number of prenatal Care visits; MMC had no statistically significant relationship to the APNCU index of the adequacy of prenatal Care; MMC was associated with a significant increase in the incidence of low-birth weight and pre-term birth; and MMC had no association with the incidence of cesarean section. We argue that a causal interpretation of the first and third findings is unsupported by a Careful reading of the evidence, and we conclude that Medicaid Managed Care had virtually no causal effect on, prenatal Care use, birth outcomes, and cesarean section.

Joanne Mccloskey - One of the best experts on this subject based on the ideXlab platform.

  • Safety-Net Institutions Buffer the Impact of Medicaid Managed Care: A Multi-Method Assessment in a Rural State
    American journal of public health, 2002
    Co-Authors: Howard Waitzkin, Joanne Mccloskey, Robert L. Williams, John Bock, Cathleen E. Willging, William Wagner
    Abstract:

    Objectives. This project used a long-term, multi-method approach to study the impact of Medicaid Managed Care. Methods. Survey techniques measured impacts on individuals, and ethnographic methods assessed effects on safety-net providers in New Mexico. Results. After the first year of Medicaid Managed Care, uninsured adults reported less access and use (odds ratio [OR] = 0.46; 95% confidence interval [CI] = 0.34, 0.64) and worse barriers to Care (OR = 6.60; 95% CI = 3.95, 11.54) than adults in other insurance categories. Medicaid children experienced greater access and use (OR = 2.11; 95% CI = 1.21, 3.72) and greater communication and satisfaction (OR = 3.64; 95% CI = 1.13, 12.54) than children in other insurance categories; uninsured children encountered greater barriers to Care (OR = 6.29; 95% CI = 1.58, 42.21). There were no consistent changes in the major outcome variables over the period of transition to Medicaid Managed Care. Safetynet institutions experienced marked increases in workload and financial stress, especially in rural areas. Availability of mental health services declined sharply. Providers worked to buffer the impact of Medicaid Managed Care for patients. Conclusions. In its first year, Medicaid Managed Care exerted major effects on safety-net providers but relatively few measurable effects on individuals. This reform did not address the problems of the uninsured. (Am J Public Health. 2002;92:598‐610)

  • Transforming the Safety Net: Responses to Medicaid Managed Care in, Rural and Urban New Mexico
    American Anthropologist, 2001
    Co-Authors: Sarah Horton, Joanne Mccloskey, Caroline Todd, Marta Henriksen
    Abstract:

    In this article we examine the impact of Medicaid Managed Care on safety net organizations in New Mexico and their ability to maintain their traditional mission of charity Care. We address two particular areas of concern that have arisen in the literature on Medicaid Managed Care. First, analysts have debated under what circumstances safety net organizations are better positioned to survive under market competition without abandoning their social orientation. Second, analysts have suggested that populations in rural areas may be more disadvantaged under Medicaid Managed Care due to its intensification of already-existent barriers to access. By comparing the differential ability of safety net organizations in rural and urban New Mexico to buffer their patients from potentially harmful effects of Medicaid Managed Care, we identify factors that place these safety nets particularly at risk. We find that a rural location, lack of affiliation with a larger organization, and lack of recourse to charitable funding are "risk factors" determining who sinks—and who floats—in this new competitive health Care system, [privatization of health Care, Medicaid safety net organizations, Managed Care, resistance, ruralurban]

William Wagner - One of the best experts on this subject based on the ideXlab platform.

  • Safety-Net Institutions Buffer the Impact of Medicaid Managed Care: A Multi-Method Assessment in a Rural State
    American journal of public health, 2002
    Co-Authors: Howard Waitzkin, Joanne Mccloskey, Robert L. Williams, John Bock, Cathleen E. Willging, William Wagner
    Abstract:

    Objectives. This project used a long-term, multi-method approach to study the impact of Medicaid Managed Care. Methods. Survey techniques measured impacts on individuals, and ethnographic methods assessed effects on safety-net providers in New Mexico. Results. After the first year of Medicaid Managed Care, uninsured adults reported less access and use (odds ratio [OR] = 0.46; 95% confidence interval [CI] = 0.34, 0.64) and worse barriers to Care (OR = 6.60; 95% CI = 3.95, 11.54) than adults in other insurance categories. Medicaid children experienced greater access and use (OR = 2.11; 95% CI = 1.21, 3.72) and greater communication and satisfaction (OR = 3.64; 95% CI = 1.13, 12.54) than children in other insurance categories; uninsured children encountered greater barriers to Care (OR = 6.29; 95% CI = 1.58, 42.21). There were no consistent changes in the major outcome variables over the period of transition to Medicaid Managed Care. Safetynet institutions experienced marked increases in workload and financial stress, especially in rural areas. Availability of mental health services declined sharply. Providers worked to buffer the impact of Medicaid Managed Care for patients. Conclusions. In its first year, Medicaid Managed Care exerted major effects on safety-net providers but relatively few measurable effects on individuals. This reform did not address the problems of the uninsured. (Am J Public Health. 2002;92:598‐610)