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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.
- Source :
-
Maternal & Child Health Journal . Sep2021, Vol. 25 Issue 9, p1410-1419. 10p. 1 Chart, 4 Graphs. - Publication Year :
- 2021
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *FEE for service (Medical fees)
*COMPUTER software
*HOSPITAL emergency services
*MANAGED care programs
*REGRESSION analysis
*MEDICAL care use
*DATABASE management
*TREATMENT effectiveness
*SOCIOECONOMIC factors
*DESCRIPTIVE statistics
*MEDICAID
*APGAR score
*DATA analysis software
*CESAREAN section
*PROBABILITY theory
HOSPITAL care evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 10927875
- Volume :
- 25
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Maternal & Child Health Journal
- Publication Type :
- Academic Journal
- Accession number :
- 151819374
- Full Text :
- https://doi.org/10.1007/s10995-021-03185-5