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dc.creatorLandon, Bruce E.en
dc.creatorSchneider, Eric C.en
dc.creatorNormand, Sharon-Lise T.en
dc.creatorScholle, Sarah Hudsonen
dc.creatorPawlson, L. Gregoryen
dc.creatorEpstein, Arnold M.en
dc.date.accessioned2016-01-08T23:19:46Zen
dc.date.available2016-01-08T23:19:46Zen
dc.date.created2007-10-10en
dc.date.issued2007-10-10en
dc.identifierdoi:10.1001/jama.298.14.1674en
dc.identifier.bibliographicCitationJAMA: The Journal of the American Medical Association 2007 October 10; 298(14): 1674-1691en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Quality+of+care+in+Medicaid+managed+care+and+commercial+health+plans&title=JAMA:+The+Journal+of+the+American+Medical+Association+&volume=298&issue=14&date=2007-10&au=Landon,+Bruce+E.;+Schneider,+Eric+C.;+Normand,+Sharon-Lise+T.;+Scholle,+Sarah+Hudson;+Pawlson,+L.+Gregory;+Epstein,+Arnold+M.en
dc.identifier.urihttp://dx.doi.org/10.1001/jama.298.14.1674en
dc.identifier.urihttp://hdl.handle.net/10822/961999en
dc.description.abstractCONTEXT: In contrast to the commercially insured population, the proportion of Medicaid beneficiaries enrolling in health maintenance organizations continues to increase. OBJECTIVE: To compare quality of care within and between the Medicaid and commercial populations in 3 types of managed care plans: Medicaid-only plans (serving predominantly Medicaid enrollees), commercial-only plans (serving predominantly commercial enrollees), and Medicaid/commercial plans (serving substantial numbers of both types of enrollees). DESIGN, SETTING, AND PARTICIPANTS: All 383 health plans that reported quality-of-care data to the National Committee for Quality Assurance for 2002 and 2003, including 204 commercial-only plans, 142 Medicaid/commercial plans (plans reported data for the Medicaid and commercial populations separately); and 37 Medicaid-only plans. MAIN OUTCOME MEASURES: Eleven quality indicators from the Healthcare Effectiveness Data and Information Set (HEDIS) applicable to the Medicaid population. RESULTS: Among Medicaid enrollees, performance on the 11 measures observed in this study were comparable for Medicaid-only plans and Medicaid/ commercial plans. Similarly, among commercial enrollees, there was virtually no difference in performance between health plans that served only the commercial population and those that also served the Medicaid population. Overall across all health plan types, the performance for the commercial population exceeded the performance for the Medicaid population on all measures except 1, ranging from a difference of 4.9% for controlling hypertension (58.4% for commercial vs 53.5% for Medicaid; P = .002) to 24.5% for rates of appropriate postpartum care (77.2% for commercial vs 52.7% for Medicaid; P = .001. Differences of similar magnitude were observed for commercial and Medicaid populations treated within the same health plan. CONCLUSIONS: Medicaid managed care enrollees receive lower-quality care than that received by commercial managed care enrollees. There were no differences in quality of care for the Medicaid population between Medicaid-only plans and commercial plans that also served the Medicaid population.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:310198en
dc.subjectHealthen
dc.subjectHealth Maintenance Organizationsen
dc.subjectHypertensionen
dc.subjectManaged Careen
dc.subjectOrganizationsen
dc.subjectQuality Assuranceen
dc.subject.classificationQuality of Health Careen
dc.subject.classificationEconomics of Health Careen
dc.titleQuality of Care in Medicaid Managed Care and Commercial Health Plansen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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