Do children receiving Supplemental Security Income who are enrolled in Medicaid fare better under a fee-for-service or comprehensive capitation model?

Pediatrics
Jean M Mitchell, Darrell J Gaskin

Abstract

States have been reluctant to enroll children with special health care needs (SHCN) into capitated managed care, because the financial incentives inherent in such plans may elicit undertreatment, restrict access to specific services and providers, and have adverse effects on quality. Little research has examined how children with SHCN who qualify for Supplemental Security Income (SSI) fare under managed care versus the fee-for-service (FFS) system. To examine how enrollment of children with SHCN with SSI into a Medicaid capitated managed care plan differs from regular FFS with respect to unmet needs and access to care in the District of Columbia. We conducted telephone interviews with a random sample of 1088 caregivers of children with SHCN who resided in the District of Columbia during the summer and fall of 2002. 1) Usual source of care; 2) unmet need for the following services during the 6-month period prior to the interview: physician/hospital, mental health, therapy services, dental care, durable medical equipment and supplies, prescription drugs, and home health services; and 3) caregivers' ratings of dimensions of access to services. The percentage of FFS children who did not receive needed dental care, durable medical e...Continue Reading

References

Nov 1, 1990·Medical Care·R E Stein, D J Jessop
Apr 29, 1998·American Journal of Public Health·P W Newacheck, N Halfon
Jun 1, 1999·Clinical Pediatrics·L K GrossmanG Hagerty
Jun 1, 1999·Clinical Pediatrics·D C Van DykeS Eberly
Apr 1, 2000·Pediatrics·P W NewacheckN Halfon
May 23, 2001·Pediatrics·J B MitchellN L Swigonski

❮ Previous
Next ❯

Citations

Dec 31, 2005·Maternal and Child Health Journal·Marji Erickson Warfield, Stephen Gulley
Mar 10, 2010·Maternal and Child Health Journal·Caprice KnappElizabeth Shenkman
Jan 26, 2008·The Psychiatric Quarterly·Juliana I Ekong
Oct 4, 2005·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Pamela N RobertoDarrell J Gaskin
Sep 5, 2008·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Jean M MitchellChahira Kozma
Apr 1, 2005·Expert Review of Pharmacoeconomics & Outcomes Research·Wendy J Ungar, Rinat Ariely
Feb 5, 2010·Academic Pediatrics·Lynne C HuffmanPaul H Wise
Oct 17, 2008·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Mary Kay KenneyJames J Crall
Mar 29, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Renee Y HsiaLaurence C Baker
Feb 22, 2013·Clinical Pediatrics·Rishi AgrawalArthur F Kohrman
Apr 22, 2011·Maternal and Child Health Journal·Caprice KnappElizabeth Shenkman
Jun 14, 2020·BMC Health Services Research·Therese L CanaresAmanda Montalbano
Apr 23, 2013·Maternal and Child Health Journal·Allyson G HallR Paul Duncan
Feb 16, 2013·Maternal and Child Health Journal·Mircea I MarcuPhyllis Sloyer
Jun 22, 2007·The Journal of Ambulatory Care Management·Hilary K SeligmanAndrew B Bindman
May 1, 2009·Pediatrics·Paul W NewacheckJames M Perrin
Aug 3, 2005·Pediatrics·Diana ObrinskyJan Young

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.