Preventable hospitalization and medicaid managed care: does race matter?

Journal of Health Care for the Poor and Underserved
Jayasree BasuHelen Burstin

Abstract

This study examines the preventable hospitalization patterns of Medicaid patients by race/ethnicity to determine whether Medicaid managed care (MMC) has been more effective in some subgroups than others. It uses logistic models for three states, comparing preventable hospitalizations with marker admissions (urgent admissions, insensitive to primary care). Hospital discharge data from the Healthcare Cost and Utilization Project State Inpatient database of the Agency for Health Care Research and Quality for New York, Pennsylvania, and Wisconsin residents aged 20-64 years is used. In a more urban state, New York, MMC was effective for Whites but not for minorities. In a more rural state, Wisconsin, MMC was effective for minorities. Overall, the evidence is not strong that any particular racial group consistently benefited from MMC, or that any state consistently showed a favorable impact of MMC across racial groups. However, racial/ethnic disparity associated with the risk of preventable hospitalization is significantly lower among Medicaid patients than among private fee-for-service patients.

Citations

Apr 10, 2010·Social Work in Health Care·Charles Auerbach, Susan E Mason
Dec 31, 2015·BMC Health Services Research·Elizabeth ShenkmanDena Stoner
Apr 4, 2008·Health Services Research·Howard WaitzkinCathleen E Willging
Oct 1, 2015·Medical Care·Dana B MukamelQuyen Ngo-Metzger
Jan 9, 2015·Ethnicity & Health·D Walter Rasugu Omariba
Jan 15, 2013·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Jongwha ChangRajesh Balkrishnan
Aug 5, 2016·The Journal of Bone and Joint Surgery. American Volume·Wei ZhangYan Ma
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