Clin Pediatr (Phila) volume 58, issue 9, P949-956 2019 DOI: 10.1177/0009922819839231 View full text
Michael A. Weiss, Sara Marchese, Lishi Zhang

Abstract: Objectives. To evaluate the impact of a pediatric-specific care coordination program for Medicaid children with special health care needs under a fully capitated payment model and assess whether sufficient savings can be achieved to offset the cost of the care coordination program. Methods. 442 children with special health care needs, receiving health care under a Medicaid capitation payment program, were enrolled in a care coordination program. ED and inpatient utilization were measured for 1-year pre and po…

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