Effects of Primary Care Case Management (PCCM) on Medicaid Children in Alabama and Georgia: Provider Availability and Race/Ethnicity

Adams, E. Kathleen; Bronstein, Janet; Florence, Curtis S.

doi:10.1177/1077558705283127

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Individuals living in areas with high population to physician ratios are more likely to report long travel and, if poor or uninsured, to report other barriers to care than individuals with better access to services (Pathman, Ricketts, & Konrad, 2006). Among children, reduced availability of providers is linked to reduced primary care visits (Adams, Bronstein, & Florence, 2006).…”

Section: Conceptual Modelmentioning

confidence: 99%

Continuity of Health Insurance Coverage and Perceived Health at Age 40

et al. 2008

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While a lack of health insurance or interrupted coverage has been shown to lead to poorer health status among preretirement populations, this phenomenon has not been examined among a large population of younger, working-age adults. We analyzed a nationally representative data set of persons born between 1957 and 1961, the National Longitudinal Survey of Youth-1979, to examine the links between insurance continuity and self-assessed physical and mental health at age 40. Among respondents turning 40 in 1998 or 2000, 59.8% had been continuously insured during the decade before they reached age 40. In unadjusted analysis, persons who were continuously covered had the highest scores for both physical and mental health. After controlling for respondent characteristics, insurance coverage was not significantly associated with perceived physical or mental health.

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Section: Conceptual Modelmentioning

confidence: 99%

Continuity of Health Insurance Coverage and Perceived Health at Age 40

et al. 2008

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“…Medicaid beneficiaries are also more likely to be racial and ethnic minorities, to have low literacy, and to speak English poorly than beneficiaries enrolled in employer-based insurance or Medicare (Smedley et al, 2003). Each of these attributes of the Medicaid population, in comparison with the general population, might make it more difficult for beneficiaries to navigate the increased administrative demands imposed by managed care enrollment (Adams et al, 2006;Collins et al, 1999;Ein Lewin & Altman, 2000;Phillips et al, 2000b).…”

mentioning

confidence: 98%

Racial and Ethnic Differences in Receipt of Primary Care Services Between Medicaid Fee-for-Service and Managed Care Plans

Seligman

Chattopadhyay

Vittinghoff

et al. 2007

Journal of Ambulatory Care Management

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We used a cross-sectional, population-based sample of Medicaid beneficiaries aged 18-64 to determine whether managed care enrollment was associated with reduced racial/ethnic disparities in self-reported access to primary care services compared with fee-for-service. Managed care beneficiaries reported greater access in each racial/ethnic category and for each outcome than did fee-for-service beneficiaries, although associations were not always statistically significant. Racial/ethnic minorities enrolled in managed care plans reported as much benefit from managed care enrollment as did whites. Within Medicaid, interventions aimed at the health insurance delivery model can facilitate increased access to primary care services without enhancing racial/ethnic disparities.

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Explaining Racial Differences in Prenatal Care Initiation and Syphilis Screening Among Medicaid-covered Pregnant Women

Adams¹,

Gavin²,

Raskind-Hood³

et al. 2009

hpu

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Sexually transmitted diseases and their outcomes disproportionately affect non-Hispanic Blacks who also receive later prenatal care. We used a sample of low-income pregnant women insured by Medicaid to assess racial disparities in the receipt of first trimester prenatal care and any as well as early (by 2nd trimester) syphilis screening. We used an older but unique file of linked 1995 Georgia Medicaid claims and Pregnancy Risk Assessment Monitoring System (PRAMS) births (n=1,096) to test the relative explanatory power of factors contained in administrative versus survey data. Using administrative data, we found non-Hispanic Blacks were less likely than non-Hispanic Whites to receive first trimester care but more likely to be screened. Adding in PRAMS survey data eliminated these differences. Having an outpatient department as usual source of care was a key factor. This may reflect unmeasured characteristics of minorities and their neighborhoods or differences in screening practices across provider settings.

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Effects of Primary Care Case Management (PCCM) on Medicaid Children in Alabama and Georgia: Provider Availability and Race/Ethnicity

Cited by 3 publications

References 21 publications

Continuity of Health Insurance Coverage and Perceived Health at Age 40

Continuity of Health Insurance Coverage and Perceived Health at Age 40

Racial and Ethnic Differences in Receipt of Primary Care Services Between Medicaid Fee-for-Service and Managed Care Plans

Explaining Racial Differences in Prenatal Care Initiation and Syphilis Screening Among Medicaid-covered Pregnant Women

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