Source:http://linkedlifedata.com/resource/pubmed/id/16322173
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
2005-12-2
|
pubmed:abstractText |
Beginning in 1997 the Colorado Medicaid program de-emphasized managed care and shifted children from enrollment in a health maintenance organization (HMO), which required an enrollee to have an assigned primary care physician, to either the unassigned fee-for-service (UFFS) program in which the enrollee was not required to have a primary care physician (PCP) or to the primary care physician program (PCPP) in which the enrollee was required to select a participating PCP if one was available. The proportion of Medicaid enrollee-months in HMOs dropped from 75.4% in 1997 to 29% in 2003, whereas the proportion of enrollee-months in UFFS programs during this time period increased from 18.6% to 45.6%, and the proportion in the PCPP increased from 5.5% to 25.3%. This shift of children from HMO managed care to the UFFS program provided a natural experiment to assess the impact of not having an assigned PCP on pediatric primary care services.
|
pubmed:commentsCorrections | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
AIM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Dec
|
pubmed:issn |
1098-4275
|
pubmed:author | |
pubmed:issnType |
Electronic
|
pubmed:volume |
116
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1474-9
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:16322173-Child,
pubmed-meshheading:16322173-Child, Preschool,
pubmed-meshheading:16322173-Child Health Services,
pubmed-meshheading:16322173-Colorado,
pubmed-meshheading:16322173-Fee-for-Service Plans,
pubmed-meshheading:16322173-Gatekeeping,
pubmed-meshheading:16322173-Health Care Surveys,
pubmed-meshheading:16322173-Health Services Accessibility,
pubmed-meshheading:16322173-Humans,
pubmed-meshheading:16322173-Immunization,
pubmed-meshheading:16322173-Infant,
pubmed-meshheading:16322173-Managed Care Programs,
pubmed-meshheading:16322173-Medicaid,
pubmed-meshheading:16322173-Preventive Health Services,
pubmed-meshheading:16322173-Primary Health Care,
pubmed-meshheading:16322173-Quality of Health Care
|
pubmed:year |
2005
|
pubmed:articleTitle |
Impact of a decline in Colorado Medicaid managed care enrollment on access and quality of preventive primary care services.
|
pubmed:affiliation |
Department of Pediatrics, University of Colorado School of Medicine, Denver, Colorado, USA. berman.stephen@tchden.org
|
pubmed:publicationType |
Journal Article,
Comparative Study,
Evaluation Studies
|