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Medicaid managed care and the Oregon...

Buist, Alison Rosemary Latto.

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Medicaid managed care and the Oregon Health Plan: Can shifting source of care affect participation in WIC during pregnancy for low-income women?

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Medicaid managed care and the Oregon Health Plan: Can shifting source of care affect participation in WIC during pregnancy for low-income women?/
作者:	Buist, Alison Rosemary Latto.
面頁冊數:	237 p.
附註:	Source: Dissertation Abstracts International, Volume: 60-04, Section: B, page: 1551.
Contained By:	Dissertation Abstracts International60-04B.
標題:	Health Sciences, Obstetrics and Gynecology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9927029
ISBN:	9780599267961

Medicaid managed care and the Oregon Health Plan: Can shifting source of care affect participation in WIC during pregnancy for low-income women?
Buist, Alison Rosemary Latto.

Medicaid managed care and the Oregon Health Plan: Can shifting source of care affect participation in WIC during pregnancy for low-income women? - 237 p.

Source: Dissertation Abstracts International, Volume: 60-04, Section: B, page: 1551.

Thesis (Ph.D.)--The Johns Hopkins University, 1999.

Research objective. The Oregon Health Plan (OHP), implemented in 1994, was a Medicaid reform effort that required all beneficiaries to enroll in managed care. This policy shift led to an increase in the number of managed care plans contracting with Oregon's Medicaid program, thus increasing the number of health care providers available to low income Oregonians. This study examined the effect of this mandated change on low income pregnant women. It was believed that Medicaid patients who sought care from private practitioners in any type of managed care plan would be less likely than patients seen by more traditional providers for low income populations ("safety net providers") to participate in programs that have been shown to improve birth outcomes for people at high risk, such as the Supplemental Food Program for Women, Infants, and Children (WIC).

ISBN: 9780599267961Subjects--Topical Terms:

1020690
Health Sciences, Obstetrics and Gynecology.

Medicaid managed care and the Oregon Health Plan: Can shifting source of care affect participation in WIC during pregnancy for low-income women?
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500 $a Source: Dissertation Abstracts International, Volume: 60-04, Section: B, page: 1551.
500 $a Adviser: Barbara Starfield.
502 $a Thesis (Ph.D.)--The Johns Hopkins University, 1999.
520 $a Research objective. The Oregon Health Plan (OHP), implemented in 1994, was a Medicaid reform effort that required all beneficiaries to enroll in managed care. This policy shift led to an increase in the number of managed care plans contracting with Oregon's Medicaid program, thus increasing the number of health care providers available to low income Oregonians. This study examined the effect of this mandated change on low income pregnant women. It was believed that Medicaid patients who sought care from private practitioners in any type of managed care plan would be less likely than patients seen by more traditional providers for low income populations ("safety net providers") to participate in programs that have been shown to improve birth outcomes for people at high risk, such as the Supplemental Food Program for Women, Infants, and Children (WIC).
520 $a Study design. Medicaid eligibility and enrollment data were linked to WIC utilization records and birth certificates to construct a record of a woman's insurance status and prenatal care experience including participation in WIC for two cohorts, pre-OHP and post-OHP. The study compared participation in WIC by pregnant Medicaid beneficiaries before and after implementation of the OHP, using participation in WIC as an indicator of referral to appropriate community programs for high risk populations.
520 $a Principal findings and conclusions. Receiving prenatal care from a public provider was associated with increased likelihood of participating in the WIC program. However, although the proportion of women with Medicaid benefits seeking prenatal care from public providers dropped after implementation of the OHP, participation in WIC rose substantially over the same period, indicating that other factors not measured in this study had a strong effect on WIC participation by women in Oregon that may or may not have been associated with the implementation of the OHP.
520 $a Implications for policy, delivery or practice. Implementation of Medicaid reform may lead to many changes in the health care system, both anticipated and unexpected. Because the possibility exists that one or more of these changes may have a deleterious effect on the health of beneficiaries or the health care environment, constant vigilance is warranted.
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