Children's Service Use During the Transition to PCCM in Two States

This study examines whether use of primary, preventive, or emergency care changed as primary care case management (PCCM) programs for children were implemented in Alabama and Georgia. Using claims data we track the same children over time, and control for geographic availability of Medicaid provider...

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Detalles Bibliográficos
Autores principales: Bronstein, Janet M., Adams, E. Kathleen, Florence, Curtis S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 2005
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194912/
https://www.ncbi.nlm.nih.gov/pubmed/17288071
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author Bronstein, Janet M.
Adams, E. Kathleen
Florence, Curtis S.
author_facet Bronstein, Janet M.
Adams, E. Kathleen
Florence, Curtis S.
author_sort Bronstein, Janet M.
collection PubMed
description This study examines whether use of primary, preventive, or emergency care changed as primary care case management (PCCM) programs for children were implemented in Alabama and Georgia. Using claims data we track the same children over time, and control for geographic availability of Medicaid providers, which also changed over this period. A decline in use of all three types of care was found to be associated with PCCM implementation, with use of primary and preventive care falling below national averages and recommended use rates. Family difficulties in shifting to exclusive use of unfamiliar providers is the primary reason for the decline in use rates.
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spelling pubmed-41949122014-11-04 Children's Service Use During the Transition to PCCM in Two States Bronstein, Janet M. Adams, E. Kathleen Florence, Curtis S. Health Care Financ Rev Research Article This study examines whether use of primary, preventive, or emergency care changed as primary care case management (PCCM) programs for children were implemented in Alabama and Georgia. Using claims data we track the same children over time, and control for geographic availability of Medicaid providers, which also changed over this period. A decline in use of all three types of care was found to be associated with PCCM implementation, with use of primary and preventive care falling below national averages and recommended use rates. Family difficulties in shifting to exclusive use of unfamiliar providers is the primary reason for the decline in use rates. CENTERS for MEDICARE & MEDICAID SERVICES 2005 /pmc/articles/PMC4194912/ /pubmed/17288071 Text en
spellingShingle Research Article
Bronstein, Janet M.
Adams, E. Kathleen
Florence, Curtis S.
Children's Service Use During the Transition to PCCM in Two States
title Children's Service Use During the Transition to PCCM in Two States
title_full Children's Service Use During the Transition to PCCM in Two States
title_fullStr Children's Service Use During the Transition to PCCM in Two States
title_full_unstemmed Children's Service Use During the Transition to PCCM in Two States
title_short Children's Service Use During the Transition to PCCM in Two States
title_sort children's service use during the transition to pccm in two states
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194912/
https://www.ncbi.nlm.nih.gov/pubmed/17288071
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