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The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care

Compared to the fee‐for‐service (FFS) model, the managed care delivery system has the potential to improve health care management, increase provider accountability, and support better monitoring of health care quality. However, managed care organizations may attempt to control costs by curbing utili...

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Detalles Bibliográficos
Autores principales: Nasseh, Kamyar, Bowblis, John R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314593/
https://www.ncbi.nlm.nih.gov/pubmed/35322488
http://dx.doi.org/10.1002/hec.4496
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author Nasseh, Kamyar
Bowblis, John R.
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Bowblis, John R.
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description Compared to the fee‐for‐service (FFS) model, the managed care delivery system has the potential to improve health care management, increase provider accountability, and support better monitoring of health care quality. However, managed care organizations may attempt to control costs by curbing utilization among Medicaid beneficiaries or reducing reimbursement for Medicaid services. It is an empirical question whether managed care increases or decreases utilization of services. Using detailed pediatric public insurance dental claims data from 2016 through 2018, we examined whether the transition from FFS to managed care affects rates of dental care utilization. Between 2016 and 2018, Indiana, Missouri and Nebraska transitioned pediatric Medicaid beneficiaries from public dental fee‐for‐service programs to private managed care entities. Using an extended two‐way fixed‐effects estimation framework, we found that dental managed care leads to a decline in dental care utilization, especially when compared to states that maintain FFS provision of Medicaid dental services.
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spelling pubmed-93145932022-07-30 The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care Nasseh, Kamyar Bowblis, John R. Health Econ Research Articles Compared to the fee‐for‐service (FFS) model, the managed care delivery system has the potential to improve health care management, increase provider accountability, and support better monitoring of health care quality. However, managed care organizations may attempt to control costs by curbing utilization among Medicaid beneficiaries or reducing reimbursement for Medicaid services. It is an empirical question whether managed care increases or decreases utilization of services. Using detailed pediatric public insurance dental claims data from 2016 through 2018, we examined whether the transition from FFS to managed care affects rates of dental care utilization. Between 2016 and 2018, Indiana, Missouri and Nebraska transitioned pediatric Medicaid beneficiaries from public dental fee‐for‐service programs to private managed care entities. Using an extended two‐way fixed‐effects estimation framework, we found that dental managed care leads to a decline in dental care utilization, especially when compared to states that maintain FFS provision of Medicaid dental services. John Wiley and Sons Inc. 2022-03-23 2022-06 /pmc/articles/PMC9314593/ /pubmed/35322488 http://dx.doi.org/10.1002/hec.4496 Text en © 2022 American Dental Association. Health Economics published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Nasseh, Kamyar
Bowblis, John R.
The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care
title The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care
title_full The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care
title_fullStr The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care
title_full_unstemmed The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care
title_short The effect on dental care utilization from transitioning pediatric Medicaid beneficiaries to managed care
title_sort effect on dental care utilization from transitioning pediatric medicaid beneficiaries to managed care
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314593/
https://www.ncbi.nlm.nih.gov/pubmed/35322488
http://dx.doi.org/10.1002/hec.4496
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