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Related Experiment Videos

Medicaid managed care in Chicago: changes in utilization.

K Raube1, K Merrell

  • 1Graduate Program in Health Services Management, University of California, Berkeley, CA 94720, USA.

Journal of Health Care for the Poor and Underserved
|May 4, 2000
PubMed
Summary
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The Healthy Moms/Healthy Kids (HM/HK) program in Chicago improved immunization rates for children and prenatal care access for pregnant women. Newborn hospital stays decreased under the program.

Area of Science:

  • Public Health
  • Health Services Research
  • Pediatric Health

Background:

  • Medicaid managed care programs aim to improve healthcare access and outcomes.
  • Evaluating the impact of new healthcare initiatives is crucial for policy development.

Purpose of the Study:

  • To assess the effects of Illinois' Healthy Moms/Healthy Kids (HM/HK) program on healthcare utilization.
  • To compare outcomes under HM/HK with traditional fee-for-service Medicaid.

Main Methods:

  • Quasi-experimental design comparing 1993 HM/HK enrollees with 1992/1993 fee-for-service Medicaid beneficiaries.
  • Analysis of healthcare utilization data for immunizations, prenatal care, and inpatient stays.

Main Results:

  • HM/HK children showed a 10% increase in receiving immunizations.

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  • HM/HK pregnant women had a 13% higher likelihood of receiving prenatal care.
  • Maternal inpatient stays were unchanged; newborn inpatient stays decreased in 1993 for both HM/HK and comparison groups.

    • Conclusions:

    • The HM/HK program demonstrated early success in increasing preventive care utilization for children and pregnant women.
    • Managed care may influence healthcare-seeking behaviors and potentially reduce inpatient lengths of stay.