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Evaluating medicaid managed care programs for children.

W O Cooper1, K Kuhlthau

  • 1Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA. william.cooper@mcmail.vanderbilt.edu

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
|March 13, 2002
PubMed
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Medicaid managed care programs for children are widespread. This paper explores how to evaluate these programs to ensure effective delivery of child healthcare services and positive health outcomes.

Area of Science:

  • Health Services Research
  • Pediatric Health Policy
  • Public Health

Background:

  • Most US states utilize managed care for Medicaid beneficiaries to control rising healthcare costs.
  • Children's unique health needs and varied state-level program designs present research opportunities.
  • Stakeholders include government, managed care organizations, and healthcare providers.

Purpose of the Study:

  • To outline methods for evaluating Medicaid managed care programs for children.
  • To identify suitable data sources for program assessment.
  • To define quality measures for healthcare structure, processes, and outcomes.

Main Methods:

  • Review of potential evaluation approaches for Medicaid managed care.
  • Focus on data source identification.

Related Experiment Videos

  • Selection of quality metrics for child health services.

    • Main Results:

    • The paper provides a framework for evaluating child-focused Medicaid managed care.
    • It emphasizes the importance of data and quality measures.
    • It highlights opportunities for research in this area.

    Conclusions:

    • Effective evaluation strategies are crucial for optimizing Medicaid managed care for children.
    • Identifying best practices can lead to improved child health outcomes.
    • This research supports evidence-based policy and practice in pediatric healthcare delivery.