Related Experiment Video

Updated: Jul 21, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
09:36

Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

Factors affecting physician provision of preventive care to Medicaid children

E K Adams1

  • 1Rollins School of Public Health, Emory University, USA. eadam01@sph.emory.edu

Health Care Financing Review
|October 16, 2002
PubMed

Insights

Physician fee increases in Michigan boosted preventive care for children. Non-fee policies in Michigan and Georgia also improved Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) participation.

Area of Science:

  • Health Services Research
  • Pediatric Health Policy
  • Public Health

Background:

  • Physician participation in Medicaid is crucial for child healthcare access.
  • Policy changes following the Omnibus Budget Reconciliation Act of 1989 (OBRA-1989) aimed to improve healthcare provision.
  • Understanding the impact of fee and non-fee policies on physician service delivery is essential.

Purpose of the Study:

  • To analyze the effects of fee and non-fee policies on physicians' service provision to children in Medicaid.
  • To assess changes in physician behavior before and after OBRA-1989.

Main Methods:

  • Analysis of Medicaid data from California, Georgia, Michigan, and Tennessee.
  • Comparison of physician service provision before and after OBRA-1989.
  • Evaluation of fee and non-fee policy impacts.

Main Results:

  • Michigan's increase in relative Medicaid preventive fees correlated with higher child caseloads and increased preventive care likelihood.
  • Fee policies showed reduced effectiveness in urban poor areas due to residential segregation.
  • Non-fee policy changes in Michigan and Georgia were effective in boosting Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) participation compared to other states.

Conclusions:

  • Relative physician fees can positively influence preventive care delivery for children in Medicaid.
  • Non-fee policies may be a significant factor in enhancing EPSDT participation.
  • Policy interventions need to consider socioeconomic factors like residential segregation for equitable impact.

More Related Videos

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology09:55

Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology

Published on: September 28, 2022

Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Dimensions of Health and Illness01:21

Dimensions of Health and Illness

The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
Factors Affecting Illness01:18

Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness, disability,...
Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights: