Related Experiment Video

Updated: Apr 21, 2026

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
06:55

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

14.3K

Children's Use of Primary and Preventive Care Under Medicaid Managed Care

Norma I Gavin, Matthew C Farrelly, Joe B Simpson

    Health Care Financing Review
    |November 6, 2014
    PubMed

    Insights

    Medicaid primary care case management programs showed limited success in improving children's access to primary care. Mandatory programs did not significantly boost Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) visits for preschoolers.

    Area of Science:

    • Health Services Research
    • Pediatric Health Policy
    • Medicaid Program Evaluation

    Background:

    • Medicaid's Primary Care Case Management (PCCM) programs were implemented to improve healthcare access for children.
    • Understanding the impact of PCCM on specific services like Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) is crucial for program effectiveness.

    Purpose of the Study:

    • To evaluate the effectiveness of mandatory Medicaid PCCM programs in enhancing primary care access for children.
    • To determine if PCCM programs influenced the utilization of EPSDT screening visits among preschool-aged children.

    Main Methods:

    • Analysis of data from two mandatory Medicaid PCCM programs in Florida and New Mexico during the early 1990s.
    • Comparison of EPSDT screening visit rates between program participants and non-participants.

    Main Results:

    • PCCM programs demonstrated some success in improving general primary care access for children.
    • The Florida PCCM program, including EPSDT services, did not significantly increase preschooler EPSDT screening visits.
    • New Mexico's PCCM program, which excluded EPSDT, showed increased screening visits in both participants and non-participants, suggesting no direct program attribution.

    Conclusions:

    • Mandatory Medicaid PCCM programs had a limited impact on increasing EPSDT screening for preschoolers.
    • The design of PCCM benefit packages, specifically the inclusion or exclusion of EPSDT services, influences observed outcomes.
    • Further research is needed to optimize PCCM program structures for comprehensive child health service delivery.

    Related Concept Videos

    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:
    2.2K
    Primary Healthcare Services01:30

    Primary Healthcare Services

    Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
    In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
    2.6K
    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...
    3.9K
    Levels of Health Promotion and Illness Prevention01:26

    Levels of Health Promotion and Illness Prevention

    Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
    In primary prevention, actions taken before disease onset prevent the disease from...
    12.5K
    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...
    4.3K
    Specialized Care Centers and Settings-II01:30

    Specialized Care Centers and Settings-II

    Rural Health Centers
    Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
    1.1K