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Children's Preventive Care Use Under Two Mature Medicaid Managed Care Plans in California
Insights
Children in Medicaid managed care plans had low compliance with recommended well-child visits and immunizations. While immunization rates slightly improved, well-child visit compliance remained poor, requiring continued efforts to meet national health goals.
Area of Science:
- Pediatrics
- Public Health
- Health Services Research
Background:
- Medicaid managed care plans aim to improve healthcare access for children.
- Assessing adherence to recommended preventive services is crucial for child health outcomes.
Purpose of the Study:
- To evaluate compliance with well-child visits and immunizations for children in Medicaid managed care.
- To determine if compliance improved between 1989 and 1992.
Main Methods:
- Longitudinal study of children continuously enrolled in two county-organized Medicaid managed care plans.
- Analysis of well-child visit and immunization records at 6, 12, and 24 months of enrollment.
Main Results:
- Low compliance rates were observed for both well-child visits and immunizations across all eligibility groups.
- Slight improvements in immunization compliance were noted over the study period.
- Compliance with recommended well-child visits showed minimal progress.
Conclusions:
- Sustained efforts are necessary to enhance adherence to preventive care guidelines in Medicaid managed care.
- Achieving the national goal of 90% immunization compliance for 2-year-olds requires ongoing attention and intervention.
Abstract:
We investigated the extent to which children continuously enrolled in two mature county-organized Medicaid managed care plans for 6, 12, and 24 months received recommended well-child visits and immunizations. We also investigated whether any improvements in compliance were evident during the period 1989-92. Compliance was low for well-child visits and immunizations at the recommended ages regardless of eligibility group. Although slight improvements in immunizations were made over time, little progress was made in compliance with well-child visits. Continued vigilance is required to achieve the government's goal of 90 percent immunization compliance among 2-year-olds.
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