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HealthySteps Comprehensive Services and Preventive Care: A Medicaid Claims Analysis
Renata E Howland1, Kelly Terlizzi2, Elizabeth Frenette3
1Department of Population Health, Grossman School of Medicine, NYU Langone, 180 Madison Avenue, New York, NY 10016, U.S.A..
The HealthySteps model improved preventive care and healthcare utilization for Medicaid-insured children and mothers. This program showed greater benefits for Black, Hispanic, and Asian children, potentially reducing disparities.
Area of Science:
- Pediatric Primary Care
- Healthcare Disparities
- Preventive Health Services
Background:
- The HealthySteps model is a two-generation, team-based approach to pediatric primary care.
- This study focuses on Medicaid-insured children and mothers, examining preventive care and healthcare utilization.
Purpose of the Study:
- To assess the association of the HealthySteps model with preventive care and healthcare utilization in Medicaid-insured children and mothers.
- To investigate differences in these outcomes across racial and ethnic groups.
Main Methods:
- A retrospective cohort study design was employed.
- Linked HealthySteps and Medicaid claims data from 2016-2021 were used for analysis.
- A 12-month comparison was made between children receiving comprehensive HealthySteps services and a matched control group.
Main Results:
- HealthySteps was linked to higher rates of well-child visits, developmental screenings, and Early Intervention services.
- The model showed increased family planning, maternal depression screening, and postpartum care for mothers.
- Preventive care improvements were more pronounced in Black, Hispanic, and Asian children compared to White non-Hispanic children.
Conclusions:
- The HealthySteps model demonstrates significant clinical impact by improving preventive care crucial for early childhood development.
- The program shows potential in mitigating persistent disparities in preventive care access for minority children.
- Further research can explore long-term impacts and scalability of the HealthySteps model.
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