• J Asthma · Nov 2007

    Transition to managed care impacts health care service utilization by children insured by Medicaid.

    • Mary Elizabeth Bollinger, Sheila Weiss Smith, Robert LoCasale, and Carol Blaisdell.
    • University of Maryland School of Medicine, Department of Pediatrics, Division of Pediatric Pulmonology/Allergy, Baltimore, Maryland 21201, USA. mbolling@peds.umaryland.edu
    • J Asthma. 2007 Nov 1;44(9):717-22.

    AbstractPurpose. To evaluate the impact of transition to managed care from fee for service on asthma service utilization among Maryland Medicaid insured children. Methods. Healthcare claims from 1997-2000 for children with asthma insured by Maryland Medicaid were extracted and analyzed. Results. Between 1997-2000, inhaled corticosteroid use increased as a proportion of all asthma medications. Outpatient asthma visits increased from 4.2% to 5.9% of all outpatient claims as both asthma-related hospitalizations and emergency department visits decreased. Conclusions. Restructuring of Maryland Medicaid for children from fee for service to managed care was associated with improvement in asthma-related healthcare utilization claims.

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