The Impact of Medicaid Managed Care on Health Service Utilization Among Adults With Intellectual and Developmental Disabilities

被引：17

作者：

Yamaki, Kiyoshi ^{[1
]}

Wing, Coady ^{[2
]}

Mitchell, Dale ^{[1
]}

Owen, Randall ^{[1
]}

Heller, Tamar ^{[1
]}

机构：

[1] Univ Illinois, Chicago, IL 60608 USA

[2] Indiana Univ Bloomington, Bloomington, IN USA

来源：

INTELLECTUAL AND DEVELOPMENTAL DISABILITIES | 2019年 / 57卷 / 04期

关键词：

emergency department; difference-in-differences; propensity score; EMERGENCY-DEPARTMENT VISITS; SENSITIVE CONDITIONS; YOUNG-ADULTS; ROOM VISITS; ACCESS; INDIVIDUALS; PREVALENCE; POLICY; HOSPITALIZATIONS; BENEFICIARIES;

D O I：

10.1352/1934-9556-57.4.289

中图分类号：

G76 [特殊教育];

学科分类号：

040109 ;

摘要：

People with intellectual and developmental disabilities (IDD) are frequent users of health services. We examined how their service utilization of emergency department (ED), inpatient hospitalization, and primary care physicians changed as they transitioned from fee-for-service to Medicaid managed care (MMC). Our results showed that MMC reduced the utilization of all of these services. A substantial decrease in ED visits was associated with the reduction in visits due to mental/behavioral health conditions and conditions that could be nonemergent and manageable with the community-based health services. These findings suggest that health service utilization of people with IDD is related not only to their health needs, but also to the delivery model that provides their health services.

引用

页码：289 / 306

页数：18

共 76 条

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