SAGE Journals Online
Advertisement
Sign In to gain access to subscriptions and/or personal tools.

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Advertisement

Sign In to gain access to subscriptions and/or personal tools.
American Journal of Medical Quality
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Roohan, P. J.
Right arrow Articles by Shure, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Roohan, P. J.
Right arrow Articles by Shure, K.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Quality Measurement in Medicaid Managed Care and Fee-for-Service

The New York State Experience

Patrick J. Roohan, MS

Bureau of Quality Management and Outcomes Measurement, Office of Managed Care/New York State Department of Health, Albany, New York, pjr02{at}health.state.ny.us

Jacqueline M. Butch, MBA

Quality Measurement Unit, Office of Managed Care/New York State Department of Health, Albany, New York

Joseph P. Anarella, MPH

Office of Managed Care/New York State Department of Health, Albany, New York

Foster Gesten, MD

Office of Managed Care/New York State Department of Health, Albany, New York

Kathleen Shure, MPA

Office of Managed Care/New York State Department of Health, Albany, New York

New York State has transitioned 1.7 million Medicaid recipients from a fee-for-service delivery system to a managed care model. To evaluate whether managed care has had a positive effect on access and quality, the New York State Department of Health compared rates of performance across standardized measures of quality (ie, childhood immunization, well-child visits, prenatal care in the first trimester, cervical cancer screening, use of appropriate medications for people with asthma, and comprehensive diabetes care) in both systems. For almost all measures, Medicaid managed care rates were statistically higher than Medicaid fee-for-service.

Key Words: Medicaid managed care • quality • performance measurement • Medicaid

American Journal of Medical Quality, Vol. 21, No. 3, 185-191 (2006)
DOI: 10.1177/1062860606287199


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
cfpHome page
S. Romain and M. A. Schillaci
Childhood immunization: Availability of primary care providers in Ontario
Can Fam Physician, November 1, 2009; 55(11): 1104 - 1105.e4.
[Abstract] [Full Text] [PDF]


Home page
Journal of Health Politics, Policy and LawHome page
A. L. Fairchild and A. Alkon
Back to the Future? Diabetes, HIV, and the Boundaries of Public Health
Journal of Health Politics Policy and Law, August 1, 2007; 32(4): 561 - 593.
[Abstract] [PDF]



Advertisement