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Primary care case management and birth outcomes in the Iowa Medicaid program

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  • Schulman, E.D.
  • Sheriff, D.J.
  • Momany, E.T.

Abstract

Objectives. This study compares prenatal care utilization and birth outcomes between Iowa Medicaid recipients receiving care in a primary care case management (PCCM) system and those receiving care in a fee-for-service (FFS) system. Methods. Birth certificates linked with Medicaid hospitalization claims were analyzed for seven PCCM and seven FFS counties. Results. From 1989 through 1992, them was (1) a 20% increase in the number of women who received adequate prenatal care in the FFS counties, vs a 5% increase in the PCCM counties; (2) a 17% increase in the number of women who initiated care within the first trimester in the FFS counties, vs a 6% increase in the PCCM counties; and (3) a 442% increase in the number of women who received enhanced prenatal services in the FFS counties, vs a 278% increase in the PCCM counties. There were no significant differences between groups in mean gestational age or birthweight; however, there was an increase of very-low-birthweight babies in both groups. Conclusions. PCCM, as implemented by the Iowa Medicaid program, has not appreciably improved prenatal care utilization or birth outcomes.

Suggested Citation

  • Schulman, E.D. & Sheriff, D.J. & Momany, E.T., 1997. "Primary care case management and birth outcomes in the Iowa Medicaid program," American Journal of Public Health, American Public Health Association, vol. 87(1), pages 80-84.
    • Handle: RePEc:aph:ajpbhl:1997:87:1:80-84_7
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    Cited by:

    1. Tianyan Hu & Shin‐Yi Chou & Mary E. Deily, 2015. "Pregnancy outcomes for medicaid patients in mandatory managed care: The Pennsylvania HealthChoices program," Southern Economic Journal, John Wiley & Sons, vol. 82(1), pages 100-121, July.
    2. Henke, Klaus-Dirk & Rich, Robert F. & Steinbach, Axel & Borchardt, Katja, 2004. "Auf dem Wege zu einer integrierten Versorgung: Neue sozialrechtliche Rahmenbedingungen unter Berücksichtigung der Erfahrungen aus den USA und am Beispiel Berlins," Discussion Papers 2004/12, Technische Universität Berlin, School of Economics and Management.
    3. Keith Kranker & So O'Neil & Vanessa Oddo & Miriam Drapkin & Margo Rosenbach, "undated". "Strategies for Using Vital Records to Measure Quality of Care in Medicaid and CHIP Programs," Mathematica Policy Research Reports 4c9ca4dbc4d24cf5ac7dc5923, Mathematica Policy Research.
    4. repec:mpr:mprres:8116 is not listed on IDEAS

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