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The effect of a Medicaid managed care program on the adequacy of prenatal care utilization in Rhode Island

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  • Griffin, J.F.
  • Hogan, J.W.
  • Buechner, J.S.
  • Leddy, T.M.

Abstract

Objectives. The purpose of this study was to determine whether adequacy of prenatal care utilization improved after the implementation of a Medicaid managed care program in Rhode Island. Methods. Rhode Island birth certificate data (1993-1995; n = 37021) were used to analyze pre- and post-program implementation changes in adequacy of prenatal care utilization. Logistic regression models were used to characterize the variation in prenatal care adequacy as a function of both time and the various covariates. Results. Adequacy of prenatal care utilization for Medicaid patients improved significantly after implementation of the program, from 57.1% to 62.1% (odds ratio [OR] = 1.2, 95% confidence interval ([CI] = 1.1, 1.3). After the program was implemented, Medicaid patients who went to private physicians' offices for prenatal care were 1.4 times as likely as before to receive adequate prenatal care (OR = 1.4, 95% CI = 1.2, 1.7). Conclusions. Unlike many other Medicaid expansions for pregnant women, the RIte Care program in Rhode Island has resulted in significant improvement in adequacy of prenatal care utilization for its enrollees. This improvement was due to specific program interventions that addressed and changed organizational and delivery system barriers to care.

Suggested Citation

  • Griffin, J.F. & Hogan, J.W. & Buechner, J.S. & Leddy, T.M., 1999. "The effect of a Medicaid managed care program on the adequacy of prenatal care utilization in Rhode Island," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 497-501.
    • Handle: RePEc:aph:ajpbhl:1999:89:4:497-501_3
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    Cited by:

    1. Aizer, Ann & Currie, Janet & Moretti, Enrico, 2004. "Competition in Imperfect Markets: Does it Help California's Medicaid Mothers?," Department of Economics, Working Paper Series qt6kq430m9, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    2. Leighton Ku & Marilyn Ellwood & Sheila Hoag & Barbara Ormond & Judith Wooldridge, "undated". "Evolution of Medicaid Managed Care Systems and Eligibility Expansions," Mathematica Policy Research Reports fe1cf25ffa084e74bf23a4ad7, Mathematica Policy Research.
    3. 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.
    4. Robert Kaestner & Lisa Dubay & Genevieve Kenney, 2002. "Medicaid Managed Care and Infant Health: A National Evaluation," NBER Working Papers 8936, National Bureau of Economic Research, Inc.
    5. repec:mpr:mprres:2875 is not listed on IDEAS

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