{"title":"通过向加州穷人提供管理式医疗选择,让婴儿更健康","authors":"T. Barham, P. Gertler, K. Raube","doi":"10.2139/ssrn.1023788","DOIUrl":null,"url":null,"abstract":"The first chapter investigates whether mandating a managed care option for California Medicaid beneficiaries improves access to prenatal care and birth outcomes in a traditionally fee-for-service system. We compare two competing models: one that only offers a county-organized health system option (COHS), and the Two Plan Model (TPC) that provides mothers with a choice between the county system and a commercial managed care organization. The results show that while COHS improved access, only the TPC program led to reductions in low-birth weight. The superior health outcomes obtained with TPC might be explained by higher quality care induced by competition among health providers and/or mainstreaming Medi-Cal beneficiaries into commercial organizations that also serve higher income populations.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"2 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2003-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Making Babies Healthier By Providing a Managed Care Option to California's Poor\",\"authors\":\"T. Barham, P. Gertler, K. Raube\",\"doi\":\"10.2139/ssrn.1023788\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The first chapter investigates whether mandating a managed care option for California Medicaid beneficiaries improves access to prenatal care and birth outcomes in a traditionally fee-for-service system. We compare two competing models: one that only offers a county-organized health system option (COHS), and the Two Plan Model (TPC) that provides mothers with a choice between the county system and a commercial managed care organization. The results show that while COHS improved access, only the TPC program led to reductions in low-birth weight. The superior health outcomes obtained with TPC might be explained by higher quality care induced by competition among health providers and/or mainstreaming Medi-Cal beneficiaries into commercial organizations that also serve higher income populations.\",\"PeriodicalId\":105371,\"journal\":{\"name\":\"Public Health Law & Policy\",\"volume\":\"2 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2003-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Law & Policy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2139/ssrn.1023788\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Law & Policy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2139/ssrn.1023788","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Making Babies Healthier By Providing a Managed Care Option to California's Poor
The first chapter investigates whether mandating a managed care option for California Medicaid beneficiaries improves access to prenatal care and birth outcomes in a traditionally fee-for-service system. We compare two competing models: one that only offers a county-organized health system option (COHS), and the Two Plan Model (TPC) that provides mothers with a choice between the county system and a commercial managed care organization. The results show that while COHS improved access, only the TPC program led to reductions in low-birth weight. The superior health outcomes obtained with TPC might be explained by higher quality care induced by competition among health providers and/or mainstreaming Medi-Cal beneficiaries into commercial organizations that also serve higher income populations.