The performance of urban and public hospitals and NHCs (neighborhood health centers) under Medicaid capitation programs.
This article reports the results of a study that examined what happened to the utilization of Medicaid beneficiaries, eligible under Aid to Families with Dependent Children, who were mandatorily enrolled in several capitated alternatives in the Kansas City area. Their experience is contrasted with that of a comparison group selected from the St. Louis area. The types of plans analyzed include those sponsored by hospitals, neighborhood health centers, HMOs, and private physicians (IPAs). With the exception of emergency room use, all plans controlled utilization equally well. Results are explained in light of their management and policy implications.
Freund
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School of Public and Environmental Affairs, Indiana University, Indianapolis 46202.
Hurley
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Adamache
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Mauskopf
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D000328:Adult; D000385:Aid to Families with Dependent Children / Q000458:organization & administration*; D002204:Capitation Fee; D002648:Child; D003151:Community Health Centers; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D006760:Hospitalization; D006801:Humans; D015273:Insurance Selection Bias; D008329:Managed Care Programs; D008484:Medicaid / Q000458:organization & administration*; D008923:Missouri; D010865:Pilot Projects; D011336:Probability; D012044:Regression Analysis; D014481:United States; D014505:Urban Population