Managed care of children with special health care needs: the ABC Program.
Families of children voluntarily enrolled in a managed care program for children with special health care needs receiving SSI and Medicaid benefits and their case managers were surveyed regarding care satisfaction, quality, and access. Claims data were used to compare the cost and utilization of health care before and during program enrollment. Families rated health care quality improved in 43%, unchanged as "excellent" in 50% of cases. The care received was seen as more nearly complete and of higher quality when the provider was based in the hospital or the hospital's community clinics as compared with "private" community pediatricians. Hospitalization decreased, but no decrease in cost was demonstrated. A carefully planned and implemented managed care program can improve patient perception of quality among chronically ill children.
Grossman
L K
LK
Division of General Pediatrics and Emergency Care, Medical College of Virginia, Richmond, USA.
Rich
L N
LN
Michelson
S
S
Hagerty
G
G
D002648:Child; D002908:Chronic Disease; D003695:Delivery of Health Care; D019988:Children with Disabilities; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008329:Managed Care Programs; D010290:Parents; D017060:Patient Satisfaction; D010372:Pediatrics / Q000379:methods; D011785:Quality Assurance, Health Care; D011787:Quality of Health Care