Medical care utilization by AFDC recipients under reformed Medicaid.
As Medicaid moves toward a system of managed care, Aid for Families with Dependent Children (AFDC) recipients often are assigned to an organization that assumes responsibility for managing their annual receipt of health care. This study reports the results of an investigation into the patterns of medical care utilization by AFDC recipients and their children under reformed Medicaid. The issues explored include whether or not medical care utilization patterns vary by race, and if there are identifiable factors that determine the utilization patterns of AFDC recipients and their children. We conclude that racial differences in medical care utilization do exist for AFDC recipients, but not for their children. Policy makers involved in reforming Medicaid should recognize that certain cohorts continue to exhibit undesirable medical care utilization patterns, and implement measures to rectify this situation.
Jennings
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Department of Economics and Finance, East Tennessee State University, Box 70686, Johnson City, TN 37614-0686, USA. JENNINGD@ETSU.EDU
White-Means
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D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000385:Aid to Families with Dependent Children / Q000458:organization & administration / Q000706:statistics & numerical data*; D001061:Appalachian Region; D002648:Child; D003710:Demography; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D008484:Medicaid / Q000458:organization & administration*; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011203:Poverty; D014481:United States; D014600:Utilization Review; D044465:White People / Q000706:statistics & numerical data