Provision of sexual health services to adolescent enrollees in Medicaid managed care.
OBJECTIVE
This Seattle project measured sexual health services provided to 1112 Medicaid managed care enrollees aged 14 to 18 years.


METHODS
Three health maintenance organizations (HMOs) that provide Medicaid services for a capitated rate agreed to participate. These included a non-profit staff-model HMO, a for-profit independent practice association (IPA), and a non-profit alliance of community clinics. Analyses used health maintenance organizations' administrative data, chart reviews, and Medicaid encounter data.


RESULTS
Health maintenance organizations provided primary care to 54% and well care to 20% of Medicaid enrollees. Girls were more likely than boys to have their sexual history taken or to be given condom counseling. Only 27% of sexually active girls were tested for chlamydia, with significantly lower rates of testing among those who spoke English as a second language. The nonprofit staff-model plan outperformed the for-profit independent practice association on most measures.


CONCLUSIONS
Substantial room for improvement exists in sexual health services delivery to adolescent Medicaid managed care enrollees.
Lafferty
William E
WE
Department of Health Services, University of Washington, Seattle 98195, USA. billlaf@u.washington.edu
Downey
Lois
L
Holan
Christine M
CM
Lind
Alice
A
Kassler
William
W
Tao
Guoyu
G
Irwin
Kathleen L
KL
D000293:Adolescent; D016497:Adolescent Health Services / Q000191:economics / Q000706:statistics & numerical data*; D002204:Capitation Fee; D005006:Ethnicity; D005193:Family Planning Services / Q000191:economics / Q000706:statistics & numerical data*; D005260:Female; D006279:Health Maintenance Organizations / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000191:economics / Q000706:statistics & numerical data*; D008484:Medicaid / Q000458:organization & administration*; D011247:Pregnancy; D011258:Pregnancy Tests; D011253:Pregnancy in Adolescence; D011320:Primary Health Care / Q000191:economics / Q000706:statistics & numerical data*; D015397:Program Evaluation; D034121:Reproductive Health Services / Q000191:economics / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000175:diagnosis; D013221:State Health Plans; D014481:United States; D014861:Washington