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Medicaid Managed Care Does Not Ensure Up-To-Date Vaccination Status.(for children enrolled in program)
2001 AUG 15 - (NewsRx.com & NewsRx.net) --
by N.R. Saltmarsh, staff medical writer - Children enrolled in Medicaid managed care (MMC) are no more likely than those in traditional fee-for-service Medicaid to be up to date on their immunizations and may not be getting adequate quality of care in other areas either, researchers in the United States have found.
"Underimmunization is distributed unevenly across populations, concentrated among the impoverished," said E.A. Alessandrini and colleagues, Children's Hospital of Philadelphia, Pennsylvania. "Managed care has stimulated the development of quality indicators such as immunization rates to assess health status of populations."
To determine if MMC enrollment improves quality of health care as reflected by immunization rates compared with fee-for-service Medicaid (FFSM), Alessandrini and coworkers conducted a prospective cohort study of infants born between May 1994 and April 1995 who were seen at a urban teaching hospital and surrounding ambulatory settings.
Of the 644 consecutive infants in MMC or FFSM, 92% were enrolled in the study and 87% completed follow-up.
Seventy-three percent of the MMC and 72.4% of the FFSM patients were current with their immunizations, reported Alessandrini and associates, and there were no differences in age at immunization between the two groups. Even after adjustment for other ...
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