Journal article
Cost of outpatient medical care for children and youth with special health care needs: investigating the impact of the medical home
Pediatrics (Evanston), Vol.118(4), pp.e1187-e1194
10/2006
DOI: 10.1542/peds.2005-3018
PMID: 17015507
Abstract
Our goal was to evaluate the impact of having a medical home on the outpatient medical costs of children and youth with special health care needs. Data from 2 sources were matched at the individual level: (1) the 2002 Iowa Consumer Assessment of Health Plans Study survey of Medicaid enrollees and (2) Iowa Medicaid administrative claims, encounter, and enrollment files. The subjects were 1140 children aged 6 months to 12 years for whom both sources of data were available. Outcomes measures included medical homeness, as developed by a scale of items in the Consumer Assessment of Health Plans Study survey, and outpatient costs, as determined from Medicaid administrative data. From the regression models, we found that (1) for all Medicaid-enrolled children, outpatient costs were significantly higher for female children and children and youth with special health care needs, (2) for children and youth without special health care needs, costs were significantly higher for female children, those with a personal doctor or nurse, and those with more of a medical home, and (3) for children and youth with special health care needs, costs were significantly higher for those in a lower health state, for those in health maintenance organization 2, and for older children. Although the degree of medical homeness was not related to outpatient costs for children and youth with special health care needs, medical homeness may affect inpatient costs more than outpatient costs for children and youth with special health care needs and should be investigated further.
Details
- Title: Subtitle
- Cost of outpatient medical care for children and youth with special health care needs: investigating the impact of the medical home
- Creators
- Peter C Damiano - Health Policy Research Program, University of Iowa, Public Policy Center, 227 S Quadrangle, Iowa City, IA 52242, USA. peter-damiano@uiowa.eduElizabeth T MomanyMargaret C TylerAndrew J PenzinerJeffrey G Lobas
- Resource Type
- Journal article
- Publication Details
- Pediatrics (Evanston), Vol.118(4), pp.e1187-e1194
- Publisher
- United States
- DOI
- 10.1542/peds.2005-3018
- PMID
- 17015507
- ISSN
- 0210-5721
- eISSN
- 1098-4275
- Language
- English
- Date published
- 10/2006
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Public Policy Center (Archive); University College Courses
- Record Identifier
- 9983917789302771
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