Journal article
The Effect of Medicaid Primary Care Provider Reimbursement on Access to Early Childhood Caries Preventive Services
Health services research, Vol.50(1), pp.136-160
02/01/2015
DOI: 10.1111/1475-6773.12200
PMCID: PMC4319875
PMID: 25039907
Abstract
ObjectiveTo examine receipt of early childhood caries preventive services (ECCPS) in two states' Medicaid programs before and after the implementation of reimbursement to medical primary care providers (M-PCPs).
Data SourcesEnrollment and claims data from the Florida and Texas Medicaid programs for children 54months of age during the period 2006-2010.
Study DesignWe conducted time trend-adjusted, difference-in-differences analyses by using modified Poisson regressions combined with generalized estimating equations (GEEs) to analyze the effect of M-PCP reimbursement on the likelihood that an enrollee had an ECCPS visit after controlling for age, sex, health status, race/ethnicity, geographic location, and enrollment duration.
Data Extraction MethodsEnrollment data were linked to claims data to create a panel dataset with child-month observations.
Principal FindingsReimbursement to M-PCPs was associated with an increased likelihood of ECCPS receipt in general and topical fluoride application specifically in both states.
ConclusionsReimbursement to M-PCPs can increase access to ECCPS. However, ECCPS receipt continues to fall short of recommended care, presenting opportunities for performance improvement.
Details
- Title: Subtitle
- The Effect of Medicaid Primary Care Provider Reimbursement on Access to Early Childhood Caries Preventive Services
- Creators
- Jill Boylston Herndon - University of FloridaScott L. Tomar - University of FloridaFrank A. Catalanotto - University of FloridaW. Bruce Vogel - University of FloridaElizabeth A. Shenkman - University of Florida
- Resource Type
- Journal article
- Publication Details
- Health services research, Vol.50(1), pp.136-160
- DOI
- 10.1111/1475-6773.12200
- PMID
- 25039907
- PMCID
- PMC4319875
- NLM abbreviation
- Health Serv Res
- ISSN
- 0017-9124
- eISSN
- 1475-6773
- Publisher
- Wiley
- Number of pages
- 25
- Grant note
- R03DE021701 / NIH/NIDCR; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR) R03DE021701 / NATIONAL INSTITUTE OF DENTAL & CRANIOFACIAL RESEARCH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR)
- Language
- English
- Date published
- 02/01/2015
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283563802771
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