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Unhealthy competition: Consequences of health plan choice in California medicaid

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  • Millett, C.
  • Chattopadhyay, A.
  • Bindman, A.B.

Abstract

Objectives. We compared the quality of care received by managed care Medicaid beneficiaries in counties with a choice of health plans and counties with no choice. Methods. This cross-sectional study among California Medicaid beneficiaries was conducted during 2002. We used a multivariate Poisson model to calculate adjusted rates of hospital admissions for ambulatory care-sensitive conditions by duration of plan enrollment. Results. Among beneficiaries with continuous Medicaid coverage, the percentage with 12 months of continuous enrollment in a health plan was significantly lower in counties with a choice of plans than in counties with no choice (79.2% vs 95.2%; P

Suggested Citation

  • Millett, C. & Chattopadhyay, A. & Bindman, A.B., 2010. "Unhealthy competition: Consequences of health plan choice in California medicaid," American Journal of Public Health, American Public Health Association, vol. 100(11), pages 2235-2240.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.182451_6
    DOI: 10.2105/AJPH.2009.182451
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    Cited by:

    1. Kelaher, Margaret & Prang, Khic-Houy & Sabanovic, Hana & Dunt, David, 2019. "The impact of public performance reporting on health plan selection and switching: A systematic review and meta-analysis," Health Policy, Elsevier, vol. 123(1), pages 62-70.
    2. Shishu Zhang & Gregory J. Soukup, 2015. "Factors that influence the selection and utilization of children’s medical insurance," Cogent Business & Management, Taylor & Francis Journals, vol. 2(1), pages 1010882-101, December.
    3. Raf Van Gastel & Tim Goedemé & Julie Janssens & Eva Lefevere & Rik Lemkens, 2017. "A Reminder to Pay Less for Healthcare: take-up of Increased Reimbursement in a large-scale randomized field experiment," Working Papers 1712, Herman Deleeck Centre for Social Policy, University of Antwerp.

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