Oregon's Coordinated Care Organizations Increased Timely Prenatal Care Initiation And Decreased Disparities

Policies at the state and federal levels affect access to health services, including prenatal care. In 2012 the State of Oregon implemented a major reform of its Medicaid program. The new model, called a coordinated care organization (CCO), is designed to improve the coordination of care for Medicai...

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Vydáno v:	Health affairs (Millwood, Va.) Ročník 35; číslo 9; s. 1625 - 1632
Hlavní autoři:	Muoto, Ifeoma, Luck, Jeff, Yoon, Jangho, Bernell, Stephanie, Snowden, Jonathan M
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States The People to People Health Foundation, Inc., Project HOPE 01.09.2016
Témata:	Access Adequacy Adult Beneficiaries Birth certificates Childbirth & labor Childrens health College professors Coordination Databases, Factual Diabetes Ethnicity Female Financial support Government programs Gynecology Health care policy Health disparities Health insurance Health sciences Health services Healthcare Disparities Humans Implementation Insurance Maternal mortality Medicaid Medicaid - economics Medicaid - organization & administration Obstetrics Oregon Organizational Innovation Poverty - economics Poverty - statistics & numerical data Pregnancy Premature birth Prenatal care Prenatal Care - organization & administration Probability Public health Quality Quality Assurance, Health Care Quality of care Reforms Regional Health Planning - economics Regional Health Planning - organization & administration Retrospective Studies Services Time Factors Trends United States Washington Womens health Young Adult Oregon United States > US Disparities Organization and Delivery of Care Medicaid Maternal And Child Health
ISSN:	0278-2715, 1544-5208
On-line přístup:	Získat plný text
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Shrnutí:	Policies at the state and federal levels affect access to health services, including prenatal care. In 2012 the State of Oregon implemented a major reform of its Medicaid program. The new model, called a coordinated care organization (CCO), is designed to improve the coordination of care for Medicaid beneficiaries. This reform effort provides an ideal opportunity to evaluate the impact of broad financing and delivery reforms on prenatal care use. Using birth certificate data from Oregon and Washington State, we evaluated the effect of CCO implementation on the probability of early prenatal care initiation, prenatal care adequacy, and disparities in prenatal care use by type of insurance. Following CCO implementation, we found significant increases in early prenatal care initiation and a reduction in disparities across insurance types but no difference in overall prenatal care adequacy. Oregon's reforms could serve as a model for other Medicaid and commercial health plans seeking to improve prenatal care quality and reduce disparities.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Article-2 ObjectType-Feature-1 content type line 23 ObjectType-Undefined-3
ISSN:	0278-2715 1544-5208
DOI:	10.1377/hlthaff.2016.0396