Managed care and infant health: An evaluation of Medicaid in the US

Robert Kaestner, Lisa Dubay, Genevieve Kenney

Research output: Contribution to journalArticle

Abstract

In this study, we examine the effects of Medicaid managed care (MMC) on prenatal care utilization, infant birth weight, pre-term birth, and use of cesarean section in the United States. We obtain separate estimates of the effect of primary care case management managed care programs and health maintenance organization managed care plans on these outcomes. The results suggest the following: among white, non-Hispanic women, MMC was associated with a 2 percent decrease in the number of prenatal care visits and a 3-5 percent increase the incidence of inadequate prenatal care; MMC was associated with a significant increase in the incidence pre-term birth for non-Hispanic white women, but that this association does not appear to be causal; and MMC had no association with the incidence of cesarean section.

Original languageEnglish (US)
Pages (from-to)1815-1833
Number of pages19
JournalSocial Science and Medicine
Volume60
Issue number8
DOIs
StatePublished - Apr 2005
Externally publishedYes

Keywords

  • Health insurance
  • Infant health
  • Social policy

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

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