Dataset Information

The Impact of Medicaid Managed Care Plan Type on Continuous Medicaid Enrollment: A Natural Experiment.

ABSTRACT:

Objective

To assess the impact of assignment to a Medicaid-focused versus mixed managed care plan on continuity of Medicaid coverage.

Data sources

2011-2016 Medicaid claims from a Northeastern state.

Study design

Following the exit of a Medicaid managed care insurer, Medicaid administrators prioritized provider networks in reassigning enrollees, but randomly assigned beneficiaries whose providers were equally represented in the two plans. We leveraged the natural experiment created by random plan assignment and conducted an instrumental variable analysis.

Data collection

We analyzed Medicaid claims for 12,083 beneficiaries who were members of the exiting Blue Cross Blue Shield plan prior to January 1, 2011.

Principal findings

Managed care plan type did not significantly impact continuous enrollment in the Medicaid program. Greater outpatient utilization and the presence of a special need among children were associated with longer enrollment in Medicaid.

Conclusions

Managed care plans did not differ in their capacity to keep Medicaid beneficiaries continuously enrolled in coverage, despite differences in plan features.

SUBMITTER: Gordon SH

PROVIDER: S-EPMC6153165 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

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Publications

The Impact of Medicaid Managed Care Plan Type on Continuous Medicaid Enrollment: A Natural Experiment.

Gordon Sarah H SH Lee Yoojin Y Ndumele Chima D CD Vivier Patrick M PM Gutman Roee R Swaminathan Shailender S Gadbois Emily A EA Shield Renee R RR Kind Amy Jo Haavisto AJH Trivedi Amal N AN

Health services research 20180627 5

<h4>Objective</h4>To assess the impact of assignment to a Medicaid-focused versus mixed managed care plan on continuity of Medicaid coverage.<h4>Data sources</h4>2011-2016 Medicaid claims from a Northeastern state.<h4>Study design</h4>Following the exit of a Medicaid managed care insurer, Medicaid administrators prioritized provider networks in reassigning enrollees, but randomly assigned beneficiaries whose providers were equally represented in the two plans. We leveraged the natural experiment ...[more]

PMID: 29952062

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Dataset Information

The Impact of Medicaid Managed Care Plan Type on Continuous Medicaid Enrollment: A Natural Experiment.

Objective

Data sources

Study design

Data collection

Principal findings

Conclusions

Publications

The Impact of Medicaid Managed Care Plan Type on Continuous Medicaid Enrollment: A Natural Experiment.

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