Coordinated Care Organizations and mortality among low-income infants in Oregon.
Ontology highlight
ABSTRACT:
Data sources:Oregon birth certificates linked with death certificates, and Medicaid/CCO enrollment files for years 2008-2016.
Study design:The sample consisted of the pre-CCO birth cohort of 135 753 infants (August 2008-July 2011) and the post-CCO birth cohort of 148 650 infants (August 2012-December 2015). We used a difference-in-differences probit model to estimate the difference in mortality between infants enrolled in Medicaid and infants who were not enrolled. We examined heterogeneous effects of CCOs for preterm and full-term infants and the impact of CCOs over the implementation timeline. All models were adjusted for maternal and infant characteristics and secular time trends.
Principal findings:The CCO model was associated with a 56 percent reduction in infant mortality compared to the pre-CCO level (-0.20 percentage points [95% CI: -0.35; -0.05]), and also with a greater reduction in infant mortality among preterm infants compared to full-term infants. The impact on mortality grew in magnitude over the postimplementation timeline.
Conclusions:The CCO model contributed to a reduction in mortality within the first year of birth among infants enrolled in Medicaid.
SUBMITTER: Bui LN
PROVIDER: S-EPMC6863224 | biostudies-literature | 2019 Dec
REPOSITORIES: biostudies-literature
Publications
Coordinated Care Organizations and mortality among low-income infants in Oregon.
Bui Linh N LN Yoon Jangho J Harvey S Marie SM Luck Jeff J
Health services research 20191027 6
<h4>Objective</h4>To examine the impact of Oregon's Coordinated Care Organizations (CCOs), an accountable care model for Oregon Medicaid enrollees implemented in 2012, on neonatal and infant mortality.<h4>Data sources</h4>Oregon birth certificates linked with death certificates, and Medicaid/CCO enrollment files for years 2008-2016.<h4>Study design</h4>The sample consisted of the pre-CCO birth cohort of 135 753 infants (August 2008-July 2011) and the post-CCO birth cohort of 148 650 infants (Aug ...[more]
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