The association between managed care enrollments and potentially preventable hospitalization among adult Medicaid recipients in Florida

摘要: The intent of adopting managed care plans is to improve access health services while containing costs. To date, there have been a number studies that examine the relationship between and care. However, results from previous inconsistent. Specifically, did not demonstrate clear benefit Medicaid In this study we whether associated with probabilities preventable hospitalizations. This also analyzes spillover effect into patients in traditional FFS interaction effects other patient- county-level variables on included 254,321 who were admitted short-term general hospital 67 counties Florida. Using 2008 inpatient discharge data for working-age adult enrollees (18-64 years) Florida, conduct multivariate logistic regression analyses identify possible factors first model includes variables. Then, add terms HMO such as race, rurality, market-level factors, resource primary show are more likely be hospitalized ambulatory sensitive conditions (ACSCs) (OR = 1.30; CI = 1.21, 1.40). We find market structure (i.e., competition) significantly our does support hospitalizations recipients. interactions rurality significant. program Florida was an increase potentially enrollees. suggest lower capitation rate has greater likelihood patients. Our findings indicate increased competition no