BIOMAT Database Logo BIOMAT Database Logo

Medicaid maternal and child health care: prepaid plans vs. private fee-for-service. 1990

J Reis
College of Nursing, University of Illinois, Urbana-Champaign 61801.

A randomly selected sample of 98 inner-city new mothers was interviewed with regard to (a) their level of satisfaction with and perceived barriers to pediatric and maternal health care, and (b) the health status of their infants. The mothers were divided according to their Medicaid status: 39 (40%) were enrolled into a Medicaid prepaid plan (PPP) and 59 (60%) were enrolled as regular Medicaid fee-for-service (FFS) patients. Comparison of the two groups showed that infant health status was similar but that PPP mothers reported a higher incidence of untreated infant problems and perceived more barriers to pediatric care. Birth outcomes also were similar for the two groups but FFS mothers and infants were hospitalized for significantly longer periods postpartum. The implications of these findings for the delivery of maternal and child health services to low-income populations through the Medicaid program are discussed.

UI MeSH Term Description Entries
D007902 Length of Stay The period of confinement of a patient to a hospital or other health facility. Hospital Stay,Hospital Stays,Stay Length,Stay Lengths,Stay, Hospital,Stays, Hospital
D008427 Maternal Health Services Organized services to provide health care to expectant and nursing mothers. Health Services, Maternal,Services, Maternal Health,Health Service, Maternal,Maternal Health Service
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011256 Pregnancy Outcome Results of conception and ensuing pregnancy, including LIVE BIRTH; STILLBIRTH; or SPONTANEOUS ABORTION. The outcome may follow natural or artificial insemination or any of the various ASSISTED REPRODUCTIVE TECHNIQUES, such as EMBRYO TRANSFER or FERTILIZATION IN VITRO. Outcome, Pregnancy,Outcomes, Pregnancy,Pregnancy Outcomes
D011787 Quality of Health Care The levels of excellence which characterize the health service or health care provided based on accepted standards of quality. Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
D011897 Random Allocation A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects. Randomization,Allocation, Random
D002662 Child Health Services Organized services to provide health care for children. Infant Health Services,Child Services, Health,Health Services, Child,Health Services, Infant,Infant Services, Health,Services, Child Health,Services, Infant Health,Child Health Service,Health Service, Child,Health Service, Infant,Infant Health Service,Service, Child Health,Service, Infant Health
D003258 Consumer Behavior Behavior associated with the procurement of goods, services, or experiences. Consumer Preference,Consumer Satisfaction,Behavior, Consumer,Behaviors, Consumer,Consumer Behaviors,Consumer Preferences,Preference, Consumer,Preferences, Consumer,Satisfaction, Consumer
D005251 Fees, Medical Amounts charged to the patient as payer for medical services. Fee, Medical,Medical Fee,Medical Fees
D005260 Female Females

Related Publications

J Reis
Health Care Fragmentation in Medicaid Managed Care vs. Fee for Service.
February 2020, Population health management,
J Reis
Prepayment plans vs. fee-for-service.
June 1979, Dental student,
J Reis
Selection of prepaid or fee-for-service care by Medicaid families: examining the health-risk hypothesis.
January 1989, Advances in health economics and health services research,
J Reis
Prepaid plans re-established in a fee-for-service group.
January 1983, Medical group management,
J Reis
Prepaid vs. fee-for-service study reveals consumers' attitudes.
February 1987, Michigan hospitals,
J Reis
Medicare. Private fee-for-service plans under scrutiny.
August 2007, Hospitals & health networks,
J Reis
Payment reduction and Medicare private fee-for-service plans.
January 2009, Health care financing review,
J Reis
Prepaid capitation versus fee-for-service reimbursement in a Medicaid population.
February 1997, The American journal of managed care,
J Reis
Diagnostic testing and return visits for acute problems in prepaid, case-managed Medicaid plans compared with fee-for-service.
November 1990, Archives of internal medicine,
J Reis
Cesarean and VBAC delivery rates in Medicaid managed care, Medicaid fee-for-service, and private managed care.
June 1998, Birth (Berkeley, Calif.),
Copied contents to your clipboard!