Unhealthy competition: Consequences of health plan choice in California medicaid

C. Millett, A. Chattopadhyay and A.B. Bindman

American Journal of Public Health, 2010, vol. 100, issue 11, 2235-2240

Abstract: Objectives. We compared the quality of care received by managed care Medicaid beneficiaries in counties with a choice of health plans and counties with no choice. Methods. This cross-sectional study among California Medicaid beneficiaries was conducted during 2002. We used a multivariate Poisson model to calculate adjusted rates of hospital admissions for ambulatory care-sensitive conditions by duration of plan enrollment. Results. Among beneficiaries with continuous Medicaid coverage, the percentage with 12 months of continuous enrollment in a health plan was significantly lower in counties with a choice of plans than in counties with no choice (79.2% vs 95.2%; P

Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2009.182451_6

DOI: 10.2105/AJPH.2009.182451

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