Levinson A, Ullman F
University of Wisconsin, Madison 53706, USA.
J Health Econ. 1998 Jun;17(3):351-68. doi: 10.1016/s0167-6296(97)00031-3.
This paper provides estimates of the effects of Medicaid managed care on prenatal care adequacy and infant birthweights, using a census of 1994 Medicaid births in Wisconsin, where some Medicaid recipients were enrolled in fully capitated health maintenance organizations (HMOs) while others remained in traditional fee-for-service (FFS) systems. The results indicate that while Medicaid patients enrolled in managed care programs may be more likely to receive adequate prenatal care, birth outcomes under managed care are not significantly different from those under FFS financing systems. We conclude that cost savings generated by Wisconsin Medicaid managed care are not coming at the expense of maternity patients' or infants' welfare.
本文利用威斯康星州1994年医疗补助计划分娩情况普查数据，估算了医疗补助计划管理式医疗对产前护理充足性和婴儿出生体重的影响。在该州，一些医疗补助计划受助人加入了全额预付的健康维护组织（HMO），而另一些人仍留在传统的按服务收费（FFS）体系中。结果表明，虽然加入管理式医疗计划的医疗补助患者可能更有可能获得充足的产前护理，但管理式医疗下的分娩结果与按服务收费融资体系下的分娩结果并无显著差异。我们得出结论，威斯康星州医疗补助计划管理式医疗所产生的成本节约并没有以牺牲产妇或婴儿的福利为代价。
