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Cost of outpatient medical care for children and youth with special health care needs: investigating the impact of the medical home.
Pediatrics. 2006 Oct; 118(4):e1187-94.Ped

Abstract

OBJECTIVE

Our goal was to evaluate the impact of having a medical home on the outpatient medical costs of children and youth with special health care needs.

DESIGN

Data from 2 sources were matched at the individual level: (1) the 2002 Iowa Consumer Assessment of Health Plans Study survey of Medicaid enrollees and (2) Iowa Medicaid administrative claims, encounter, and enrollment files.

PARTICIPANTS

The subjects were 1140 children aged 6 months to 12 years for whom both sources of data were available.

MAIN OUTCOME MEASURE(S)

Outcomes measures included medical homeness, as developed by a scale of items in the Consumer Assessment of Health Plans Study survey, and outpatient costs, as determined from Medicaid administrative data.

RESULTS

From the regression models, we found that (1) for all Medicaid-enrolled children, outpatient costs were significantly higher for female children and children and youth with special health care needs, (2) for children and youth without special health care needs, costs were significantly higher for female children, those with a personal doctor or nurse, and those with more of a medical home, and (3) for children and youth with special health care needs, costs were significantly higher for those in a lower health state, for those in health maintenance organization 2, and for older children.

CONCLUSIONS

Although the degree of medical homeness was not related to outpatient costs for children and youth with special health care needs, medical homeness may affect inpatient costs more than outpatient costs for children and youth with special health care needs and should be investigated further.

Authors+Show Affiliations

Health Policy Research Program, University of Iowa, Public Policy Center, 227 S Quadrangle, Iowa City, IA 52242, USA. peter-damiano@uiowa.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17015507

Citation

Damiano, Peter C., et al. "Cost of Outpatient Medical Care for Children and Youth With Special Health Care Needs: Investigating the Impact of the Medical Home." Pediatrics, vol. 118, no. 4, 2006, pp. e1187-94.
Damiano PC, Momany ET, Tyler MC, et al. Cost of outpatient medical care for children and youth with special health care needs: investigating the impact of the medical home. Pediatrics. 2006;118(4):e1187-94.
Damiano, P. C., Momany, E. T., Tyler, M. C., Penziner, A. J., & Lobas, J. G. (2006). Cost of outpatient medical care for children and youth with special health care needs: investigating the impact of the medical home. Pediatrics, 118(4), e1187-94.
Damiano PC, et al. Cost of Outpatient Medical Care for Children and Youth With Special Health Care Needs: Investigating the Impact of the Medical Home. Pediatrics. 2006;118(4):e1187-94. PubMed PMID: 17015507.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cost of outpatient medical care for children and youth with special health care needs: investigating the impact of the medical home. AU - Damiano,Peter C, AU - Momany,Elizabeth T, AU - Tyler,Margaret C, AU - Penziner,Andrew J, AU - Lobas,Jeffrey G, PY - 2006/10/4/pubmed PY - 2006/10/13/medline PY - 2006/10/4/entrez SP - e1187 EP - 94 JF - Pediatrics JO - Pediatrics VL - 118 IS - 4 N2 - OBJECTIVE: Our goal was to evaluate the impact of having a medical home on the outpatient medical costs of children and youth with special health care needs. DESIGN: Data from 2 sources were matched at the individual level: (1) the 2002 Iowa Consumer Assessment of Health Plans Study survey of Medicaid enrollees and (2) Iowa Medicaid administrative claims, encounter, and enrollment files. PARTICIPANTS: The subjects were 1140 children aged 6 months to 12 years for whom both sources of data were available. MAIN OUTCOME MEASURE(S): Outcomes measures included medical homeness, as developed by a scale of items in the Consumer Assessment of Health Plans Study survey, and outpatient costs, as determined from Medicaid administrative data. RESULTS: From the regression models, we found that (1) for all Medicaid-enrolled children, outpatient costs were significantly higher for female children and children and youth with special health care needs, (2) for children and youth without special health care needs, costs were significantly higher for female children, those with a personal doctor or nurse, and those with more of a medical home, and (3) for children and youth with special health care needs, costs were significantly higher for those in a lower health state, for those in health maintenance organization 2, and for older children. CONCLUSIONS: Although the degree of medical homeness was not related to outpatient costs for children and youth with special health care needs, medical homeness may affect inpatient costs more than outpatient costs for children and youth with special health care needs and should be investigated further. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/17015507/Cost_of_outpatient_medical_care_for_children_and_youth_with_special_health_care_needs:_investigating_the_impact_of_the_medical_home_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=17015507 DB - PRIME DP - Unbound Medicine ER -