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Titolo:
EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT AND MANAGED CARE
Autore:
ROSENBACH ML; GAVIN NI;
Indirizzi:
MATH POLICY RES INC CAMBRIDGE MA 02138 RES TRIANGLE INST RES TRIANGLE PK NC 27709
Titolo Testata:
Annual review of public health
, volume: 19, anno: 1998,
pagine: 507 - 525
SICI:
0163-7525(1998)19:<507:EAPSDA>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH-CARE; CHILDREN; PROGRAM;
Keywords:
PREVENTIVE CARE; CHILD HEALTH; MEDICAID; EPSDT; PEDIATRIC CARE;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
39
Recensione:
Indirizzi per estratti:
Citazione:
M.L. Rosenbach e N.I. Gavin, "EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT AND MANAGED CARE", Annual review of public health, 19, 1998, pp. 507-525

Abstract

This paper presents evidence on the performance of Medicaid managed care organizations (MCOs) in providing Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services to children under age 21. States face considerable challenges in integrating EPSDT into managed care. For example, MCOs rarely offer all services required under federal law. Also, MCOs often are unable to meet state reporting requirements. On the other hand, MCOs offer children a medical home, often for the first time, that may encourage timely preventive care. The literature generally shows no differences in the performance of MCOs relative to traditional FFS providers in the EPSDT participation rate. Future needsinclude improving the specificity of contract language, more precisely defining the EPSDT benefit package, evaluating the adequacy of EPSDTpayments, monitoring the capacity of MCO provider networks, establishing the effectiveness of outreach and enabling services, developing standardized MCO reporting requirements, documenting program outcomes, and assessing benchmarks for accountability.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 16/07/20 alle ore 18:41:01