Plan choice and changes in access to care over time for SSI-eligible children with disabilities.
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| Title: | Plan choice and changes in access to care over time for SSI-eligible children with disabilities. |
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| Authors: | Roberto PN (AUTHOR), Mitchell JM (AUTHOR), Gaskin DJ (AUTHOR) |
| Source: | Inquiry (00469580). Summer2005, Vol. 42 Issue 2, p145-159. 15p. |
| Abstract: | This paper analyzes how voluntary enrollment in the fee-for-service (FFS) system versus a partially capitated managed care plan affects changes in access to care over time for special needs children who receive Supplemental Security Income (SSI) due to a disability. Four indicators of access are evaluated, including specialty care, hospital care, emergency care, and access to a regular doctor. We employ the Heckman two-step estimation procedure to correct for the potential nonrandom selection bias linked to plan choice. The findings show that relative to their counterparts in the partially capitated managed care plan, SSI children enrolled in the FFS plan are significantly more likely to encounter an access problem during either of the time periods studied. Similarly, FFS enrollees are significantly more likely than partially capitated managed care participants to experience persistent access problems across three of the four dimensions of care. Possible explanations for the deterioration in access associated with FFS include the lack of case management services, lower reimbursement relative to the partially capitated managed care plan, and provider availability. [ABSTRACT FROM AUTHOR] |
| Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 106387867 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Plan choice and changes in access to care over time for SSI-eligible children with disabilities. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Roberto+PN%22">Roberto PN</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mitchell+JM%22">Mitchell JM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gaskin+DJ%22">Gaskin DJ</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. Summer2005, Vol. 42 Issue 2, p145-159. 15p. – Name: Abstract Label: Abstract Group: Ab Data: This paper analyzes how voluntary enrollment in the fee-for-service (FFS) system versus a partially capitated managed care plan affects changes in access to care over time for special needs children who receive Supplemental Security Income (SSI) due to a disability. Four indicators of access are evaluated, including specialty care, hospital care, emergency care, and access to a regular doctor. We employ the Heckman two-step estimation procedure to correct for the potential nonrandom selection bias linked to plan choice. The findings show that relative to their counterparts in the partially capitated managed care plan, SSI children enrolled in the FFS plan are significantly more likely to encounter an access problem during either of the time periods studied. Similarly, FFS enrollees are significantly more likely than partially capitated managed care participants to experience persistent access problems across three of the four dimensions of care. Possible explanations for the deterioration in access associated with FFS include the lack of case management services, lower reimbursement relative to the partially capitated managed care plan, and provider availability. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=106387867 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.5034/inquiryjrnl_42.2.145 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 145 Titles: – TitleFull: Plan choice and changes in access to care over time for SSI-eligible children with disabilities. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Roberto PN – PersonEntity: Name: NameFull: Mitchell JM – PersonEntity: Name: NameFull: Gaskin DJ IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Summer2005 Type: published Y: 2005 Identifiers: – Type: issn-print Value: 00469580 Numbering: – Type: volume Value: 42 – Type: issue Value: 2 Titles: – TitleFull: Inquiry (00469580) Type: main |
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