Breast and Cervical Cancer Screening Among Medicaid Beneficiaries: The Role of Physician Payment and Managed Care.
Breast and Cervical Cancer Screening Among Medicaid Beneficiaries: The Role of Physician Payment and Managed Care.
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DOI：
10.1177/1077558718771123
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发表时间：
2020-02
期刊：
影响因子：
--
通讯作者：
Bradley CJ
中科院分区：
文献类型：
--
作者：
Sabik LM;Dahman B;Vichare A;Bradley CJ
Medicaid insured women have low rates of cancer screening. There are multiple policy levers that may influence access to preventive services such as screening, including physician payment and managed care. We examine the relationship between each of these factors and breast and cervical cancer screening among non-elderly non-disabled adult Medicaid enrollees. We combine individual-level data on Medicaid enrollment, demographics, and use of screening services from the Medicaid Analytic eXtract (MAX) files with data on states’ Medicaid-to-Medicare fee ratios and estimate their impact on screening services. Higher physician fees are associated with greater screening for comprehensive managed care enrollees; for enrollees in fee-for-service (FFS) Medicaid, the findings are mixed. Patient participation in primary care case management (PCCM) is a significant moderator of the relationship between physician fees and the rate of screening, as interactions between enrollee PCCM status and the Medicaid fee ratio are consistently positive across models of screening.
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DOI：
10.5034/inquiryjrnl_46.03.291
发表时间：
2009-09-01
影响因子：
1.7
作者：
Decker, Sandra L.
通讯作者：
Decker, Sandra L.
DOI：
10.1007/s10754-014-9152-y
发表时间：
2014-12-01
期刊：
INTERNATIONAL JOURNAL OF HEALTH CARE FINANCE & ECONOMICS
影响因子：
--
作者：
Brunt, Christopher S.;Jensen, Gail A.
通讯作者：
Jensen, Gail A.
影响因子：
9.7
作者：
Decker, Sandra L.
通讯作者：
Decker, Sandra L.
影响因子：
2.1
作者：
Herring, Bradley;Adams, E. Kathleen
通讯作者：
Adams, E. Kathleen
影响因子：
9.7
作者：
Baicker, K;Chandra, A
通讯作者：
Chandra, A