Persistence of high health care expenditures among children in Medicaid.

Persistence of high health care expenditures among children in Medicaid. Research Abstract Details 

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Persistence of high health care expenditures among children in Medicaid. Abstract Text:

Elizabeth Shenkman,Caprice Knapp,David Sappington,Bruce Vogel,Des Schatz,

Cross-sectional studies show that a small percentage of children consume a large portion of the health care dollar. However, little is known about the persistence of high health care expenditures among children enrolled in Medicaid health maintenance organizations (HMOs) or in primary care case management (PCCM) programs. This study found substantial expenditure persistence during a 3-year period. Among Temporary Aid to Needy Families (TANF) children in HMOs in the top 10 percent of the expenditure distribution in 2003, 34 percent remained in the top 10 percent in 2004, and 23 percent remained in the top 10 percent in 2005. Similar patterns were observed for TANF children in the PCCM. Expenditure persistence varied based on the enrollees' enabling and need characteristics, providing opportunities to identify children with high health care expenditures who may benefit from care coordination.

Persistence of high health care expenditures among children in Medicaid. Publishing Authors By Initials

E Shenkman,C Knapp,D Sappington,B Vogel,D Schatz,

For similar geographic locations: americas: north america: united states: southwestern united states: texas research abstracts see: geographic locations: americas: north america: united states: southwestern united states: texas research

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Persistence of high health care expenditures among children in Medicaid. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Medical care research and review : MCRR

VOLUME: 64

Page Numbers: 304-30

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ISSN: 1077-5587

DAY: 3

MONTH: Jun

YEAR: 2007

Persistence of high health care expenditures among children in Medicaid. Information

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LANGUAGE: eng

NlmUniqueID: 9506850

Persistence of high health care expenditures among children in Medicaid. Keywords Mesh Terms:

KEYWORDS: Texas

MESH TERMS: economics

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Grant and Affiliation Information for Persistence of high health care expenditures among children in Medicaid.

AFFILIATION: University of Florida.

Country: United States

AGENCY: United States PHS

GRANT: U19 MC 00179

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MEDLINETA: Med Care Res Rev

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