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dc.contributor.authorMayberry, Robert M.
dc.contributor.authorFinley, Rita
dc.contributor.authorAlema-Mensah, Ernest
dc.contributor.authorDavis, Trobiand A.
dc.date.accessioned2016-05-27T13:20:47Zen
dc.date.available2016-05-27T13:20:47Zen
dc.date.issued2006en
dc.identifier.urihttp://hdl.handle.net/10675.2/610865en
dc.description.abstractThe Georgia Medicaid primary care case management (PCCM) program, phased in over the 1994- 1997 period, has now given way to a capitated managed care model of regional care management organizations (CMOs). Using Georgia Medicaid eligibility and provider claim data for 1996-1998, this study investigated diabetes care quality and whether it varied by primary care provider subspecialty in a longitudinal follow-up of newly diagnosed adults with type 2 diabetes during the early phase of the PCCM program. Results indicated that the quality of diabetes care was suboptimal and varied significantly by PCP subspecialty, with patients seen by generalists least likely to have their HbA1c monitored as recommended during office visits (odds ratio = 0.34, (95% confidence interval 0.16- 0.73). No PCP subspecialty consistently performed better or worse on all diabetes care quality indicators investigated. The lessons learned from this investigation are that variations in Medicaid care quality by PCP subspecialty is likely to remain and the new CMO model of care will unlikely demonstrate immediate improvement in diabetes care quality.
dc.description.sponsorshipThe study was supported by grant number 20-P91011 from the Center for Medicare and Medicaid Services (CMS), formerly Health Care Financing Administration (HCFA), and grant numbers P01 HS10875 and R24 HS11617 from the Agency for Healthcare Research and Quality to the Program for Healthcare Effectiveness Research, Morehouse School of Medicine, Robert M. Mayberry, Ph.D., former Director and Principal Investigator.en
dc.language.isoen_USen
dc.publisherGeorgia Public Health Associationen
dc.relation.urlhttp://www.gapha.org/jgpha/jgpha-archives/en
dc.titleCare Quality for Adult Medicaid Beneficiaries with Type 2 Diabetes Varies by Primary Care Provider Subspecialtyen_US
dc.typeArticleen
dc.contributor.departmentBaylor Health Care Systemen
dc.identifier.journalJournal of the Georgia Public Health Associationen
dc.contributor.affiliationMorehouse Collegeen
refterms.dateFOA2019-04-09T22:54:02Z
html.description.abstractThe Georgia Medicaid primary care case management (PCCM) program, phased in over the 1994- 1997 period, has now given way to a capitated managed care model of regional care management organizations (CMOs). Using Georgia Medicaid eligibility and provider claim data for 1996-1998, this study investigated diabetes care quality and whether it varied by primary care provider subspecialty in a longitudinal follow-up of newly diagnosed adults with type 2 diabetes during the early phase of the PCCM program. Results indicated that the quality of diabetes care was suboptimal and varied significantly by PCP subspecialty, with patients seen by generalists least likely to have their HbA1c monitored as recommended during office visits (odds ratio = 0.34, (95% confidence interval 0.16- 0.73). No PCP subspecialty consistently performed better or worse on all diabetes care quality indicators investigated. The lessons learned from this investigation are that variations in Medicaid care quality by PCP subspecialty is likely to remain and the new CMO model of care will unlikely demonstrate immediate improvement in diabetes care quality.


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