TitleCoordinated Care Organizations: Neonatal and Infant Outcomes in Oregon.
Publication TypeJournal Article
Year of Publication2017
AuthorsS Harvey, M, Oakley, LP, Yoon, J, Luck, J
JournalMed Care Res Rev
Pagination1077558717741980
Date Published2017 Nov 01
ISSN1552-6801
Abstract
 

In 2012, Oregon's Medicaid program implemented a comprehensive accountable care model delivered through coordinated care organizations (CCOs). Because CCOs are expected to improve utilization of services and health outcomes, neonatal and infant outcomes may be important indicators of their impact. Estimating difference-in-differences models, we compared prepost CCO changes in outcomes (e.g., low birth weight, abnormal conditions, 5-minute Apgar score, congenital anomalies, and infant mortality) between Medicaid and non-Medicaid births among 99,924 infants born in Oregon during 2011 and 2013. We further examined differences in the impact of CCOs by ethnicity and rurality. Following CCO implementation the likelihood of low birth weight and abnormal conditions decreased by 0.95% and 1.08%, a reduction of 13.4% and 10.4% compared with the pre-CCO level for Medicaid enrollees, respectively. These reductions could be predictive of lifelong health benefits for infants and lower costs for acute care and are, therefore, important markers of success for the CCO model.

DOI10.1177/1077558717741980
Alternate JournalMed Care Res Rev
PubMed ID29161977