State-Level Variation in Medicaid Managed Care Enrollment and Specialty Care for Publicly Insured Children.

ABSTRACT:

Importance

Medicaid and Children's Health Insurance Program cover almost 50% of children with special health care needs (CSHCN). CSHCN often require specialty services and have been increasingly enrolled in Medicaid managed care (MMC) plans, but there is a dearth of recent national studies on specialty care access among publicly insured children and particularly CSHCN.

Objective

To provide recent, nationwide evidence on the association of MMC penetration with specialty care access among publicly insured children, with a special focus on CSHCN.

Design, setting, and participants

This cross-sectional study used nationally representative data from the 2016 to 2019 National Survey of Children's Health to identify publicly insured children in 41 states that administered com

SUBMITTER: Hu JC 

PROVIDER: S-EPMC10556966 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature