Transportation brokerage services and Medicaid beneficiaries' access to care.

ABSTRACT:

Objective

To examine the effect of capitated transportation brokerage services on Medicaid beneficiaries' access to care and expenditures.

Data sources/study setting

The study period from 1996 to 1999 corresponds to the period of a natural experiment during which Georgia and Kentucky implemented transportation brokerage services. Effects were estimated for asthmatic children and diabetic adults.

Study design

We used difference-in-differences models to assess the effects of transportation brokerage services on access to care, measured by Medicaid expenditures and health services use. The study design is strengthened by the staggered implementation dates between states and within each state.

Principal findings

For asthmatic children, transportation brokerage serv

SUBMITTER: Kim J 

PROVIDER: S-EPMC2669622 | biostudies-literature | 2009 Feb

REPOSITORIES: biostudies-literature