OBJECTIVES: This Seattle project measured sexual health services provided to 1112 Medicaid managed care enrollees aged 14 to 18 years. METHODS: Three health maintenance organizations (HMOs) that provide Medicaid services for a capitated rate agreed to participate. These included a non-profit staff-model HMO, a for-profit independent practice association (IPA), and a non-profit alliance of community clinics. Analyses used health maintenance organizations' administrative data, chart reviews, and Medicaid encounter data. RESULTS: Health maintenance organizations provided primary care to 54% and well care to 20% of Medicaid enrollees. Girls were more likely than boys to have their sexual history taken or to be given condom counseling. Only 27% of sexually active girls were tested for chlamydia, with significantly lower rates of testing among those who spoke English as a second language. The nonprofit staff-model plan outperformed the for-profit independent practice association on most measures. CONCLUSIONS: Substantial room for improvement exists in sexual health services delivery to adolescent Medicaid managed care enrollees.
OBJECTIVES: This Seattle project measured sexual health services provided to 1112 Medicaid managed care enrollees aged 14 to 18 years. METHODS: Three health maintenance organizations (HMOs) that provide Medicaid services for a capitated rate agreed to participate. These included a non-profit staff-model HMO, a for-profit independent practice association (IPA), and a non-profit alliance of community clinics. Analyses used health maintenance organizations' administrative data, chart reviews, and Medicaid encounter data. RESULTS: Health maintenance organizations provided primary care to 54% and well care to 20% of Medicaid enrollees. Girls were more likely than boys to have their sexual history taken or to be given condom counseling. Only 27% of sexually active girls were tested for chlamydia, with significantly lower rates of testing among those who spoke English as a second language. The nonprofit staff-model plan outperformed the for-profit independent practice association on most measures. CONCLUSIONS: Substantial room for improvement exists in sexual health services delivery to adolescent Medicaid managed care enrollees.
Authors: Arik V Marcell; Susannah E Gibbs; Nanlesta A Pilgrim; Kathleen R Page; Renata Arrington-Sanders; Jacky M Jennings; Penny S Loosier; Patricia J Dittus Journal: J Adolesc Health Date: 2017-11-08 Impact factor: 5.012
Authors: Jane M Garbutt; Erin Leege; Randall Sterkel; Shannon Gentry; Michael Wallendorf; Robert C Strunk Journal: Clin Pediatr (Phila) Date: 2012-07-26 Impact factor: 1.168
Authors: Sara L Toomey; Marc N Elliott; David C Schwebel; Susan R Tortolero; Paula M Cuccaro; Susan L Davies; Vinay Kampalath; Mark A Schuster Journal: Acad Pediatr Date: 2016-01-20 Impact factor: 3.107