Cesarean and VBAC Delivery Rates in Medicaid Managed Care, Medicaid Fee-for-Service, and Private Managed Care
Denise M. Oleske PhD
Denise Oleske, Robert Marder, Karen Nachman, and Lee Thompson are with Rush University/Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.,
Dr. Oleske, an epidemiologist, is an Associate Professor in the Departments of Health Systems Management and Preventive Medicine,
Search for more papers by this authorEdward S. Linn MD
Edward Linn is Chairman, Department of Obstetrics and Gynecology with Advocate Lutheran General Hospital, Park Ridge, Illinois.
Search for more papers by this authorKaren L. Nachman MS
Denise Oleske, Robert Marder, Karen Nachman, and Lee Thompson are with Rush University/Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.,
Ms. Nachman is a statistical programmer in the Department of Health Systems Management,
Search for more papers by this authorRobert J. Marder MD
Denise Oleske, Robert Marder, Karen Nachman, and Lee Thompson are with Rush University/Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.,
Dr. Marder, a pathologist, is Assistant Vice President, Quality Services Division,
Search for more papers by this authorLee D. Thompson PhD
Denise Oleske, Robert Marder, Karen Nachman, and Lee Thompson are with Rush University/Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.,
Dr. Thompson, a mathematician, is Assistant Professor in the Department of Health Systems Management,
Search for more papers by this authorDenise M. Oleske PhD
Denise Oleske, Robert Marder, Karen Nachman, and Lee Thompson are with Rush University/Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.,
Dr. Oleske, an epidemiologist, is an Associate Professor in the Departments of Health Systems Management and Preventive Medicine,
Search for more papers by this authorEdward S. Linn MD
Edward Linn is Chairman, Department of Obstetrics and Gynecology with Advocate Lutheran General Hospital, Park Ridge, Illinois.
Search for more papers by this authorKaren L. Nachman MS
Denise Oleske, Robert Marder, Karen Nachman, and Lee Thompson are with Rush University/Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.,
Ms. Nachman is a statistical programmer in the Department of Health Systems Management,
Search for more papers by this authorRobert J. Marder MD
Denise Oleske, Robert Marder, Karen Nachman, and Lee Thompson are with Rush University/Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.,
Dr. Marder, a pathologist, is Assistant Vice President, Quality Services Division,
Search for more papers by this authorLee D. Thompson PhD
Denise Oleske, Robert Marder, Karen Nachman, and Lee Thompson are with Rush University/Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.,
Dr. Thompson, a mathematician, is Assistant Professor in the Department of Health Systems Management,
Search for more papers by this authorThis research was supported by a HCFA grant no. 18-P-90249/5. The statements contained in this manuscript are solely those of the authors and do not necessarily reflect the views or policies of HCFA, the State of California, or the State of Florida.
References
- 1 Kazandjian VA, Summer SJ. Evaluating the appropriateness of care: A study of cesarean section rates. QRB Qual Rev Bull 1989; 15: 206–214.
- 2 Agency for Health Care Policy and Research. HCUP-3 Quality Indicators Methods and SoftwareVersion 1.1. Rockville, MD: Author, 1995.
- 3 Joint Commission on Accreditation of Healthcare Organizations. The Measurement Mandate: On the Road to Performance Improvement in Health Care. Oakbrook Terrace, IL: Author, 1993.
- 4 Jones L, LoGerfo J, Shy K Washington's Statewide Obstetrical Review and Quality System: Overview and provider evaluation. QRB Qual Rev Bull 1993; 110–118.
- 5 National Committee for Quality Assurance. HEDIS 3.0 (R) Reporting and Testing Set Measures.http://www.ncqa/news/hedsimeas.htm, 1997.
- 6 Schimmel LM, Schimmel LD, DeJoseph J. Toward lower cesarean birth rates and effective care: Five years' outcomes of joint private obstetric practice. Birth 1997; 24: 181–187.
- 7
Heineke J.
Strategic operations management decisions and professional performance in U.S. HMO's.
J Operations Manage
1995; 13: 255–272.
10.1016/0272-6963(95)00035-6 Google Scholar
- 8 Taffel SM, Placek PJ. Complications in cesarean and non-cesarean deliveries: United States, 1980. Am J Public Health 1983; 73: 856–860.
- 9 National Academy for State Health Policy. Quality Improvement Standards and Processes Used by Select Public and Private Entities to Monitor Performance of Managed Care Plans: A Summary. Portland, ME: Author, 1995.
- 10 Carey TS, Weis K, Homer C. Prepaid versus traditional Medicaid plans: Lack of effect on pregnancy outcomes and prenatal care. HSR Health Services Res 1991; 26: 165–181.
- 11 Balaban D, McCall N, Jones-Bauer E. Quality of Medicaid Managed Care: An Evaluation of the Arizona Health Care Cost Containment System (AHCCCS). Health Policy Research Series (Discussion Paper #94-2). San Francisco: Laguna Research Associates, 1994.
- 12 Goldfarb NI, Hillman AL, Eisenberg Jm Impact of a mandatory Medicaid case management program on prenatal care and birth outcomes. A retrospective analysis. Med Care 1991; 29: 64–71.
- 13 Oleske DM. Hospital Obstetrical Care: A Comparison of Quality Indicators in Medicaid Fee-for-Service and Medicaid Managed Care Groups. HCFA no. 18P90429/5 Springfield, VA. National Technical Information Service (in press).
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