Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to browse AJSM online!

Sign In to gain access to subscriptions and/or personal tools.
Medical Care Research and Review
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Shenkman, E.
Right arrow Articles by Schatz, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shenkman, E.
Right arrow Articles by Schatz, D.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Persistence of High Health Care Expenditures among Children in Medicaid

Elizabeth Shenkman

University of Florida

Caprice Knapp

University of Florida

David Sappington

University of Florida

Bruce Vogel

University of Florida

Des Schatz

University of Florida

Cross-sectional studies show that a small percentage of children consume a large portion of the health care dollar. However, little is known about the persistence of high health care expenditures among children enrolled in Medicaid health maintenance organizations (HMOs) or in primary care case management (PCCM) programs. This study found substantial expenditure persistence during a 3-year period. Among Temporary Aid to Needy Families (TANF) children in HMOs in the top 10 percent of the expenditure distribution in 2003, 34 percent remained in the top 10 percent in 2004, and 23 percent remained in the top 10 percent in 2005. Similar patterns were observed for TANF children in the PCCM. Expenditure persistence varied based on the enrollees' enabling and need characteristics, providing opportunities to identify children with high health care expenditures who may benefit from care coordination.

Key Words: health care expenditures • children • Medicaid • health status

Medical Care Research and Review, Vol. 64, No. 3, 304-330 (2007)
DOI: 10.1177/1077558707299864
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Palliat MedHome page
C Knapp, I. Huang, V Madden, S Vadaparampil, G Quinn, and E Shenkman
An evaluation of two decision-making scales for children with life-limiting illnesses
Palliative Medicine, September 1, 2009; 23(6): 518 - 525.
[Abstract] [PDF]

Home page
 AM J HOSP PALLIAT CAREHome page
C. A. Knapp, L. A. Thompson, W. B. Vogel, V. L. Madden, and E. A. Shenkman
Developing a Pediatric Palliative Care Program: Addressing the Lack of Baseline Expenditure Information
American Journal of Hospice and Palliative Medicine, February 1, 2009; 26(1): 40 - 46.
[Abstract] [PDF]