Coordinated Care Organizations: Neonatal and Infant Outcomes in Oregon

S. Marie Harvey*, Lisa P. Oakley, Jangho Yoon, Jeff Luck

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

In 2012, Oregon’s Medicaid program implemented a comprehensive accountable care model delivered through coordinated care organizations (CCOs). Because CCOs are expected to improve utilization of services and health outcomes, neonatal and infant outcomes may be important indicators of their impact. Estimating difference-in-differences models, we compared prepost CCO changes in outcomes (e.g., low birth weight, abnormal conditions, 5-minute Apgar score, congenital anomalies, and infant mortality) between Medicaid and non-Medicaid births among 99,924 infants born in Oregon during 2011 and 2013. We further examined differences in the impact of CCOs by ethnicity and rurality. Following CCO implementation the likelihood of low birth weight and abnormal conditions decreased by 0.95% and 1.08%, a reduction of 13.4% and 10.4% compared with the pre-CCO level for Medicaid enrollees, respectively. These reductions could be predictive of lifelong health benefits for infants and lower costs for acute care and are, therefore, important markers of success for the CCO model.

Original languageEnglish
Pages (from-to)627-642
Number of pages16
JournalMedical Care Research and Review
Volume76
Issue number5
DOIs
StatePublished - 1 Oct 2019
Externally publishedYes

Keywords

  • Medicaid
  • accountable care organizations
  • coordinated care organizations
  • neonatal and infant outcomes

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