Medicaid and access to child health care in Chicago

Article Abstract:

Recent legislation meant to increase children's access to Medicaid-financed health care has little chance of succeeding with poor children because they live in inner-cities that lack physicians willing to treat Medicaid patients. This conclusion was based on Medicaid claim and zip-code data from Cook County, IL including Chicago. These data revealed that only 44.9% of participating Medicaid-accepting pediatricians had practices located where most poor children dwell. The broadening of Medicaid eligibility will probably improve the health care of near-poor children who live outside the inner-city.

Health aspects, Social aspects, Pediatricians, Child health services, Cook County, Illinois

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HMOs for Medicaid: the road to financial independence is often poorly paved

Article Abstract:

Health maintenance organizations (HMOs) in the Medicaid program can survive through careful financial management based on the evaluation of medical services. Private sector or fee-for-service Medicaid programs limit costs through choice of physicians and financial incentives for physicians, but these methods are impracticable for HMOs whose patients are mostly Medicaid beneficiaries. For these HMOs the realization of patient enrollment targets and physician participation are essential to financial success.

Research, Planning, Finance, Services, Medical care, Cost of, Health care costs, Health maintenance organizations, Robert Wood Johnson Foundation

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Should Medicaid be replaced?

Article Abstract:

Stephen Davidson was correct to argue that Medicaid's efficiency and effectiveness should be enhanced and that better data would help to improve the program. However, databases such as Davidson advocates would be undermined by problems. His advocacy of national health insurance to take the place of Medicaid is also mistaken. The existing evidence does not demonstrate that national health insurance would improve access and provider participation.

Analysis

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