Article: Children's Preventive Care Use Under Two Mature Medicaid Managed Care Plans in California.

INTRODUCTION

The Santa Barbara Health Initiative (SBHI) and the Health Plan of San Mateo (HPSM) are two of the longest-running 1915(b) waiver programs in the United States; the SBHI was initiated in 1982 and the HPSM in 1987. As such, they provide a unique opportunity to investigate children, s preventive care use in mature Medicaid managed care (MMC) programs.

Most studies of MMC have focused on cross-sectional program effects from newly enrolled Medicaid participants or have explored pre/post program effects in early implementation years. In addition, previous studies could not always reliably gauge the impact of MMC because enrolled populations ...

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