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Association of a Targeted Population Health Management Intervention with Hospital Admissions and Bed-Days for Medicaid-Enrolled Children

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Key Points Question Is a targeted population health management intervention developed for children enrolled in Medicaid and cared for in a large pediatric health system associated with changes in hospital… Click to show full abstract

Key Points Question Is a targeted population health management intervention developed for children enrolled in Medicaid and cared for in a large pediatric health system associated with changes in hospital admissions or bed-days? Findings In this quality improvement study using difference-in-differences analysis of Medicaid-enrolled children, children exposed to an integrated population health management program experienced a reduction of 0.39 monthly admissions and 2.20 monthly bed-days per 1000 children compared with similar children in the community who were not exposed to the program. Annualized, these differences could translate to a reduction of 3600 bed-days for a population of 93 000 children eligible for Medicaid. Meaning Mobilizing interdisciplinary care teams for targeted children with high risk and spreading registry-based information technology tools across a Medicaid population may provide a scalable strategy for other health systems that aim to improve the value of services provided to this population.

Keywords: bed days; health management; medicaid; population health; health; population

Journal Title: JAMA Network Open
Year Published: 2019

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