MARC details
| 000 -LEADER |
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| fixed length control field |
03215nam a22004937a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
210218s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1088-0224 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.37765/ajmc.2021.88585 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
88585 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
33577155 |
| 245 ## - TITLE STATEMENT |
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| Title |
Primary care for new vs established Medicaid enrollees. |
| 251 ## - Source |
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| Source |
American Journal of Managed Care. 27(2):72-78, 2021 02. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Am J Manag Care. 27(2):72-78, 2021 02. |
| 252 ## - Abbreviated Source |
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| Former abbreviated source |
Am J Manag Care. 27(2):72-78, 2021 Feb. |
| 253 ## - Journal Name |
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| Journal name |
The American journal of managed care |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2021 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2021-02-18 |
| 268 ## - Previous citation |
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| -- |
American Journal of Managed Care. 27(2):72-78, 2021 Feb. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: The first 6 months of ACA implementation in New Jersey were marked by a surge in Medicaid/CHIP enrollment that extended beyond the ACA target population, greater enrollment retention, and apparent bottlenecks in PC delivery. After the initial surge, new enrollees used PC at rates at least as high as in the pre-ACA period, whereas established enrollees used PC at a declining rate throughout the post-ACA period. PC delivery for new enrollees may have limited the availability of services for some established enrollees. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
METHODS: Pre-/post-ACA trends in total enrollment and PC visits among newly enrolled and established patients were analyzed in half-year increments from the first half of 2012 to the second half of 2016. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
OBJECTIVES: To understand changes in primary care (PC) utilization in Medicaid and the Children's Health Insurance Program (CHIP) 3 years after the Affordable Care Act (ACA). |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: After ACA expansion, there was a temporary surge in new Medicaid/CHIP enrollment (which included surges in pre-ACA eligibility categories) and slow, steady growth in total enrollment. The percentage of new enrollees completing a PC visit within 90, 180, and 365 days of enrollment fell markedly in the first half of 2014 and then rebounded to pre-ACA levels thereafter. Conversely, the percentage of new enrollees remaining enrolled at 90, 180, and 365 days spiked upward in the first half of 2014 and gradually fell thereafter. Among established enrollees, PC visits per person exhibited a downward trend throughout the post-ACA period, driven mostly by a decline in the percentage of individuals with any PC visits. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
STUDY DESIGN: Secondary data analysis using Medicaid/CHIP paid claims and managed care encounters. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Medicaid |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Patient Protection and Affordable Care Act |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Child |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Delivery of Health Care |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Eligibility Determination |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Health Services Accessibility |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Insurance Coverage |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Primary Health Care |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
United States |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Health Research Institute |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
DeLia, Derek |
| 790 ## - Authors |
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| All authors |
DeLia D |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.37765/ajmc.2021.88585">https://dx.doi.org/10.37765/ajmc.2021.88585</a> |
| Public note |
https://dx.doi.org/10.37765/ajmc.2021.88585 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
