Medical economics, quality improvement, and health services research.
Effect on Utilization and Outcome Patterns of the Shift of Women into Medicaid Managed Care. With T. Dye, R. Aubry, L. Roberge
Considerable interest attaches to the questions of the effects of shifting Medicaid patients into managed care. Will their utilization and outcomes patterns more resemble those of traditional Medicaid patients or those of non-Medicaid managed care patients? Using the Central New York Regional Perinatal Data System, this research compares prenatal care and obstetric delivery outcomes of women for whom the payor is Medicaid managed care with those for whom the payers are traditional Medicaid or non-Medicaid managed care.
Economic Aspects of Maternal and Child Health. With T. Dye
In recent years, there have been dramatic changes in the financing and delivery of health services. Clinicians, managed care organizations, and public health agencies must now address the competing priorities of cost-containment, efficiency, equity, and health promotion. This national level project concerns the design, development and implementation of workbooks and software that can be used by state and local public health agencies to enumerate their costs and outcomes to enable them to conduct and to interpret economic evaluations of their maternal and child health programs. We are also involved in the economics training of maternal and child health decision-makers.
Economic Aspects of the Cesarean Decision. With A. Tussing
This project examines various non-clinical aspects of the cesarean section decision. We studied the effects of organizational structure, payment source, malpractice, and regional economic conditions on cesarean sections in New York State.
Tussing, A.D. and M.A. Wojtowycz: Health maintenance organizations, independent practice associations, and cesarean section rates. Health Services Research 29:75-93, 1994.
Tussing, A.D. and M.A. Wojtowycz: Malpractice, defensive medicine and obstetric behavior. Medical Care, 1996 in press