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The Effect of Disease Management on Utilization of Services by Race/Ethnicity: Evidence From the Florida Medicaid Program (American Journal of Managed Care)

Publication Topics

Cost and Utilization Studies; Chronic Condition Prevalence; Asthma; Diabetes; Medicaid/Medi-Cal; Health Care Economics; Health Status and Conditions; Health Insurance Coverage and Programs

Publication Type

Journal Article

Publication Date


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<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=144&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=144&RootFolder=*">Gerald F. Kominski, PhD</a>

Author 2

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=10&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=10&RootFolder=*">Donald E. Morisky</a>

Author 3

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=199&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=199&RootFolder=*">Abdelmonem A. Afifi</a>

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<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=473&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=473&RootFolder=*">Jenny B. Kotlerman</a>

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This study measured possible racial/ethnic differences in a Florida disease management (DM) program on utilization of selected healthcare services for four chronic illnesses. Disease management patients in the postperiod had significantly lower annual rates of inpatient days, emergency department visits, and outpatient visits across most racial/ethnic groups. Disease management reduced utilization by a similar absolute amount in each racial/ethnic group. However, baseline disparities in utilization of inpatient days were not reduced by the DM program. Disease management has a similar effect across different racial/ethnic groups but may not ameliorate important baseline disparities. Evaluations of DM programs should account for baseline disparities in utilization and examine whether those disparities can be reduced through DM.


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Version: 2.0
Created at 9/27/2011 11:58 AM by Harout Katerjian
Last modified at 1/11/2013 11:20 AM by i:0#.f|uclachissqlmembershipprovider|jonathan