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Posted to Web: July 01, 2005

Permanent Link: http://www.urban.org/url.cfm?ID=1000826

This study assesses the impact of mandatory Medicaid managed care in Missouri, relative to fee-for-service on prenatal care, maternal behavior, and low birth weight among pregnant women. Using birth certificate data linked to Medicaid enrollment data in 1995 and 2000, the authors found that managed care appears to have a positive effect on smoking cessation among pregnant women, but a negative effect on prenatal care and no effect on birth weight. The authors concluded that managed care appears to have a positive impact on smoking cessation but other policy changes may be needed to improve birth outcomes. (Sommers, Anna S., Kenney, Genevieve, and Dubay, Lisa. July 2005. "Implementation of Mandatory Medicaid Managed Care in Missouri: Impacts for Pregnant Women." American Journal of Managed Care 11(7): 433-442.)

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