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Posted to Web: July 01, 2005

Permanent Link: http://www.urban.org/url.cfm?ID=1000827

This study examined the impact of mandatory HMO enrollment on prenatal care use, smoking, and birth weight for Medicaid-covered pregnant women in Ohio using linked birth certificate and Medicaid data in 10 Ohio counties. They found that mandatory HMO enrollment had positive effects on prenatal care and led to a reduction in maternal smoking but found no effects on birth weight. The authors conclude that with careful implementation and attention to individual differences, outcomes for pregnant women may improve with Medicaid managed care. (Kenney, Genevieve, Anna Sommers, and Lisa Dubay. July 2005. "Moving to Mandatory Medicaid Managed Care in Ohio: Impacts for Pregnant Women and Infants." Medical Care 43(7): 683-690.)

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