Medicaid Managed Care - U.S. Senate Special Committee on Aging

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aCrildren ages one through five enrolled in HIMOs were twice as lkely to receive the Measles,
Mumps, and Rubella (MMR) vaccine as children enroled infee-for-service. I the aggregate.
HMOs reported that they administered the M)4R vaccine to 20 percent compared to only ten percent
of children in this age range receiving <strong>Medicaid</strong> services through the fee-for-service system. In recent
years, many Wisconsin children contracted measles because tbey had notbeeQ immunized. Children
should receive the NM vaccine first between 12 and 15 months of ageand again between age four and
six Six cases of measles werereporred in Wisconsinin 1995.
Percent of children (ages 1 -6) who weregiven the MMR vacdne In 1995
MEM
* HMOs reporedperforming kead =ests on childrenfrom bi&%h to 20years of age alnost twice as
often (12%)o asfee-for-service (71%). Milwaukee lHMOs rportedthe highest rates of lead screens
(14%o). High lead levels can result in serious developmental problems, especially in the very young.
Percent of children (ages 0-20) who had at least one blood lead test in 1995
or,
Wf
GM=
Women's Health
- HMOs reported much higher Pap test rates (341) in women over2O years of age than did feefor-service
(20%o). Due in great part to increased Pap test rates, fewer than three women in every
100,000 die each year from cervical cancer. Women should have a Pap test every one to three yeArs.
depending on cheirrisk.
Percent of women (ages 21 and above) who had at least one Pap test in 1995
- HMOs reportedfewer Cesarean section deliver&el212%) as compared tofee-for-service (I7%o).
Cesarean section deliveries have been associated with higherrates of complication and death whencompared
to vaginal deliveries.
Percent of deliveries thatwere Cesarean sections in 1995
..
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