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Social and Behavioral Sciences Commons

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Health Policy

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Western Michigan University

2002

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Demographic Factors Predictive Of Medicaid Enrollment In Michigan Counties, Dale Kennedy Howe Apr 2002

Demographic Factors Predictive Of Medicaid Enrollment In Michigan Counties, Dale Kennedy Howe

Dissertations

Recent changes in administration of the Medicaid program make it imperative that local agencies improve their ability to forecast demand for Medicaid services. In October of 1998 the State of Michigan redesigned the Medicaid specialty care in Michigan from a fee-for-service system to a capitated system. In a capitated healthcare system, financial risk is a result of unanticipated changes in the population size and mix. Numerous demographic factors, such as crime, population, unemployment, median age, income, and ethnicity may be used to improve the accuracy of predicted changes in enrollment for Medicaid. Using naive ordinary least squares models as the …