TABLE 4.

Associations With Managed Care and Specialist Use by Chronic Condition/Disability Status: ORs and 95% CIs From Multivariate Logistic Regression Predicting Specialist Use

Coverage TypeMedicaid-Insured ChildPrivately Insured Child
All Medicaid-Insured ChildrenMedicaid-Insured Child With a Chronic Condition or DisabilityMedicaid-Insured Child Without a Chronic Condition or DisabilityAll Privately Insured ChildrenPrivately Insured Child With a Chronic Condition or DisabilityPrivately Insured Child Without a Chronic Condition or Disability
OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)
Odds of seeing a specialist among children with Medicaid insurance
 Needs administrative approval to see a subspecialist1.20 (0.84–1.72)(0.57–1.82)1.29 (0.88–1.89)
 No administrative approval needed111
Odds of seeing a specialist among children with private insurance
 HMO0.79 (0.66–0.94)0.94 (0.67–1.32)0.77 (0.64–0.93)
 Non-HMO111
  • Note that the other coverage category is not shown. Findings in bold type are statistically significant at ≤.05.