Findings on Managed Care Described by Researchers at Boston Children’s Hospital (Medicaid utilization in children: Condition-specific incidence and spending): Managed Care

2026 OCT 15 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Current study results on Managed Care have been published. According to news reporting originating from Boston, Massachusetts, by NewsRx correspondents, research stated, “Medicaid insures over half of US children, yet gaps remain in understanding how funds are allocated across the care of nonchronic conditions, the care of chronic conditions, and preventative services. We conducted a retrospective analysis of 7.2 million Medicaid-enrolled children from 12 states in the 2022 Medicaid Marketscan database.”

Our news editors obtained a quote from the research from Boston Children’s Hospital, “Only 78.5% of enrolled children had a Medicaid healthcare claim. Among those with at least one Medicaid claim, half received preventative care, accounting for just 8.5% of total Medicaid spending. Care of nonchronic conditions accounted for the highest proportion (50.4%) of spending, while the care of chronic conditions affected 27.7% of children and represented 41.1% of spending.”

According to the news editors, the research concluded: “These findings highlight opportunities for preventive care and the need for strategies to increase access and optimize Medicaid’s impact on children’s health.”

This research has been peer-reviewed.

For more information on this research see: Medicaid utilization in children: Condition-specific incidence and spending. Journal of Hospital Medicine, 2026. Journal of Hospital Medicine can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Journal of Hospital Medicine - http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1553-5606)

The news editors report that additional information may be obtained by contacting Jay G. Berry, Complex Care, Dept. of Medicine, Division of General Pediatrics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts, United States. Additional authors for this research include Madelyn Hall, Samir S. Shah, Vineeta Mittal, Matt Hall, Henry T. Puls and Jessica L. Markham.

Publisher contact information for the Journal of Hospital Medicine is: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA.

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