Projection of Oklahoma's pediatric transportation need and financial benefits of transporting them to primary care

John-Martin Willmann, Marjorie Erdmann, William Paiva

Research output: Contribution to conferencePoster

Abstract

Children that do not have access or transportation to the doctor’s office tend to miss appointments. Often they end up in the emergency room (ER) which results in avoidable ER cost which is incurred by the insurance companies and state and federal payers. The hypothesis is: transporting pediatric patients in need of same or next day primary care would create cost savings from preventable ER visits. This study examines the results from a pilot transportation project conducted at a rural Oklahoma pediatric clinic and attempts to extrapolate these results to predict Oklahoma’s statewide Medicaid pediatric no-show rate from a confirmed no-ride rate. Using rural clinic data and publicly available state Medicaid data, we predicted the number of statewide pediatric missed visits, the number of sick children visits, and incurred avoidable ER visit costs. These data suggest there are 52,386 missed visits which totals to $5,066,808 of lost clinic revenue. Of these, 36,908 are estimated to be sick visits and 16.7% of these children will incur an ER visit at a cost of $1,316 per visit according the Oklahoma Health Care Authority published data. This translates into $8,095,279 in avoidable ER visit costs. The results suggest the lack of transportation for sick Medicaid children in need of same day or next day primary care generates higher health care cost. Moreover, a sick child’s lack of health care will result in long term secondary and tertiary impacts and implications on family, community, and state.
Original languageAmerican English
StatePublished - 22 Aug 2020
EventOklahoma State University Center for Health Sciences Research Day 2019 - Oklahoma State University Center for Health Sciences, TULSA, United States
Duration: 21 Feb 201922 Feb 2019
https://hdl.handle.net/11244/323882

Conference

ConferenceOklahoma State University Center for Health Sciences Research Day 2019
Abbreviated titleResearch Day 2019
CountryUnited States
CityTULSA
Period21/02/1922/02/19
Internet address

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    Willmann, J-M., Erdmann, M., & Paiva, W. (2020). Projection of Oklahoma's pediatric transportation need and financial benefits of transporting them to primary care. Poster session presented at Oklahoma State University Center for Health Sciences Research Day 2019, TULSA, United States. https://shareok.org/handle/11244/323874