Who participates in state sponsored Medicaid XXXX ?

@entity1 @entity14782 @entity308
Medicaid insures an estimated 43% of all births in Michigan and provides additional funding for @entity14782 ( @entity14782 ). The objectives of this study are to report on the (1) use of statewide administrative data to examine risk characteristics and @entity14782 enrollment of Medicaid-insured pregnant @entity1 in Michigan; and (2) presence and extent of a broad range of risk factors in a sample of @entity14782 @entity1 in Michigan, using a newly developed two-tier, risk screener and assessment tool. This study uses Vital Records, Medicaid and other data to describe @entity14782 participation by maternal risks in the statewide population of Medicaid-insured pregnant @entity1 (54,582 in the fiscal year 2005). The screener study data is a convenience sample of 2,203 @entity1 screened between February 2005 and October 2007. The administrative data indicates that 26% of Medicaid-eligible pregnant @entity1 had @entity14782 contact. Most @entity1 with health behavior risks, such as smoking and drug use, had no contact with @entity14782 (68-72%). Approximately 58% of all Medicaid-insured @entity1 had zero to two co-occurring risks, while 42% had three or more of the analyzed risks. Among screened @entity1 who smoke, 9% smoked more than a pack a day. Approximately 34% of @entity1 with a @entity308 screen scored in the moderately or severely @entity308 range. The results of this study suggest great opportunity for @entity14782 enhancement by improving the capacity to identify and engage @entity1 with modifiable risks, match interventions to specific health problems, and deliver services at an intensity warranted by the risk level.
