{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:53:23Z","timestamp":1791359603904,"version":"4.3.1"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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\u2010enrolled children from 12 states in the 2022 Medicaid Marketscan database. 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. These findings highlight opportunities for preventive care and the need for strategies to increase access and optimize Medicaid's impact on children's health.<\/jats:p>","DOI":"10.1002\/jhm.70498","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:34:01Z","timestamp":1791358441000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medicaid utilization in children: Condition\u2010specific incidence and spending"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0115-8360","authenticated-orcid":false,"given":"Madelyn","family":"Hall","sequence":"first","affiliation":[{"name":"Texas Christian University Fort Worth Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay G.","family":"Berry","sequence":"additional","affiliation":[{"name":"Complex Care, Department of Medicine, Division of General Pediatrics Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7902-7000","authenticated-orcid":false,"given":"Samir S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Divisions of Hospital Medicine and Infectious Diseases, Cincinnati Children's Hospital Medical Center, Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6220-1399","authenticated-orcid":false,"given":"Vineeta","family":"Mittal","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hospital Medicine, Department of Pediatrics University of Texas Southwestern Medical Center and Children's Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7778-5887","authenticated-orcid":false,"given":"Matt","family":"Hall","sequence":"additional","affiliation":[{"name":"Children's Hospital Association Lenexa Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5436-7965","authenticated-orcid":false,"given":"Henry T.","family":"Puls","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Hospital Medicine, Children's Mercy Kansas City University of Missouri\u2010 Kansas City School of Medicine Kansas City Missouri USA"},{"name":"University of Kansas School of Medicine Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1616-7721","authenticated-orcid":false,"given":"Jessica L.","family":"Markham","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Hospital Medicine, Children's Mercy Kansas City University of Missouri\u2010 Kansas City School of Medicine Kansas City Missouri USA"},{"name":"University of Kansas School of Medicine Kansas City Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"2","article-title":"Medicaid spending by state, eligibility group, and dually eligible status","author":"EXHIBIT 21","year":"2024","journal-title":"MACPAC"},{"issue":"11","key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1001\/jamapediatrics.2022.2954","article-title":"Well\u2010child visit adherence","volume":"176","author":"Abdus S","year":"2022","journal-title":"JAMA Pediatr"},{"issue":"1","key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1542\/peds.108.1.90","article-title":"Effectiveness of compliance with pediatric preventive care guidelines among medicaid beneficiaries","volume":"108","author":"Hakim RB","year":"2001","journal-title":"Pediatrics"},{"issue":"1","key":"e_1_2_8_5_1","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1186\/s12889-017-4363-z","article-title":"The health and healthcare impact of providing insurance coverage to uninsured children: a prospective observational study","volume":"17","author":"Flores G","year":"2017","journal-title":"BMC Public Health"},{"issue":"2","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"431","DOI":"10.2307\/2946684","article-title":"Health insurance eligibility, utilization of medical care, and child health","volume":"111","author":"Currie J","year":"1996","journal-title":"Q J Econ"},{"issue":"1","key":"e_1_2_8_7_1","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1007\/s10995-014-1493-0","article-title":"Variation in child health care utilization by medical complexity","volume":"19","author":"Kuo DZ","year":"2015","journal-title":"Matern Child Health J"},{"issue":"5","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1001\/jamapediatrics.2020.6007","article-title":"Pediatric clinical classification system for use in inpatient settings","volume":"175","author":"Gill PJ","year":"2021","journal-title":"JAMA Pediatrics"},{"issue":"4","key":"e_1_2_8_9_1","first-page":"1","article-title":"ICD\u201010 simplifies preventive care coding, sort of","volume":"21","author":"Hughes C","year":"2014","journal-title":"Fam Pract Manag"},{"key":"e_1_2_8_10_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.ypmed.2020.106150","article-title":"Prevention is life\u2010 and cost\u2010saving","volume":"138","author":"Baussano I","year":"2020","journal-title":"Prev Med"},{"issue":"4","key":"e_1_2_8_11_1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1001\/jamapediatrics.2014.3670","article-title":"Collaborative centralized reminder\/recall notification to increase immunization rates among young children: a comparative effectiveness trial","volume":"169","author":"Kempe A","year":"2015","journal-title":"JAMA Pediatr"},{"issue":"12","key":"e_1_2_8_12_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-031666","article-title":"Community health workers involvement in preventative care in primary healthcare: a systematic scoping review","volume":"9","author":"Sharma N","year":"2019","journal-title":"BMJ Open"},{"issue":"4","key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/S1054-139X(96)00088-2","article-title":"School\u2010based health centers and adolescent use of primary care and hospital care","volume":"19","author":"Santelli J","year":"1996","journal-title":"J Adolesc Health"},{"issue":"3","key":"e_1_2_8_14_1","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2021-053129","article-title":"Telehealth: improving access to and quality of pediatric health care","volume":"148","author":"Curfman AL","year":"2021","journal-title":"Pediatrics"},{"key":"e_1_2_8_15_1","unstructured":"KrutikaA BrettL AllisonC et al. Preventive services use among people with private insurance coverage. Peterson\u2010KFF Health System Tracker.2023. Accessed April 17 2025.https:\/\/www.healthsystemtracker.org\/brief\/preventive-services-use-among-people-with-private-insurance-coverage\/"},{"issue":"1","key":"e_1_2_8_16_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.acap.2008.11.004","article-title":"Primary care quality and subsequent emergency department utilization for children in wisconsin medicaid","volume":"9","author":"Brousseau DC","year":"2009","journal-title":"Acad Pediatr"},{"key":"e_1_2_8_17_1","unstructured":"JeffreyL LauraMS ChrissieJ. Prevention for a Healthier America. TFAH.2009. Accessed April 18 2025.https:\/\/www.tfah.org\/report-details\/prevention-for-a-healthier-america\/"},{"key":"e_1_2_8_18_1","unstructured":"Medicaid and CHIP Payment and Access Commission. Availability of Race and Ethnicity Data for Medicaid Beneficiaries. MACPAC. March 29 2022. Accessed November 26 2025.https:\/\/www.macpac.gov\/publication\/availability-of-race-and-ethnicity-data-for-medicaid-beneficiaries\/"},{"issue":"7","key":"e_1_2_8_19_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamahealthforum.2022.1812","article-title":"Cautions when using race and ethnicity in administrative claims data sets","volume":"3","author":"Nead KT","year":"2022","journal-title":"JAMA Health Forum"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.70498","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhm.70498","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.70498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:34:06Z","timestamp":1791358446000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.70498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":18,"alternative-id":["10.1002\/jhm.70498"],"URL":"https:\/\/doi.org\/10.1002\/jhm.70498","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"value":"1553-5592","type":"print"},{"value":"1553-5606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"assertion":[{"value":"2025-07-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jhm.70498"}}