{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:37:34Z","timestamp":1787315854057,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,10,27]],"date-time":"2019-10-27T00:00:00Z","timestamp":1572134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000130","name":"National Center for Chronic Disease Prevention and Health Promotion","doi-asserted-by":"publisher","award":["1U01DP004783\u201001"],"award-info":[{"award-number":["1U01DP004783\u201001"]}],"id":[{"id":"10.13039\/100000130","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the impact of Oregon's Coordinated Care Organizations (CCOs), an accountable care model for Oregon Medicaid enrollees implemented in 2012, on neonatal and infant mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>Oregon birth certificates linked with death certificates, and Medicaid\/CCO enrollment files for years 2008\u20102016.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>The sample consisted of the pre\u2010CCO birth cohort of 135\u00a0753 infants (August 2008\u2010July 2011) and the post\u2010CCO birth cohort of 148\u00a0650 infants (August 2012\u2010December 2015). We used a difference\u2010in\u2010differences probit model to estimate the difference in mortality between infants enrolled in Medicaid and infants who were not enrolled. We examined heterogeneous effects of CCOs for preterm and full\u2010term infants and the impact of CCOs over the implementation timeline. All models were adjusted for maternal and infant characteristics and secular time trends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>The CCO model was associated with a 56 percent reduction in infant mortality compared to the pre\u2010CCO level (\u22120.20 percentage points [95% CI: \u22120.35; \u22120.05]), and also with a greater reduction in infant mortality among preterm infants compared to full\u2010term infants. The impact on mortality grew in magnitude over the postimplementation timeline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The CCO model contributed to a reduction in mortality within the first year of birth among infants enrolled in Medicaid.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.13228","type":"journal-article","created":{"date-parts":[[2019,10,27]],"date-time":"2019-10-27T22:47:47Z","timestamp":1572216467000},"page":"1193-1202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Coordinated Care Organizations and mortality among low\u2010income infants in Oregon"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0854-6476","authenticated-orcid":false,"given":"Linh N.","family":"Bui","sequence":"first","affiliation":[{"name":"College of Public Health and Human Sciences Oregon State University Corvallis Oregon"},{"name":"Health Management and Policy Program College of Public Health and Human Sciences Oregon State University Corvallis Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7385-4515","authenticated-orcid":false,"given":"Jangho","family":"Yoon","sequence":"additional","affiliation":[{"name":"College of Public Health and Human Sciences Oregon State University Corvallis Oregon"},{"name":"Health Management and Policy Program College of Public Health and Human Sciences Oregon State University Corvallis Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Marie","family":"Harvey","sequence":"additional","affiliation":[{"name":"College of Public Health and Human Sciences Oregon State University Corvallis Oregon"},{"name":"Health Management and Policy Program College of Public Health and Human Sciences Oregon State University Corvallis Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Luck","sequence":"additional","affiliation":[{"name":"College of Public Health and Human Sciences Oregon State University Corvallis Oregon"},{"name":"Health Management and Policy Program College of Public Health and Human Sciences Oregon State University Corvallis Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,27]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"JiangY GranjaMR KoballH.Basic facts about low\u2010income children: children under 3 years 2015.2017."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.2.331"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.82.8.1119"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2307\/145316"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-2181"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-3378"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.2307\/2946684"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304218"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.9.1354"},{"key":"e_1_2_8_11_1","unstructured":"Child Welfare League of America.Oregon's children 2017.2017;https:\/\/www.cwla.org\/wp-content\/uploads\/2017\/03\/OREGON.pdf. Accessed March 15 2018."},{"key":"e_1_2_8_12_1","unstructured":"National Center for Children in Poverty.Oregon demographics of low\u2010income children.2017;http:\/\/www.nccp.org\/profiles\/OR_profile_6.html. Accessed March 15 2018."},{"key":"e_1_2_8_13_1","unstructured":"Oregon Health Authority.Oregon's health system transformation: annual update.Oregon Health Authority; Jan2016."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2013.11.002"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1215\/03616878-2854919"},{"key":"e_1_2_8_16_1","volume-title":"Evaluation on of Oregon's 2012\u20132017 Medicaid Waiver","author":"Kushner J","year":"2017"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1215\/03616878-2744450"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1215\/03616878-2854959"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.1298"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-017-2322-z"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.9098"},{"key":"e_1_2_8_22_1","unstructured":"Oregon Health Authority.Oregon health system transformation: CCO metrics 2017 final report.2018."},{"key":"e_1_2_8_23_1","unstructured":"Colorado Health Institute.The route to the RAEs: analyzing the next phase of Medicaid's Accountable Care Collaborative in Colorado.2017."},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13199"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2725"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.3446"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1840"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558718823132"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558717741980"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2014.10.027"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5245(00)17932-5"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2008.74"},{"key":"e_1_2_8_33_1","unstructured":"Oregon Health Authority.Oregon's health system transformation legislative update report.2018."},{"key":"e_1_2_8_34_1","unstructured":"Oregon Health Authority.Oregon health plan (MCO and CCO) administrative rulebook. InPrograms HSDIH ed2017."},{"key":"e_1_2_8_35_1","volume-title":"Rural\u2010urban community area codes (RUCAs)","author":"University of Washington"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1765(03)00032-6"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.9.1414"},{"key":"e_1_2_8_38_1","volume-title":"Standards for Obstetric\u2010Gynecologic Services","author":"American College of Obstetricians and Gynecologists. Committee on Professional Standards QACoO, Gynecologists","year":"1985"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10742-014-0123-z"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/asw047"},{"key":"e_1_2_8_41_1","volume-title":"CCO 2.0 Recommendations of the Oregon Health Policy Board","author":"Oregon Health Authority Health Policy & Analytics Division","year":"2018"},{"key":"e_1_2_8_42_1","volume-title":"Achieving the Triple Aim in Medicaid: Evaluating the Access, Quality, Health and Cost Impacts of Coordinated Care Organizations in Oregon","author":"Smith J","year":"2015"}],"container-title":["Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.13228","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1475-6773.13228","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.13228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T18:23:02Z","timestamp":1694197382000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1475-6773.13228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,27]]},"references-count":41,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1111\/1475-6773.13228"],"URL":"https:\/\/doi.org\/10.1111\/1475-6773.13228","archive":["Portico"],"relation":{},"ISSN":["0017-9124","1475-6773"],"issn-type":[{"value":"0017-9124","type":"print"},{"value":"1475-6773","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,27]]},"assertion":[{"value":"2019-10-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}