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Benchmarking Preventive Care Medicaid Rates to Private Payers

JAMA Health Forum 10.1001/jamahealthforum.2026.3157

September 04, 2026 at 11:00 AM EDT

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This cross-sectional study used Current Procedural Terminology codes and 2023 claims data to compare preventive care rates across Medicaid managed care organizations and employer-sponsored, Marketplace, and Medicare Advantage plans in Virginia.

Corresponding Author: Meredith Young, MNSP, Virginia Center for Health Innovation, PO Box 1248, Midlothian, VA, 23113 (meredith@vahealthinnovation.org).

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