Literature DB >> 33532967

Enrollee Experience with Providers in the Arkansas Medicaid Expansion Program.

Mary Bollinger1,2, Jeff Pyne3,4, Anthony Goudie5,6, Xiaotong Han3,4, Teresa J Hudson3,4, Joseph W Thompson5,6.   

Abstract

BACKGROUND: Patient ratings of their healthcare experience as a quality measure have become critically important since the implementation of the Affordable Care Act (ACA). The ACA enabled states to expand Medicaid eligibility to reduce uninsurance nationally. Arkansas gained approval to use Medicaid funds to purchase a qualified health plan (QHP) through the ACA marketplace for newly eligible beneficiaries.
OBJECTIVE: We compare patient-reported satisfaction between fee-for-service Medicaid and QHP participants.
DESIGN: The Consumer Assessment of Healthcare Providers and Systems (CAHPS) was used to identify differences in Medicaid and QHP enrollee healthcare experiences. Data were analyzed using a regression discontinuity design. PARTICIPANTS: Newly eligible Medicaid expansion participants enrolled in Medicaid during 2013 completed the Consumer Assessment of Health Providers and Systems (CAHPS) survey in 2014. Survey data was analyzed for 3156 participants (n = 1759 QHP/1397 Medicaid). MEASURES: Measures included rating of personal and specialist provider, rating of all healthcare received, and whether the provider offered to communicate electronically. Demographic and clinical characteristics of the enrollees were controlled for in the analyses.
METHODS: Regression-discontinuity analysis was used to evaluate differential program effects on positive ratings as measured by the CAHPS survey while controlling for demographic and health characteristics of participants. KEY
RESULTS: Adjusted logistic regression models for overall healthcare (OR = 0.71, 95%CI = 0.56-0.90, p = 0.004) and personal doctor (OR = 0.68, 95%CI = 0.53-0.87, p = 0.002) predicted greater satisfaction among QHP versus Medicaid participants. Results were not significant for specialists or for use of electronic communication with provider.
CONCLUSIONS: Using a quasi-experimental statistical approach, we were able to control for observed and unobserved heterogeneity showing that among participants with similar characteristics, including income, QHP participants rated their personal providers and healthcare higher than those enrolled in Medicaid. Access to care, utilization of care, and healthcare and health insurance literacy may be contributing factors to these results.

Entities:  

Keywords:  Affordable Care Act; patient satisfaction; quality of care

Mesh:

Year:  2021        PMID: 33532967      PMCID: PMC8175535          DOI: 10.1007/s11606-020-06552-0

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   6.473


  31 in total

1.  Disparities in use of a personal health record in a managed care organization.

Authors:  Douglas W Roblin; Thomas K Houston; Jeroan J Allison; Peter J Joski; Edmund R Becker
Journal:  J Am Med Inform Assoc       Date:  2009-06-30       Impact factor: 4.497

2.  Examining the role of patient experience surveys in measuring health care quality.

Authors:  Rebecca Anhang Price; Marc N Elliott; Alan M Zaslavsky; Ron D Hays; William G Lehrman; Lise Rybowski; Susan Edgman-Levitan; Paul D Cleary
Journal:  Med Care Res Rev       Date:  2014-07-15       Impact factor: 3.929

3.  Appointment availability after increases in Medicaid payments for primary care.

Authors:  Daniel Polsky; Michael Richards; Simon Basseyn; Douglas Wissoker; Genevieve M Kenney; Stephen Zuckerman; Karin V Rhodes
Journal:  N Engl J Med       Date:  2015-01-21       Impact factor: 91.245

4.  From Coverage to Care: Strengthening and Facilitating Consumer Connections to the Health System.

Authors:  Laurie T Martin; Jill E Luoto
Journal:  Rand Health Q       Date:  2015-11-30

5.  The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults.

Authors:  Stephanie MacLeod; Shirley Musich; Stephen Gulyas; Yan Cheng; Rifky Tkatch; Diane Cempellin; Gandhi R Bhattarai; Kevin Hawkins; Charlotte S Yeh
Journal:  Geriatr Nurs       Date:  2017-01-11       Impact factor: 2.361

6.  Disparities in perceived patient-provider communication quality in the United States: Trends and correlates.

Authors:  Kiara K Spooner; Jason L Salemi; Hamisu M Salihu; Roger J Zoorob
Journal:  Patient Educ Couns       Date:  2015-12-12

7.  Disparities in enrollment and use of an electronic patient portal.

Authors:  Mita Sanghavi Goel; Tiffany L Brown; Adam Williams; Romana Hasnain-Wynia; Jason A Thompson; David W Baker
Journal:  J Gen Intern Med       Date:  2011-05-03       Impact factor: 5.128

Review 8.  Should health care providers be accountable for patients' care experiences?

Authors:  Rebecca Anhang Price; Marc N Elliott; Paul D Cleary; Alan M Zaslavsky; Ron D Hays
Journal:  J Gen Intern Med       Date:  2014-11-22       Impact factor: 5.128

9.  Primary Care Appointment Availability for Medicaid Patients: Comparing Traditional and Premium Assistance Plans.

Authors:  Simon Basseyn; Brendan Saloner; Genevieve M Kenney; Douglas Wissoker; Daniel Polsky; Karin V Rhodes
Journal:  Med Care       Date:  2016-09       Impact factor: 2.983

10.  Predictors of eHealth usage: insights on the digital divide from the Health Information National Trends Survey 2012.

Authors:  Emily Kontos; Kelly D Blake; Wen-Ying Sylvia Chou; Abby Prestin
Journal:  J Med Internet Res       Date:  2014-07-16       Impact factor: 5.428

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