Managed Care And Low-Income Populations: Recent State Experiences

Health Affairs

Volumn 17, Issue 3, 1998, Pages 238-247

  Lillie Blanton, Marsha ^b   Lyons, Barbara ^a  

^a Kaiser Commission on Medicaid and the Uninsured   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COMPARATIVE STUDY; CONSUMER; ECONOMICS; EPIDEMIOLOGY; FEMALE; HEALTH CARE DELIVERY; HEALTH INSURANCE; HUMAN; INSURANCE; MALE; MEDICAID; MIDDLE AGED; POVERTY; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ADULT; AGED; CONSUMER SATISFACTION; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MALE; MANAGED CARE PROGRAMS; MEDICAID; MIDDLE AGED; POVERTY; UNITED STATES;

EID: 0032058689     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.17.3.238     Document Type: Article

References (10)

1. S. Zuckerman, A. Evans, and J. Holahan, "Questions for States as They Turn to Medicaid Managed Care," Policy Brief, Series A, No. A-11 (Washington: Urban Institute, 1997).
2. Kaiser Commission on the Future of Medicaid, Medicaid and Managed Care: Lessons from the Literature (Washington: Kaiser Commission, 1995).
3. For analysis comparing the uninsured to the insured based on the Kaiser/ Commonwealth Five-State Low-Income Survey, see C. Schoen et al., "Insurance Matters for Low-Income Adults: Results from a Five-State Survey," Health Affairs (September/October 1997): 163-171.
4. The one characteristic that did not appear to be representative prior to weighting the data was residence. Rural respondents were overrepresented in the sample, particularly in Minnesota.
5. In the small number of cases (ninety) in which persons were not in a known HMO and were unsure of whether they chose from a doctor list and whether they were in an HMO or a PPO, respondents were classified as "missing." For a complete description of the classification methodology, see "Documentation for the Kaiser/Commonwealth Low-Income Survey" (Unpublished report, Institute for Health Care Research and Policy, Georgetown University, January 1997).
6. Mathematica Policy Research, Managed Care and Low-Income Populations: Side-by-Side Comparison of State Initiatives, Kaiser/Commonwealth Low-Income Coverage and Access Project (Washington: Kaiser Family Foundation, 1997).
7. Of the total Medicaid managed care survey population, the distribution is Tennessee (52 percent), Oregon (25 percent), Minnesota (12 percent), Florida (10 percent), and Texas (1 percent). For the Medicaid fee-for-service survey population, the distribution is Minnesota (43 percent), Texas (26 percent), Florida (22 percent), and Oregon (10 percent).
8. For example, see J. Bluford, "A Public Sector HMO in a Competitive Market: Ensuring Equity for the Poor," Journal of Health Care for the Poor and Underserved 5, no. 3 (1994): 192-198.
9. The findings on satisfaction from the Kaiser/Commonwealth Five-State Low-Income Survey are similar to a national survey of low-income adults that found lower satisfaction among managed care enrollees than among fee-for-service enrollees. K. Davis et al., "Choice Matters: Enrollees' Views of Their Health Plans," Health Affairs (Summer 1995): 99-112. However, they differ from findings reported in a study of Medicaid beneficiaries in New York City. J. Sisk, "Evaluation of Medicaid Managed Care: Satisfaction, Access, and Use," Journal of the American Medical Association 276, no. 1 (1996): 50-55.
10. The findings on satisfaction from the Kaiser/Commonwealth Five-State Low-Income Survey are similar to a national survey of low-income adults that found lower satisfaction among managed care enrollees than among fee-for-service enrollees. K. Davis et al., "Choice Matters: Enrollees' Views of Their Health Plans," Health Affairs (Summer 1995): 99-112. However, they differ from findings reported in a study of Medicaid beneficiaries in New York City. J. Sisk, "Evaluation of Medicaid Managed Care: Satisfaction, Access, and Use," Journal of the American Medical Association 276, no. 1 (1996): 50-55.