Medicaid managed care and health care access for adult beneficiaries with disabilities.

ABSTRACT:

Objective

To evaluate the impact of Medicaid managed care organizations (MCO) on health care access for adults with disabilities (AWDs).

Data sources

Mandatory and voluntary enrollment data for AWDs in Medicaid MCOs in each county were merged with the Medical Expenditure Panel Survey and the Area Resource File for 1996-2004.

Study design

I use logit regression and two evaluation perspectives to compare access and preventive care for AWDs in Medicaid MCOs with FFS. From the state's perspective, I compare AWDs in counties with mandatory, voluntary, and no MCOs. From the enrollee's perspective, I compare AWDs who must enroll in an MCO or FFS to those who may choose between them.

Principal findings

Mandatory MCO enrollees are 24.9 percent more likely to wait >30 mi

SUBMITTER: Burns ME 

PROVIDER: S-EPMC2754546 | biostudies-literature | 2009 Oct

REPOSITORIES: biostudies-literature