Access to Primary, Mental Health, and Specialty Care: a Comparison of Medicaid and Commercially Insured Populations in Oregon.

ABSTRACT:

Objective

To describe how access to primary and specialty care differs for Medicaid patients relative to commercially insured patients, and how these differences vary across rural and urban counties, using comprehensive claims data from Oregon.

Design

Cross-sectional study of risk-adjusted access rates for two types of primary care providers (physicians; nurse practitioners (NPs) and physician assistants (PAs)); four types of mental health providers (psychiatrists, psychologists, advanced practice NPs or PAs specializing in mental health care, behavioral specialists); and four physician specialties (obstetrics and gynecology, general surgery, gastroenterology, dermatology).

Participants

420,947 Medicaid and 638,980 commercially insured adults in Oregon, October 2014-S

SUBMITTER: McConnell KJ 

PROVIDER: S-EPMC6957609 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature