login
Become a member
Quick Registration
Full Registration Benefits -
Free Homepages for Doctors
Free Homepages for Hospitals
Free Homepages for Medical Conference
Free Homepages for NGO's
Personal Health Record Creation
Access to all Medical Slides
Access to all Jobs & Products Sale
Low-quality Care for Medicaid Managed Patients
October 16, 2007 at 4:55 PM
General Health News
Although enrollment of commercially insured individuals in health maintenance organizations (HMOs) has decreased in recent years, HMOs continue to provide care for an increasing proportion of the Medicaid population. Between 1994 and 2004, enrollment in Medicaid managed care tripled from 7.9 million beneficiaries to more than 27 million beneficiaries. The proportion of Medicaid beneficiaries in managed care increased from 23 percent to more than 60 percent during the same time period, the authors write. There is limited information in peer-reviewed literature on the quality of care delivered within health plans to Medicaid enrollees.
Bruce E. Landon, M.D., M.B.A., of Harvard Medical School, Boston, and colleagues examined performance on 11 Healthcare Effectiveness Data and Information Set (formerly the Healthplan Employer Data and Information Set) (HEDIS) quality indicators in three types of managed care plans: Medicaid-only plans, commercial-only plans (health plans serving predominantly commercial enrollees), and Medicaid/commercial plans (health plans serving substantial numbers of both types of enrollees). The 11 indicators were in the categories of prevention and screening (such as breast cancer screening); chronic disease management (such as high blood pressure); and care for pregnant women.
The study included 383 health plans that reported quality-of-care data to the National Committee for Quality Assurance for 2002 and 2003, including 204 commercial-only plans; 142 Medicaid/commercial plans; and 37 Medicaid-only plans.
|
|
|
More News on: What is Medicare / Medicaid?
 Comment & Contribute
|
Medwonders Health Network
- Health News Index
- News Quick Links
| News Categories: |
| » | Report: A Lot of Americans Have No Access to Health Care |
| » | Greece Faces Humanitarian Crisis as Health Care Access Declines in EU, Doctors Group Warns |
| » | HCCI Report Says Rising Prices for Care Responsible for Increased Healthcare Costs for Privately Insured Americans |
| » | Treatment in ED is Based on Children's Insurance Status |
| » | US Spends Most on Healthcare Without Providing Superior Care |
| More Insurance News | |
|
