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2003 Medicaid versus commercial beneficiary experience with care.

Lied TR - Health Care Financ Rev (2005)

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Services, Baltimore, MD 21244-1850, USA. terry.lied@cms.hhs.gov

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CAHPS is a widely used survey instrument measuring consumer experiences with health care... The National CAHPS Benchmarking Database (NCBD) project, funded by the Agency for Healthcare Research and Quality, has compiled CAHPS survey results from a variety of sponsors into a single national database, the NCBD, that enables participants to compare their results to relevant benchmarks such as national and regional averages... We analyzed 2003 NCBD data to highlight the following factors that are viewed as critical in assessing Medicaid recipients' reported experience with health care: Comparison of Medicaid with commercial health plans in CAHPS ratings... Table 2 compares CAHPS ratings of Medicaid and commercial children... Medicaid children were about as likely as commercial children to experience always being treated with respect and courtesy by office staff (79.2 versus 80.5 percent), and to feel that office staff was always helpful (67.3 versus 66.2 percent)... Medicaid children compared to commercial children experienced more problems seeing a specialist, getting a doctor they were happy with, and getting necessary care, tests, and treatment... Medicaid adults compared to commercial adults were more likely to be female, non-White, under age 25, have less formal education, be enrolled in an HMO, and reside in the Midwest (Table 3)... Medicaid adults were also more likely to rate their health status as fair or poor, to smoke every day, to indicate that they did not need to see a specialist, and to indicate that they were at the emergency room in the last 12 months (Table 4)... Adult Medicaid beneficiaries were more likely than their commercial counterparts to respond that their personal doctor/registered nurse, specialist, health care, and health plan were “the best possible” (Figure 2)... However, adults in Medicaid compared to adults in commercial plans were less likely to respond that they always received help or care when they called the office, needed care immediately, or wanted an appointment... In addition, adults in Medicaid compared to commercial plan beneficiaries were less likely to receive care the same day when they needed that care immediately... CAHPS ratings of children and adults in Medicaid, in terms of overall care and specific aspects of care tend to be related... In general, CAHPS ratings of personal doctor/registered nurse, specialist, health care, and health plan tend to be higher for both children and adult beneficiaries enrolled in Medicaid health plans than for children and adult commercial beneficiaries.

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Medicaid and Commercial Children's CAHPS® Overall Ratings: 2003
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f1-hcfr-26-4-109: Medicaid and Commercial Children's CAHPS® Overall Ratings: 2003

Mentions: Table 2 compares CAHPS® ratings of Medicaid and commercial children. Medicaid children gave more favorable ratings of their personal doctor/registered nurse, specialist, health care, and their health plan (Figure 1). Medicaid children were slightly less likely than commercial children to respond that they always get help or care when they called the office, needed care immediately, or received an appointment as soon as they wanted. They were also less likely than commercial children to respond that they always received needed care the same day, but slightly more likely to respond that they received regular or routine care within 3 days. Medicaid children were about as likely as commercial children to experience always being treated with respect and courtesy by office staff (79.2 versus 80.5 percent), and to feel that office staff was always helpful (67.3 versus 66.2 percent). Medicaid children compared to commercial children experienced more problems seeing a specialist, getting a doctor they were happy with, and getting necessary care, tests, and treatment. Paperwork was perceived as more of a problem with Medicaid children than commercial children. Doctors or other providers explaining things so they could always be understood was more of a problem for Medicaid children as was being able to talk to the doctor about care.


2003 Medicaid versus commercial beneficiary experience with care.

Lied TR - Health Care Financ Rev (2005)

Medicaid and Commercial Children's CAHPS® Overall Ratings: 2003
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194910&req=5

f1-hcfr-26-4-109: Medicaid and Commercial Children's CAHPS® Overall Ratings: 2003
Mentions: Table 2 compares CAHPS® ratings of Medicaid and commercial children. Medicaid children gave more favorable ratings of their personal doctor/registered nurse, specialist, health care, and their health plan (Figure 1). Medicaid children were slightly less likely than commercial children to respond that they always get help or care when they called the office, needed care immediately, or received an appointment as soon as they wanted. They were also less likely than commercial children to respond that they always received needed care the same day, but slightly more likely to respond that they received regular or routine care within 3 days. Medicaid children were about as likely as commercial children to experience always being treated with respect and courtesy by office staff (79.2 versus 80.5 percent), and to feel that office staff was always helpful (67.3 versus 66.2 percent). Medicaid children compared to commercial children experienced more problems seeing a specialist, getting a doctor they were happy with, and getting necessary care, tests, and treatment. Paperwork was perceived as more of a problem with Medicaid children than commercial children. Doctors or other providers explaining things so they could always be understood was more of a problem for Medicaid children as was being able to talk to the doctor about care.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Services, Baltimore, MD 21244-1850, USA. terry.lied@cms.hhs.gov

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

CAHPS is a widely used survey instrument measuring consumer experiences with health care... The National CAHPS Benchmarking Database (NCBD) project, funded by the Agency for Healthcare Research and Quality, has compiled CAHPS survey results from a variety of sponsors into a single national database, the NCBD, that enables participants to compare their results to relevant benchmarks such as national and regional averages... We analyzed 2003 NCBD data to highlight the following factors that are viewed as critical in assessing Medicaid recipients' reported experience with health care: Comparison of Medicaid with commercial health plans in CAHPS ratings... Table 2 compares CAHPS ratings of Medicaid and commercial children... Medicaid children were about as likely as commercial children to experience always being treated with respect and courtesy by office staff (79.2 versus 80.5 percent), and to feel that office staff was always helpful (67.3 versus 66.2 percent)... Medicaid children compared to commercial children experienced more problems seeing a specialist, getting a doctor they were happy with, and getting necessary care, tests, and treatment... Medicaid adults compared to commercial adults were more likely to be female, non-White, under age 25, have less formal education, be enrolled in an HMO, and reside in the Midwest (Table 3)... Medicaid adults were also more likely to rate their health status as fair or poor, to smoke every day, to indicate that they did not need to see a specialist, and to indicate that they were at the emergency room in the last 12 months (Table 4)... Adult Medicaid beneficiaries were more likely than their commercial counterparts to respond that their personal doctor/registered nurse, specialist, health care, and health plan were “the best possible” (Figure 2)... However, adults in Medicaid compared to adults in commercial plans were less likely to respond that they always received help or care when they called the office, needed care immediately, or wanted an appointment... In addition, adults in Medicaid compared to commercial plan beneficiaries were less likely to receive care the same day when they needed that care immediately... CAHPS ratings of children and adults in Medicaid, in terms of overall care and specific aspects of care tend to be related... In general, CAHPS ratings of personal doctor/registered nurse, specialist, health care, and health plan tend to be higher for both children and adult beneficiaries enrolled in Medicaid health plans than for children and adult commercial beneficiaries.

Show MeSH