Access To Care: How Much Difference Does Medicaid Make?

Berk, Marc L.; Schur, Claudia L.

doi:10.1377/hlthaff.17.3.169

Cited by 95 publications

(56 citation statements)

References 13 publications

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“…This indicates an ongoing relationship with a health care provider that offers the potential for care coordination and continuity instead of episodic and fragmented care on an emergency basis. Relatively high levels of Medicaid beneficiaries report a usual source of care (>85%), and these rates are considerably higher than those of the uninsured and somewhat lower than the levels for those with private insurance (7,88,101). Low-income women with Medicaid were more likely to have a usual source of care (85%) than those with private coverage (80%) or no insurance (69%) (53).…”

Section: Medicaid's Impactmentioning

confidence: 96%

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The Key to the Door: Medicaid's Role in Improving Health Care for Women and Children

Rowland

Salganicoff

Keenan

1999

Annu. Rev. Public Health

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Medicaid is the nation's major public financing program for providing health insurance coverage and long-term care services to the poor. This article assesses Medicaid's contributions over the last three decades to improving the coverage, access to care, and health of low-income children and women. The article reviews Medicaid's impact on the low-income population covered by this program, demonstrating both the role insurance plays and its limitations as a strategy for improving the health of vulnerable populations. Medicaid has shown over the last three decades that it is an important lever to help open the door to better health care, and ultimately to improved health for America's poor women and children, by substantially expanding coverage of the low-income population and helping to reduce differentials in access to care between the poor and the privately insured. Gaps in coverage and limitations in access persist, but overall the program has resulted in better coverage, access, and health care for millions of poor children and their parents. MEDICAID'S ROLE IN IMPROVING HEALTH CARE FOR WOMEN AND CHILDRENMedicaid is the nation's major public financing program for health insurance coverage and long-term care services for the poor. Since its enactment in 1965, Medicaid has been on the front line in meeting health needs and serving as a safety net for millions of low-income children and parents.

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Section: Medicaid's Impactmentioning

confidence: 96%

“…Analysis of utilization levels within the low-income population reveals striking differentials between the uninsured and Medicaid populations and shows that Medicaid coverage plays a significant role in reducing access barriers generally (7,27,59,101,102) and for women and children as well.…”

Section: Medicaid's Impactmentioning

confidence: 99%

The Key to the Door: Medicaid's Role in Improving Health Care for Women and Children

Rowland

Salganicoff

Keenan

1999

Annu. Rev. Public Health

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“…21 Although studies have demonstrated Medicaid's effectiveness in reducing the health services use gap between the publicly and privately insured (e.g., having a usual source of care and the number of physician visits), disparities in access to care persist, particularly with respect to the inability to receive care. [22][23][24] Medicaid's low payment rates to providers may limit beneficiaries' choice of providers. 25 In addition, the presence of fewer specialists in rural or isolated regions may compound difficulties in reaching an already limited number of primary care physicians.…”

Section: Discussionmentioning

confidence: 99%

Distribution of Cardiovascular Disease and Associated Risk Factors by County Type and Health Insurance Status: Results from the 2008 Ohio Family Health Survey

Kariisa

Seiber

2015

Public Health Rep

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Objectives. Epidemiologic studies have documented a disproportionate burden of chronic diseases in Appalachia, showing the area to be underserved by the health-care system. Nothing is known about how the health status of the Appalachian population compares with other rural or non-rural populations in the same state. We examined the associations among county type, health insurance category, and health outcomes in poorer adult Ohioans.Methods. We obtained data from the 2008 Ohio Family Health Survey, a complex landline-and cell phone-based survey of 50,944 noninstitutionalized households. We constructed bivariate analyses examining health status measures across various insurance categories and metropolitan, suburban, rural, and Appalachian counties in Ohio.Results. Medicaid enrollees living in Appalachian and rural counties tended to be in poorer health and have a greater prevalence of smoking than nonMedicaid enrollees. Within rural and Appalachian regions, Medicaid enrollees were more likely than non-Medicaid enrollees to have lower self-rated health (54.8%, 95% confidence interval [CI] 44.1, 65.5 in rural regions and 52.1%, 95% CI 44.7, 59.5 in Appalachian regions). Appalachian and rural Medicaid enrollees were at an increased likelihood of having several chronic diseases compared with non-Medicaid enrollees.Conclusion. Our findings suggest that rural and Ohio Appalachian Medicaid enrollees were more likely to have hypertension, cardiovascular disease, and overall poorer health than non-Medicaid enrollees. These findings have important policy implications for health-care reform, highlighting regional disparities in provider coverage. These underserved regions would need an increase in the provider base to positively impact proposed Medicaid expansion programs.

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“…Comparing access to care for uninsured individuals and Medicaid beneficiaries provides insight into Medicaid's impact. Medicaid has helped narrow the gaps in access to care for low-income groups, and various access measures show that Medicaid beneficiaries access care at similar rates as those who are privately insured (4,56). Across studies, these findings are particularly strong for children (59,64,66,67,75,85,91,95).…”

Section: Impact On Access To Carementioning

confidence: 99%

AID TO PEOPLE WITH DISABILITIES: Medicaid's Growing Role

Carbaugh

Elias

Rowland

2006

Annu. Rev. Public Health

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■ Abstract Medicaid is the nation's largest health care program providing assistance with health and long-term care services for millions of low-income Americans, including people with chronic illness and severe disabilities. This article traces the evolution of Medicaid's now-substantial role for people with disabilities; assesses Medicaid's contributions over the last four decades to improving health insurance coverage, access to care, and the delivery of care; and examines the program's future challenges as a source of assistance to children and adults with disabilities. Medicaid has shown that it is an important source of health insurance coverage for this population, people for whom private coverage is often unavailable or unaffordable, substantially expanding coverage and helping to reduce the disparities in access to care between the low-income population and the privately insured.

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Access To Care: How Much Difference Does Medicaid Make?

Cited by 95 publications

References 13 publications

The Key to the Door: Medicaid's Role in Improving Health Care for Women and Children

The Key to the Door: Medicaid's Role in Improving Health Care for Women and Children

Distribution of Cardiovascular Disease and Associated Risk Factors by County Type and Health Insurance Status: Results from the 2008 Ohio Family Health Survey

AID TO PEOPLE WITH DISABILITIES: Medicaid's Growing Role

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