Access to Colorectal Cancer Care for Medicaid-Insured Patients at Designated Cancer Facilities

Marks, Victoria; Hsiang, Walter; Umer, Waez; Haleem, Afash; Leapman, Michael; Kunstman, John W.; Schuster, Kevin M.

doi:10.1245/s10434-021-11053-3

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…We employed a secret shopper study design that has been used to evaluate characteristics of access to care at hospitals, private practice clinics, and outpatient facilities. 10,[19][20][21][22][23][24] Researchers (A.H., S.K., and P.S.) were randomly assigned to 50% of the clinics identified.…”

Section: Methodsmentioning

confidence: 99%

Access to Sudden Sensorineural Hearing Loss Care at Private Equity‐Owned Otolaryngology Clinics

Haleem,

Garcia,

Khan

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveCharacterizing access to sudden sensorineural hearing loss (SSNHL) care at private practice otolaryngology clinics of varying ownership models.Study DesignCross‐sectional prospective review.SettingPrivate practice otolaryngology clinics.MethodsWe employed a Secret Shopper study design with private equity (PE) owned and non‐PE‐owned clinics within 15 miles of one another. Using a standardized script, researchers randomly called 50% of each clinic type between October 2021 and January 2022 requesting an appointment on behalf of a family member enrolled in either Medicaid or private insurance (PI) experiencing SSNHL. Access to timely care was assessed between clinic ownership and insurance type.ResultsSeventy‐eight total PE‐owned otolaryngology clinics were identified across the United States. Only 40 non‐PE clinics could be matched to the PE clinics; 39 PE and 28 non‐PE clinics were called as Medicaid patients; 39 PE and 25 non‐PE clinics were called as PI patients; 48.7% of PE and 28.6% of non‐PE clinics accepted Medicaid. The mean wait time to new appointment ranged between 9.55 and 13.21 days for all insurance and ownership types but did not vary significantly (P > .480). Telehealth was significantly more likely to be offered for new Medicaid patients at non‐PE clinics compared to PE clinics (31.8% vs 0.0%, P = .001). The mean cost for an appointment was significantly greater at PE clinics than at non‐PE clinics ($291.18 vs $203.75, P = .004).ConclusionsPatients seeking SSNHL care at PE‐owned otolaryngology clinics are likely to face long wait times prior to obtaining an initial appointment and reduced telehealth options.

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Section: Methodsmentioning

confidence: 99%

Access to Sudden Sensorineural Hearing Loss Care at Private Equity‐Owned Otolaryngology Clinics

Haleem,

Garcia,

Khan

et al. 2024

Otolaryngol.--head neck surg.

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“…This study design has been shown to effectively evaluate appointment availability and care access using simulated patients to call physician offices and attempt to schedule appointments. 11 , 16 , 17 , 18 , 19 Trained investigators separately contacted each specialty department of interest at each facility posing as an individual seeking care for a patient with Medicaid and a new cancer diagnosis. Investigators recorded binary appointment availability (yes or no), acceptance of state basic Medicaid (yes or no), and necessity of referral (yes, no, or depends).…”

Section: Methodsmentioning

confidence: 99%

“…We conducted a cross-sectional secret shopper study between March and November 2020. This study design has been shown to effectively evaluate appointment availability and care access using simulated patients to call physician offices and attempt to schedule appointments . Trained investigators separately contacted each specialty department of interest at each facility posing as an individual seeking care for a patient with Medicaid and a new cancer diagnosis.…”

Section: Methodsmentioning

confidence: 99%

Acceptance of Simulated Adult Patients With Medicaid Insurance Seeking Care in a Cancer Hospital for a New Cancer Diagnosis

et al. 2022

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Key Points Question Can individuals insured by Medicaid access cancer care services at high-performing cancer-designated hospitals? Findings In this cross-sectional study of 334 facilities recognized for cancer care, 95.5% accepted new patients with Medicaid for breast cancer, 90.4% for colorectal cancer, 86.8% for kidney cancer, and 79.6% for skin cancer (melanoma) care. Medicaid was accepted for all 4 surveyed cancers at 67.7% of facilities. Meaning Despite increases in the number of US residents insured through Medicaid, these findings suggest that barriers to accessing cancer care exist at high-quality centers.

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“…This cross-sectional, prospective study protocol has previously been shown to successfully evaluate healthcare service access and availability from a patient perspective. 23 , 24 , 25 , 26 , 27 , 28 In this study design, investigators contacted the phone number of each member institution reported on the CoC website posing as an individual seeking colorectal cancer care for a family member with a new diagnosis of colorectal cancer ( Fig. 1 ).…”

Section: Methodsmentioning

confidence: 99%

Access to telehealth services for colorectal cancer patients in the United States during the COVID-19 pandemic

Marks¹,

Hsiang²,

Umer³

et al. 2022

The American Journal of Surgery

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Access to Colorectal Cancer Care for Medicaid-Insured Patients at Designated Cancer Facilities

Cited by 6 publications

References 4 publications

Access to Sudden Sensorineural Hearing Loss Care at Private Equity‐Owned Otolaryngology Clinics

Access to Sudden Sensorineural Hearing Loss Care at Private Equity‐Owned Otolaryngology Clinics

Acceptance of Simulated Adult Patients With Medicaid Insurance Seeking Care in a Cancer Hospital for a New Cancer Diagnosis

Access to telehealth services for colorectal cancer patients in the United States during the COVID-19 pandemic

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