Health Plan Effects on Patient Assessments of Medicaid Managed Care Among Racial/Ethnic Minorities
dc.contributor.author | Weech-Maldonado, Robert | |
dc.contributor.author | Elliott, Marc N | |
dc.contributor.author | Morales, Leo S | |
dc.contributor.author | Spritzer, Karen | |
dc.contributor.author | Marshall, Grant N | |
dc.contributor.author | Hays, Ron D | |
dc.date.accessioned | 2019-08-14T14:59:29Z | |
dc.date.available | 2019-08-14T14:59:29Z | |
dc.date.issued | 2004 | |
dc.description.abstract | OBJECTIVE: To examine the extent to which racial/ethnic differences in Consumer Assessment of Health Plans Study (CAHPS) ratings and reports of Medicaid managed care can be attributed to differential treatment by the same health plans (within-plan differences) as opposed to racial/ethnic minorities being disproportionately enrolled in plans with lower quality of care (between-plan differences). DESIGN: Data are from the National CAHPS Benchmarking Database (NCBD) 3.0. Data were analyzed using linear regression models to determine the overall effects, within-plan effects, and between-plan effects of race/ethnicity and language on patient assessments of care. Standard errors were adjusted for nonresponse weights and the clustered nature of the data. PATIENTS/PARTICIPANTS: A total of 49,327 adults enrolled in Medicaid managed care plans in 14 states from 1999 to 2000. MAIN RESULTS: Non-English speakers reported worse experiences compared to those of whites, while Asian non-English speakers had the lowest scores for most reports and ratings of care. An analysis of between-plan effects showed that African Americans, Hispanic-Spanish speakers, American Indian/Whites, and White-Other language were more likely than White-English speakers to be clustered in worse plans as rated by consumers. However, the majority of the observed racial/ethnic differences in CAHPS reports and ratings of care are attributable to within-plan effects. The ratio of between to within variance of racial/ethnic effects ranged from 0.07 (provider communication) to 0.42 (health plan rating). CONCLUSIONS: The observed racial/ethnic differences in CAHPS ratings and reports of care are more a result of different experiences with care for people enrolled in the same plans than a result of racial/ethnic minorities being enrolled in plans with worse experiences. Health care organizations should engage in quality improvement activities to address the observed racial/ethnic disparities in assessments of care. | |
dc.description.uri | https://onlinelibrary.wiley.com/doi/full/10.1111/j.1525-1497.2004.30235.x | |
dc.identifier | https://doi.org/10.13016/nppd-xbvi | |
dc.identifier.citation | Weech-Maldonado, Robert and Elliott, Marc N and Morales, Leo S and Spritzer, Karen and Marshall, Grant N and Hays, Ron D (2004) Health Plan Effects on Patient Assessments of Medicaid Managed Care Among Racial/Ethnic Minorities. Journal of General Internal Medicine, 19. pp. 136-145. | |
dc.identifier.issn | 0884-8734 | |
dc.identifier.other | Eprint ID 491 | |
dc.identifier.uri | http://hdl.handle.net/1903/22582 | |
dc.subject | Health | |
dc.subject | Disparities | |
dc.subject | Practice | |
dc.subject | Research | |
dc.subject | CAHPS | |
dc.subject | consumer assessments | |
dc.subject | Medicaid managed care | |
dc.subject | racial/ethnic disparities | |
dc.subject | Consumer Assessment of Health Plans Study | |
dc.subject | racial disparities | |
dc.subject | ethnic disparities | |
dc.title | Health Plan Effects on Patient Assessments of Medicaid Managed Care Among Racial/Ethnic Minorities | |
dc.type | Article |