Investigators from Brown University Release New Data on Managed Care (Medicaid Expansion, Managed Care Plan Composition, and Enrollee Experience): Managed Care

2022 SEP 20 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Current study results on Managed Care have been published. According to news originating from Providence, Rhode Island, by NewsRx correspondents, research stated, “To examine changes in plan composition and enrollee experience associated with Medicaid expansion among Medicaid managed care organization (MCO) enrollees. Using 2012-2018 Adult Medicaid Consumer Assessment of Healthcare Providers and Systems surveys, we estimated changes in MCO enrollee characteristics and 4 outcomes: having access to needed care, having a personal doctor, having timely access to a checkup, and having timely access to specialty care.”

Financial support for this research came from Robert Wood Johnson Foundation Health Policy Research Scholars program.

Our news journalists obtained a quote from the research from Brown University, “We estimated multivariable linear probability models comparing pre-vs postexpansion changes in expansion vs nonexpansion states. The postexpansion period was modeled as an event-study regression to account for changes over time. The coefficient of interest was a Medicaid expansion-by-year term. Medicaid expansion was associated with statistically significant decreases in the proportion of female enrollees (-8.4 percentage points [PP]; P< .01) and increases in the proportion of enrollees who were aged 55 to 64 years (6.8 PP; P< .01) and were non-Hispanic White (4.4 PP; P< .01). Relative to enrollees in nonexpansion states, MCO enrollees in expansion states were significantly less likely to report access to a personal doctor (-1.6 PP; 95% CI, -3.0 to -0.1 PP) and less likely to report timely access to specialty care (-2.1 PP; 95% CI, -3.4 to -0.8 PP; P< .01) in the first year after expansion. Differences were not statistically significant by the second year post expansion. There were not significant changes in the other 2 outcomes.”

According to the news editors, the research concluded: “State policy makers may need to account for the role that Medicaid expansion may have in changing Medicaid MCO enrollee composition to prevent unfair penalization on performance metrics.”

This research has been peer-reviewed.

For more information on this research see: Medicaid Expansion, Managed Care Plan Composition, and Enrollee Experience. The American Journal of Managed Care, 2022;28(8). The American Journal of Managed Care can be contacted at: Managed Care & Healthcare Communications Llc, 666 Plainsboro Rd, Ste 300, Plainsboro, NJ 08536, USA.

The news correspondents report that additional information may be obtained from Kevin H. Nguyen, Brown University, School of Public Health, Dept. of Health Services Policy and Practice, Providence, RI 02903, United States. Additional authors for this research include Ira B. Wilson, Amal N. Trivedi and Anya R. Wallack.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.37765/ajmc.2022.89198. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

(Our reports deliver fact-based news of research and discoveries from around the world.)