New Managed Care Data Have Been Reported by Researchers at Drexel University (The Impact of Medicaid Funding Structures On Inequities In Health Care Access for Latinos In New York, Florida, and Puerto Rico): Managed Care

2022 SEP 02 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Fresh data on Managed Care are presented in a new report. According to news originating from Philadelphia, Pennsylvania, by NewsRx correspondents, research stated, “To study the impact of Medicaid funding structures before and after the implementation of the Affordable Care Act (ACA) on health care access for Latinos in New York (Medicaid expansion), Florida (Medicaid non-expansion), and Puerto Rico (Medicaid block grant). Pooled state-level data for New York, Florida, and Puerto Rico from the 2011-2019 Behavioral Risk Factor Surveillance System and data from the 2011-2019 American Community Survey and Puerto Rico Community Survey.”

Financial support for this research came from NIH National Institute on Minority Health & Health Disparities (NIMHD).

Our news journalists obtained a quote from the research from Drexel University, “Cross-sectional study using probit with predicted margins to separately compare four health care access measures among Latinos in New York, Florida, and Puerto Rico (having health insurance coverage, having a personal doctor, delayed care due to cost, and having a routine checkup). We also used difference-in-differences to measure the probability percent change of having any health insurance and any public health insurance before (2011-2013) and after (2014-2019) the ACA implementation among citizen Latinos in low-income households. Data Collection The sample consisted of Latinos aged 18-64 residing in New York, Florida, and Puerto Rico from 2011 to 2019. Latinos in Florida had the lowest probability of having health care access across all four measures and all time periods compared with those in New York and Puerto Rico. While Latinos in Puerto Rico had greater overall health care access compared with Latinos in both states, health care access in Puerto Rico did not change over time. Among citizen Latinos in low-income households, New York had the greatest post-ACA probability of having any health insurance and any public health insurance, with a growing disparity with Puerto Rico (9.7% any [1.6 SE], 5.2% public [1.8 SE]).”

According to the news editors, the research concluded: “Limited Medicaid eligibility (non-expansion of Florida’s Medicaid program) and capped Medicaid funds (Puerto Rico’s Medicaid block grant) contributed to reduced health care access over time, particularly for citizen Latinos in low-income households.”

This research has been peer-reviewed.

For more information on this research see: The Impact of Medicaid Funding Structures On Inequities In Health Care Access for Latinos In New York, Florida, and Puerto Rico. Health Services Research, 2022. Health Services Research can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Health Services Research - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1475-6773)

The news correspondents report that additional information may be obtained from Alexandra C. Rivera-Gonzalez, Drexel University, Hlth Management & Policy, Dornsife Sch Publ Hlth, 3215 Market St Nesbitt Hall, Philadelphia, PA 19104, United States. Additional authors for this research include Jim P. Stimpson, Alexander N. Ortega, Dylan H. Roby, Arturo Vargas Bustamante, Jonathan Purtle and Scarlett L. Bellamy.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/1475-6773.14036. 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.

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