Recent Findings in Market Access and Health Policy Described by Researchers from University of Minnesota School of Public Health (Examining State Policies and Administrative Factors as Determinants of Consumer-Reported Unmet Service Needs in …): Health and Medicine – Market Access and Health Policy

2025 NOV 11 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators publish new report on Health and Medicine - Market Access and Health Policy. According to news reporting from Minneapolis, Minnesota, by NewsRx journalists, research stated, “Access to home- and community-based services (HCBSs) varies substantially between states. Yet, it is unknown how state-level policies and administrative factors impact consumer-reported unmet service needs, an important indicator of HCBS access and quality.”

Financial support for this research came from National Institute on Aging of the National Institutes of Health.

The news correspondents obtained a quote from the research from the University of Minnesota School of Public Health, “Using the National Core Indicators-Aging and Disability Adult Consumer Survey (2016-2019; = 13,654 community-dwelling older adults, 13 states), we examined associations between unmet HCBS needs with four state-level factors: HCBS spending relative to institutional care spending, HCBS spending per client, percentage of Medicaid beneficiaries in managed care, and Medicaid expansion; and funding program. In the adjusted logistic regression model, the odds of overall unmet HCBS needs were lower with higher percentage Medicaid beneficiaries in managed care (adjusted odds ratio [aOR], 0.92; 95% confidence interval [CI], 0.89-0.96) and Medicaid expansion (aOR, 0.80; 95% CI, 0.73-0.87) but greater with higher HCBS spending relative to institutional care spending (aOR, 1.19; 95% CI, 1.11-1.28). Compared to Medicaid waiver, odds of unmet HCBS needs were significantly lower among consumers in Managed Long-Term Services and Supports (aOR, 0.67; 95% CI, 0.61-0.74) and Program of All-Inclusive Care for the Elderly (PACE; aOR, 0.39; 95% CI, 0.31-0.49).”

According to the news reporters, the research concluded: “State policies and administrative factors are important place-based determinants of HCBS consumers’ unmet HCBS needs/access; and warrant consideration in HCBS quality assurance and improvement.”

For more information on this research see: Examining State Policies and Administrative Factors as Determinants of Consumer-Reported Unmet Service Needs in Publicly Funded Home- and Community-Based Services in the United States. Journal of Market Access & Health Policy, 2025;13(4):51.

Our news journalists report that additional information may be obtained by contacting Tetyana P. Shippee, Division of Health Policy & Management, University of Minnesota School of Public Health, Minneapolis, MN 55455, United States. Additional authors for this research include Romil R. Parikh, Benjamin Langworthy, Zheng Wang, Stephanie Giordano and Eric Jutkowitz.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.3390/jmahp13040051. 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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