Researchers from Brown University Report Findings in Managed Care (Variation In Usual Source of Care In Asian American, Native Hawaiian, and Other Pacific Islander Adult Medicaid Beneficiaries): Managed Care

2023 MAY 18 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Current study results on Managed Care have been published. According to news reporting from Providence, Rhode Island, by NewsRx journalists, research stated, “Disparities in access to care between non-Hispanic White and Asian American, Native Hawaiian, and Pacific Islander (AANHPI) patients are often attributed to higher uninsurance rates among AANHPI patients. Less is known about variation among individuals with Medicaid health insurance coverage and among AANHPI subgroups.”

Funders for this research include Robert Wood Johnson Foundation Health Policy Research Scholars program, NIH National Institute on Aging (NIA).

The news correspondents obtained a quote from the research from Brown University, “The objective of this study was to examine differences in access to care between White and AANHPI adult Medicaid beneficiaries, both in the aggregate and disaggregated into 9 ethnic subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Other Asian, Native Hawaiian, and Pacific Islander). Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems data (2014-2015), a cross-sectional survey representative of all Medicaid beneficiaries. A total of 126,728 White and 10,089 AANHPI Medicaid beneficiaries were included. The study outcomes were: (1) having a usual source of care; and (2) reporting a health center or clinic as the usual site of care. Multivariable linear probability models assessed the relationship between race/ethnic subgroup and our outcomes, adjusting for sociodemographic characteristics and health status. Compared with White beneficiaries, Korean beneficiaries were significantly less likely to report having a usual source of care [difference=-8.9 percentage points (PP), P= 0.01], and Chinese (difference= 8.4 PP, P= 0.001), Native Hawaiian (difference= 25.8 PP, P< 0.001), and Pacific Islander (difference= 22.2 PP, P= 0.001) beneficiaries were significantly more likely to report a health center or clinic as their usual site of care. Despite similar health insurance coverage, significant differences in access to care remain between White and AANHPI Medicaid beneficiaries.”

According to the news reporters, the research concluded: “Disaggregated AANHPI data may reveal important variation in access to care and inform more targeted public policies.”

This research has been peer-reviewed.

For more information on this research see: Variation In Usual Source of Care In Asian American, Native Hawaiian, and Other Pacific Islander Adult Medicaid Beneficiaries. Medical Care, 2022;60(9):648-654. Medical Care can be contacted at: Lippincott Williams & Wilkins, Two Commerce Sq, 2001 Market St, Philadelphia, PA 19103, USA. (Lippincott Williams and Wilkins - www.lww.com; Medical Care - http://journals.lww.com/lww-medicalcare/pages/default.aspx)

Our news journalists report that additional information may be obtained by contacting Kevin H. Nguyen, Brown University, Dept. of Health Services Policy and Practice, School of Public Health, Providence, RI 02912, United States. Additional authors for this research include Eunhae G. Oh and Amal N. Trivedi.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1097/mlr.0000000000001709. 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.)