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    Medicaid managed care: Issues for beneficiaries with disabilities

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    DHJO January 2015.pdf (159.7Kb)
    Issue Date
    2015
    Author
    Hall, Jean P.
    Kurth, Noelle K.
    Chapman, Shawna L. C.
    Shireman, Theresa I.
    Publisher
    Elsevier
    Type
    Article
    Article Version
    Scholarly/refereed, publisher version
    Is part of series
    Disability and Health Journal;
    Published Version
    http://www.disabilityandhealthjnl.com/article/S1936-6574(14)00138-1/pdf
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    Abstract
    Background: States are increasingly turning to managed care arrangements to control costs in their Medicaid programs. Historically, such arrangements have excluded people with disabilities who use long-term services and supports (LTSS) due to their complex needs. Now, however, some states are also moving this population to managed care. Little is known about the experiences of people with disabilities during and after this transition. Objective: To document experiences of Medicaid enrollees with disabilities using long-term services and supports during transition to Medicaid managed care in Kansas. Methods: During the spring of 2013, 105 Kansans with disabilities using Medicaid long-term services and supports (LTSS) were surveyed via telephone or in-person as they transitioned to managed care. Qualitative data analysis of survey responses was conducted to learn more about the issues encountered by people with disabilities under Medicaid managed care. Results: Respondents encountered numerous disability-related difficulties, particularly with transportation, durable medical equipment, care coordination, communication, increased out of pocket costs, and access to care. Conclusions: As more states move people with disabilities to Medicaid managed care, it is critically important to address these identified issues for a population that often experiences substantial health disparities and a smaller margin of health. It is hoped that the early experiences reported here can inform policy-makers in other states as they contemplate and design similar programs.
    URI
    http://hdl.handle.net/1808/16662
    Collections
    • Center for Research on Learning Scholarly Works [125]
    • Institute for Health and Disability Policy Studies [12]

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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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