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Physician evaluations of care management practices in Medicaid programs.
Am J Manag Care. 2005 Mar; 11(3):156-64.AJ

Abstract

OBJECTIVE

To assess differences in care management practices for Medicaid beneficiaries in predominantly commercial and predominantly Medicaid health plans.

STUDY DESIGN

Physicians in the networks of 8 managed care plans participating in Medicaid programs were surveyed regarding the availability and usefulness of care management practices and the overall quality of care management. The responses of physicians in plans serving predominantly Medicaid enrollees were contrasted with the responses of physicians in predominantly commercial plans who cared for Medicaid enrollees.

METHODS

Logistic regression analysis was used to calculate adjusted odds ratios relating to the availability of care management practices. Multiple regression techniques were used to construct comparisons of adjusted means relating to the usefulness of practices and the overall quality of care management.

RESULTS

Physicians in predominantly commercial plans reported greater availability of care management practices. No patterns of differences were noted in ratings of the usefulness of practices if available. Physicians in predominantly commercial plans rated the quality of care management higher than physicians in predominantly Medicaid plans. However, there remains room for substantial improvement for commercial and other Medicaid contracting plans.

CONCLUSIONS

Commercial plans add value to Medicaid programs, and efforts to discourage their withdrawal from participation are justified. However, physician evaluations support the potential for better care management in all types of contracting plans.

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Publisher Full Text

Authors+Show Affiliations

Avery GH
Department of Psychology, University of Minnesota, Duluth 55812, USA. aver0042@umn.edu
Wholey DR
No affiliation info available
Christianson JB
No affiliation info available

MeSH

AdultData CollectionHealth Services AccessibilityHumansManaged Care ProgramsMedicaidMiddle AgedPhysiciansPractice Patterns, Physicians'Quality of Health CareUnited States

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15786854

Citation

Avery, George H., et al. "Physician Evaluations of Care Management Practices in Medicaid Programs." The American Journal of Managed Care, vol. 11, no. 3, 2005, pp. 156-64.
Avery GH, Wholey DR, Christianson JB. Physician evaluations of care management practices in Medicaid programs. Am J Manag Care. 2005;11(3):156-64.
Avery, G. H., Wholey, D. R., & Christianson, J. B. (2005). Physician evaluations of care management practices in Medicaid programs. The American Journal of Managed Care, 11(3), 156-64.
Avery GH, Wholey DR, Christianson JB. Physician Evaluations of Care Management Practices in Medicaid Programs. Am J Manag Care. 2005;11(3):156-64. PubMed PMID: 15786854.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physician evaluations of care management practices in Medicaid programs. AU - Avery,George H, AU - Wholey,Douglas R, AU - Christianson,Jon B, PY - 2005/3/25/pubmed PY - 2005/4/30/medline PY - 2005/3/25/entrez SP - 156 EP - 64 JF - The American journal of managed care JO - Am J Manag Care VL - 11 IS - 3 N2 - OBJECTIVE: To assess differences in care management practices for Medicaid beneficiaries in predominantly commercial and predominantly Medicaid health plans. STUDY DESIGN: Physicians in the networks of 8 managed care plans participating in Medicaid programs were surveyed regarding the availability and usefulness of care management practices and the overall quality of care management. The responses of physicians in plans serving predominantly Medicaid enrollees were contrasted with the responses of physicians in predominantly commercial plans who cared for Medicaid enrollees. METHODS: Logistic regression analysis was used to calculate adjusted odds ratios relating to the availability of care management practices. Multiple regression techniques were used to construct comparisons of adjusted means relating to the usefulness of practices and the overall quality of care management. RESULTS: Physicians in predominantly commercial plans reported greater availability of care management practices. No patterns of differences were noted in ratings of the usefulness of practices if available. Physicians in predominantly commercial plans rated the quality of care management higher than physicians in predominantly Medicaid plans. However, there remains room for substantial improvement for commercial and other Medicaid contracting plans. CONCLUSIONS: Commercial plans add value to Medicaid programs, and efforts to discourage their withdrawal from participation are justified. However, physician evaluations support the potential for better care management in all types of contracting plans. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/15786854/Physician_evaluations_of_care_management_practices_in_Medicaid_programs_ L2 - https://www.ajmc.com/pubMed.php?pii=2817 DB - PRIME DP - Unbound Medicine ER -