Despite Uncertainty in Eligibility for Medicaid, Enrollees Say They are Satisfied with Care

While there is much uncertainty regarding the future of Americans when it comes to their eligibility for Medicaid, enrollees are currently saying that they are satisfied with the care they have been receiving. In fact, they have said that they are generally satisfied with their overall experience in the program. They also said that they had been largely able to gain access to essential care.

With Eligibility for Medicaid Uncertain, Many Report Care Satisfaction

Enrollees Currently Reporting Care Satisfaction Amid Uncertainty

The recent survey analysis was published by JAMA Internal Medicine. The data used was from the first national Medicaid Consumer Assessment of Healthcare Providers and System survey that had been administered in 46 states as well as Washington, D.C. For the study, four groups of adults who were enrolled in Medicaid were sampled.

On average, the Medicaid enrollees rated their healthcare with at 7.9 out of ten. Meanwhile, as many as 46 percent of the participants rated their Medicaid coverage with impressive scores of nine or ten. In contrast, scores that are lower than five were only reported by 7.6 percent of the group. Medicaid expansion and non-expansion states also reported similar ratings. On the other hand, older adults and the dual eligible beneficiaries showed slightly higher ratings.

Satisfactory access to necessary care in the past six months was reported by as many as 84 percent of the participants. Meanwhile, having a usual source of care was reported among 83 percent of the participants. In contrast, Medicaid expansion states had significantly higher mean percentage of beneficiaries that were able to access necessary care when compared with non-expansion states. Wait times as well as physicians who did not accept certain insurance coverage only served as barriers to accessing care for three percent of the participants.

Senate's Plan Could Mean Many Will Lose Eligibility

Today, the Senate's Better Care Reconciliation Act of 2017 is making plans to make major changes regarding Medicaid and the eligibility for the program. The proposed legislation would end up capping federal funding for the program based on the number of patients that are enrolled in the state's Medicaid program beginning in 2020.

Meanwhile, payment increases would grow at the rate of medical inflation. This will occur until 2025 when it would grow at the lower non-medical inflation rate. This plan of approach would endanger the availability of Medicaid to patients with disabilities, the poor, children as well as seniors who are currently relying on the program to help pay for their long-term care or nursing home stay. In fact, more than two million people stand to lose their Medicaid coverage.

Despite the unpredictability regarding Medicaid, hospitals and other healthcare organization need to have some assistance in determining a patient's eligibility for Medicaid. They need to consult with a firm that specializes in medical insurance eligibility management services. This way, their staff could focus on what it does best: providing effective medical treatment and care.

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Pete Ash
Pete is the Vice President of Sales & Client Services at DECO Recovery Management. He covers the Mid Atlantic region and specializes in Medicaid related topics. It is DECO’s Mission to maximize reimbursement to our clients by leveraging innovative technology, processes and compassionate advocates to provide exemplary service.

Categories: Medicaid