Using a cross-sectional design, parents/guardians with children on Medicaid were surveyed (n=approximately 1500) between October and December 1999 on their satisfaction with care for their children. Additionally, information was obtained from adults (n=approximately 1500) on their satisfaction with their health care. Comparisons were made between children and adults enrolled in fee-for-service (FFS) or Managed Care (MC) settings. Data were further analyzed by condition; those with chronic conditions versus those without). Therefore, there were eight categories of comparison: children with and without a chronic condition enrolled in a FFS setting (n=approximately 1100); children with and without a chronic condition enrolled in a MC setting (n=approximately 500); adults with and without a chronic condition enrolled in a FFS setting (n=approximately 1100); and adults with and without a chronic condition enrolled in a MC setting (n=approximately 500). The results indicate that high levels of satisfaction exist regardless of condition. For children, when data were collapsed across type of setting, there was slightly less satisfaction for chronically ill children when compared to those without chronic conditions. However, the differences were not statistically significant.
Learning Objectives: At the conclusion of the session, the participant will be able to: 1) empirically support the implementation of either Managed Care (MC) or Fee-For-Service (FFS) Health Care in the Medicaid population for chronic and acute conditions 2) determine the effectiveness of MC versus FFS in children and adults in a Medicaid population for chronic and acute conditions
Keywords: Medicaid, Managed Care
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.