Oral

This session will focus on public health insurance coverage – patient perceptions and satisfaction, access to preventive healthcare services and management of chronic conditions, and health outcomes. We will begin with a presentation of a survey that compares patient satisfaction for Medicaid beneficiaries in managed care plans with those receiving fee-for-service Medicaid, in Washington DC. Next will be a discussion of the impact of concern about cost on healthcare access, focusing on implications for state and federal policy. Next, a study using 2004 Medical Panel Expenditure Survey (MEPS) data to explore the relationship between having a usual source of care and use of hospital emergency rooms for acute care will be discussed. Our next presentation will focus on the issues the hundreds of thousand of adults with diabetes and without health insurance face in managing their serious chronic condition. The final presentation will discuss women’s use of preventive services for cancer screening as it relates to their insurance status.

Session Objectives: At the end of this presentation, participants will be better able to: • Identify factors associated with Medicaid beneficiary satisfaction and perceptions of quality of care • Articulate the relationships among concern over health care costs, health coverage, and access to care • Discuss the relationship between having usual source of care and the use of the emergency care on a national level • Discuss the impact of telephonic diabetes case management on diabetes-related health outcomes among a population of uninsured patients • Understand variations in utilization of different cancer screening services by women’s insurance source

CE Credits: CME, Health Education (CHES), Nursing