Jerilynn Prior, Jackie L Whittaker, Alex W Scott
Adolescent combined hormonal contraceptives and surgical repair of anterior cruciate tears: a risky recommendation based on an unproven causal relationship
The Physician and sportsmedicine
patient ratings healthcare experience quality measure become critically important since implementation affordable care act aca aca enabled states expand medicaid eligibility reduce uninsurance nationally arkansas gained approval use medicaid funds purchase qualified health plan qhp aca marketplace newly eligible beneficiaries compare patientreported satisfaction feeforservice medicaid qhp participants consumer assessment healthcare providers systems cahps used identify differences medicaid qhp enrollee healthcare experiences data analyzed using regression discontinuity design newly eligible medicaid expansion participants enrolled medicaid 2013 completed consumer assessment health providers systems cahps survey 2014 survey data analyzed 3156 participants n 1759 qhp1397 medicaid measures included rating personal specialist provider rating healthcare received whether provider offered communicate electronically demographic clinical characteristics enrollees controlled analyses regressiondiscontinuity analysis used evaluate differential program effects positive ratings measured cahps survey controlling demographic health characteristics participants adjusted logistic regression models overall healthcare 071 95ci 056090 p 0004 personal doctor 068 95ci 053087 p 0002 predicted greater satisfaction among qhp versus medicaid participants results significant specialists use electronic communication provider using quasiexperimental statistical approach able control observed unobserved heterogeneity showing among participants similar characteristics including income qhp participants rated personal providers healthcare higher enrolled medicaid access care utilization care healthcare health insurance literacy may contributing factors results