Mary Bollinger|Jeff Pyne|Anthony Goudie|Xiaotong Han|Teresa J. Hudson|James M. Thompson
Enrollee Experience with Providers in the Arkansas Medicaid Expansion Program
University of Arkansas for Medical Sciences|University of Arkansas for Medical Sciences|Arkansas Department of Health|Central Arkansas Veterans Healthcare System|Central Arkansas Veterans Healthcare System|Arkansas Department of Health
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 beneficiarieswe compare patientreported satisfaction feeforservice medicaid qhp participantsthe consumer assessment healthcare providers systems cahps used identify differences medicaid qhp enrollee healthcare experiences data analyzed using regression discontinuity designnewly eligible medicaid expansion participants enrolled medicaid 2013 completed consumer assessment health providers systems cahps survey 2014 survey data analyzed 3156 participants n 1759 qhp1397 medicaidmeasures included rating personal specialist provider rating healthcare received whether provider offered communicate electronically demographic clinical characteristics enrollees controlled analysesregressiondiscontinuity analysis used evaluate differential program effects positive ratings measured cahps survey controlling demographic health characteristics participantsadjusted 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 providerusing 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