Accessibility and effectiveness of care under Medicaid.
Jencks, Stephen F
Date of Pub
Benedict, M Beth
We suggest a framework for assessing the accessibility, appropriateness, and outcomes of care to Medicaid recipients and review
studies in these areas. Evidence is limited, and variation among States and the paucity of national data pose further problems.
There is evidence that Medicaid recipients receive less medically necessary care (e.g., prenatal care) than the insured, but
evidence on the quality of their care is limited. Differences in payment rates between Medicaid and private insurance appear
to explain only part of the variance. Studies have demonstrated major direct effects of diminished access on health status.
Evaluation of program changes should focus on health outcomes rather than counts of services rendered.
Child : Child Health Services/economics : Child, Preschool : Female : Health Services Accessibility/statistics & numerical
data : Human : Long-Term Care/economics : Medicaid/organization & administration : Outcome and Process Assessment (Health
Care)/statistics & numerical data : Pregnancy : Prenatal Care/economics : Quality of Health Care/statistics & numerical data
: United States