Medicaid Managed Care - U.S. Senate Special Committee on Aging

Medicaid Managed Care - U.S. Senate Special Committee on Aging Medicaid Managed Care - U.S. Senate Special Committee on Aging

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Table 4 Family Voices Survey on ong>Managedong> ong>Careong> I Family Respondents' Description of ong>Specialong> Health Needs of Children (N=323) Total Washington Georgia Colorado lowa ,ong>Specialong> llealth ong>Careong> Need N % n % n % n n % Limitation of Physical Functioning (ADL or social role) 243 75.2 89 85.6 77 65.8 44 84.6 33 66.0 Need for ong>Specialong>ized Service Therapeutic Services (physical/occupationallspeech therapy) 266 82.3 93 89.4 90 76.9 44 84.6 39 78.0 Home H-altth ong>Careong> 60 18.6 21 20.2 14 12.0 16 30.8 9 18.0 Use of Durable Medical Equipment or Assistive Devices 125 38.7 40 38.5 40 34.2 26 50.0 19 38.0 Medications 158 48.9 53 51.0 55 47.0 23 44.2 27 54.0 ong>Specialong> Diets , 99 30.7 37 35.6 28 23.9 21 40.4 13 26.0 Medical Technology 77 23.8 24 231 21 18.0 22 42.3 10 20.0 Personal ong>Careong> Assistance 106 32.8 44 42.3 25 21.4 21 40.4 16 32.0 Multidisciplinary Assessments 134 41.5 46 44.2 36 30.8 31 59.6 21 42.0 ong>Specialong>ized Mental Health Interventions 45 13.9 16 15.4 13 11.1 7 13.5 9 18.0 ong>Careong> Coordination Among Multiple Providers 131 40.6 39 37.5 39 33.3 32 61.5 21 42.0 Need for Enhanced Medical ong>Careong> above Usual for Child's Age 135 41.8 51 49.0 33 28.2 29 55.8 22 44.0 lnidy l'uieuS.".. 6'20 97

Table 5 Family Voices Survey on ong>Managedong> ong>Careong> Family Responses on Overall Satisfaction and Costs 'N-323) ______ Total Seattle, WA Atlanta, GA Denver, CO DesMoines, IA hild Needs' nd - N=323 n=104 nl17 n=52 n=S0 Health Plan Coveragej n % n n n % n % Overall Evaluation of Child's Health Plan Appropriate, quality services 161 53.7 53 53.0 68 65.4 17 35.4 23 47.9 Moderatelyappropriatequalityservices 89 29.7 31 31.0 22 21.2 20 41.7 16 33.3 Inadequate services 50 16.7 16 16.0 14 13.5 11 22.9 9 18.8 Child's Health Plan Covers Costa to Meet I Child's Needs Yes 141 46.7 45 44.6 56 52.8 22 45.8 18 38.3 Somewhat 129 42.7 ; 50 49.5 40 37.7 18 37.5 21 44.7 No 32 10.6 6 5.9 .10 9.4 8 16.7 8 17.0 Table 6 Family Voices Survey on ong>Managedong> ong>Careong> Family Responses on Overall Satisfaction and Costs by Type of Health Plan (N-193)* No ong>Managedong> HMO PPr ong>Careong> Child Needs and n=78 n=80 n-35 Health Plan Coverage n % n % n % Overall Evaluation of Child's Health Plan Appropriate, quality services 36 46.2 46 57.5 22 62.9 Moderately appropriate, quality services 28 35.9 21 26.3 7 20.0 Inadequateservices 14 18.0 13 16.3 6 17.1 Child's Health Plan Coven Costs to Meet Child's Needs Yes 32 41.0 39 48.8 19 52.8 Somewhat 36 46.2 35 43.8 11 30.6 No 10 12.8 6 7.5 6 16.7 Respondents who Indicated thal their child is covered by more than onetrype of health pian or by a health polan categorized as Other were not included in the analysisfar this table. Fon dy t'okW-S-ony W Y7

Table 5<br />

Family Voices Survey <strong>on</strong> <str<strong>on</strong>g>Managed</str<strong>on</strong>g> <str<strong>on</strong>g>Care</str<strong>on</strong>g><br />

Family Resp<strong>on</strong>ses <strong>on</strong> Overall Satisfacti<strong>on</strong> and Costs<br />

'N-323) ______<br />

Total Seattle, WA Atlanta, GA Denver, CO DesMoines, IA<br />

hild Needs' nd - N=323 n=104 nl17 n=52 n=S0<br />

Health Plan Coveragej n % n n n % n %<br />

Overall Evaluati<strong>on</strong> of Child's Health Plan<br />

Appropriate, quality services 161 53.7 53 53.0 68 65.4 17 35.4 23 47.9<br />

Moderatelyappropriatequalityservices 89 29.7 31 31.0 22 21.2 20 41.7 16 33.3<br />

Inadequate services 50 16.7 16 16.0 14 13.5 11 22.9 9 18.8<br />

Child's Health Plan Covers Costa to Meet I<br />

Child's Needs<br />

Yes 141 46.7 45 44.6 56 52.8 22 45.8 18 38.3<br />

Somewhat 129 42.7 ; 50 49.5 40 37.7 18 37.5 21 44.7<br />

No 32 10.6 6 5.9 .10 9.4 8 16.7 8 17.0<br />

Table 6<br />

Family Voices Survey <strong>on</strong> <str<strong>on</strong>g>Managed</str<strong>on</strong>g> <str<strong>on</strong>g>Care</str<strong>on</strong>g><br />

Family Resp<strong>on</strong>ses <strong>on</strong> Overall Satisfacti<strong>on</strong> and Costs by Type of Health Plan<br />

(N-193)*<br />

No <str<strong>on</strong>g>Managed</str<strong>on</strong>g><br />

HMO PPr <str<strong>on</strong>g>Care</str<strong>on</strong>g><br />

Child Needs and n=78 n=80 n-35<br />

Health Plan Coverage n % n % n %<br />

Overall Evaluati<strong>on</strong> of Child's Health Plan<br />

Appropriate, quality services 36 46.2 46 57.5 22 62.9<br />

Moderately appropriate, quality services 28 35.9 21 26.3 7 20.0<br />

Inadequateservices 14 18.0 13 16.3 6 17.1<br />

Child's Health Plan Coven Costs to Meet<br />

Child's Needs<br />

Yes 32 41.0 39 48.8 19 52.8<br />

Somewhat 36 46.2 35 43.8 11 30.6<br />

No 10 12.8 6 7.5 6 16.7<br />

Resp<strong>on</strong>dents who Indicated thal their child is covered by more than <strong>on</strong>etrype of health pian or by a health polan<br />

categorized as Other were not included in the analysisfar this table.<br />

F<strong>on</strong> dy t'okW-S-<strong>on</strong>y W Y7

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