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

aging.senate.gov
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29.07.2013 Views

736 Table 7 Family Voices Survey on ong>Managedong> ong>Careong> Family Responses on Individual Satisfaction Items .(N=323) % % % % %Needed, Satisfaction with Health Services Very Satisfied Somewhat Satisfied Not Satisfied Not Available Medical and ong>Specialong>ty Services 1. Appropriate routine, well-hild care (n=280) 67.1 23.2 3.6 6.1 2. A primary care provider with knowledge of my child's special needs (n=291) 54.0 26.S 14.8 4.5 3. Appropriate pediatric specialty care providers (n=281) 59.8 28.1 10.0 2.1 4. Appropriate pediatric in-patient hospital services (n=208) 64.4 28.8 6.3 .5 5. ong>Specialong>ized dental care or orthodontic services (n=197) 40.6 24.9 12.7 21.8 6. Physical therapy services (n=222) 49.5 21.2 13.5 15.8 7. Occupational therapy services (n=212) 38.7 22.2 15.6 23.6 8. Speech therapy services (n=242) 38.4 19.4 16.5 25.6 9. Nutritional counseling (n=141) 39.7 17.0 20.6 22.7 10. Psychologicaltesting(n=131) 29.0 27.5 25.2 18.3 11. X-ray and radiology services (n=212) 63.7 31.6 3.8 .9 12. Laboratory services (n=238) 61.8 31.9 4.6 1.7 13. Genetic counseling services (n=123) 50.4 24.4 15.4 9.8 14. Emergency room services (n=215) 54.0 37.2 7.9 .9 Mental Health Services 1. Counseling for child (n=93) 24.7 15.1 32.3 28.0 2. Counseling for family members (n=148) 20.9 19.6 27.0 32.4 3. Familysupportgroups (n159) 16.4 25.8 18.9 39.0 4. Out-patient diagnostic services (n=90) 38.9 28.9 16.7 15.6 5. In-patient psychiatric care (n=42) 23.8 19.0 33.3 23.8 Other Health Services I. Prescriptionmedications (n=285) 62.5 31.2 5.3 1.1 2. Durable medical equipment (n=152) 39.5 34.9 19.7 5.9 3. Adaptive equipment (n=160) 26.3 28. 1 28.8 16.9 4. Disposable medical supplies (n=109) 45.0 26.6 15.6 12.8 5. Nutritional products or special diets (n=105) 36.2 18.1 18.1 27.6 6. Home nursing services (n=84) 32.1 27.4 19.0 21.4 7. Personal care attendant services (PCA) (n=72) 29.2 19.4 15.3 36 1 8. Hospice services (n=24) 29.2 20.8 29.2 208.

737 Table 7 (continued) Family Voices Survey on ong>Managedong> ong>Careong> Family Responses on Individual Satisfaction Items (N=323) Very Somewhat Not Satisfaction with Delivery of ong>Careong>: Satisfied Satisfied Satisfied Communication and Coordination of ong>Careong> 1. Information about my child's medical needs (n=290) 40.3 40.7 | 19.0 2. Explanation oftmedical wetaents (n=289) . 47.4 41.5 11.1 3. Having time with my child's provider to ask questions (n=290) 54.5 34.5 11.0 4. Family inclusion in decision-making and planning (n-279) 57.0 32.3 10.8 5. Child's participation in decision-making and planning (n=I86) 41.4 38.2 20.4 -6. Communication between my child's primary care provider and specialty care providers (n=257) 34.2 34.6 31.1 7. Access to a case manager ofcare coordinator (n=219) 32.0 25.6 42.5 8. Helping the school understand my child's special health care needs (n=229) - 19.2 33.2 47.6 9. Information re: current research that might help my child (n=250) 14.0 24.8 61 .2 10. TDD services for hearing impaired (n=34) 29.4 23.5 47.1 11. Translator/interpreter services (n=23) 39.1 30.4 30.4 12. Respect for my culture, ethnic identity and religious beliefs (n=177) 62.7 26.6 10.7 Overal Ease of Service Delivery 1. Telephone access to providers (n=283) 45.6 36.7 17.7 2. Access to second opinions (n=242) 39.9 34.3 26.4 3. Ability to schedule timely specialty care appointments/referrals (n=277) 41.9 36.8 21.3 4. Waiting time to approve special services/equipment (n=240) 27.1 32.9 40.0 5. Appeals or grievance procedures (n=136) 15.4 38.2 46.3 6. Coordination of multiple appointments or visits (n=227) 36.6 38.8 24.7 7. Required paperwork to access services (n=249) 32.5 36.1 31.3 S. Handicapped accessibility of physical facilities (n=144) 53.5 31.9 14.6 9 Transition from adolescent to adult services (n=56) 21.4 23.2 55.4 1 0. Waiting time to schedule appts for primary care (n=275) 538. 35.3 10.9 I I. Waiting time on day of appointment (n=287) 42.9 41.1 16.0 12. Info on what services are covered by child's plan (n=286) 31.8 36.7 31.5 13. Flexibility to use cost-effective altemative services, equipment or providers (n=230) 1 22.6 30.4 47.0

737<br />

Table 7 (c<strong>on</strong>tinued)<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> Individual Satisfacti<strong>on</strong> Items<br />

(N=323)<br />

Very Somewhat Not<br />

Satisfacti<strong>on</strong> with Delivery of <str<strong>on</strong>g>Care</str<strong>on</strong>g>: Satisfied Satisfied Satisfied<br />

Communicati<strong>on</strong> and Coordinati<strong>on</strong> of <str<strong>on</strong>g>Care</str<strong>on</strong>g><br />

1. Informati<strong>on</strong> about my child's medical needs (n=290) 40.3 40.7 | 19.0<br />

2. Explanati<strong>on</strong> oftmedical wetaents (n=289) . 47.4 41.5 11.1<br />

3. Having time with my child's provider to ask questi<strong>on</strong>s (n=290) 54.5 34.5 11.0<br />

4. Family inclusi<strong>on</strong> in decisi<strong>on</strong>-making and planning (n-279) 57.0 32.3 10.8<br />

5. Child's participati<strong>on</strong> in decisi<strong>on</strong>-making and planning (n=I86) 41.4 38.2 20.4<br />

-6. Communicati<strong>on</strong> between my child's primary care provider and<br />

specialty care providers (n=257) 34.2 34.6 31.1<br />

7. Access to a case manager ofcare coordinator (n=219) 32.0 25.6 42.5<br />

8. Helping the school understand my child's special health care<br />

needs (n=229) - 19.2 33.2 47.6<br />

9. Informati<strong>on</strong> re: current research that might help my child (n=250)<br />

14.0 24.8 61 .2<br />

10. TDD services for hearing impaired (n=34) 29.4 23.5 47.1<br />

11. Translator/interpreter services (n=23) 39.1 30.4 30.4<br />

12. Respect for my culture, ethnic identity and religious beliefs<br />

(n=177) 62.7 26.6 10.7<br />

Overal Ease of Service Delivery<br />

1. Teleph<strong>on</strong>e access to providers (n=283) 45.6 36.7 17.7<br />

2. Access to sec<strong>on</strong>d opini<strong>on</strong>s (n=242) 39.9 34.3 26.4<br />

3. Ability to schedule timely specialty care appointments/referrals<br />

(n=277) 41.9 36.8 21.3<br />

4. Waiting time to approve special services/equipment (n=240) 27.1 32.9 40.0<br />

5. Appeals or grievance procedures (n=136) 15.4 38.2 46.3<br />

6. Coordinati<strong>on</strong> of multiple appointments or visits (n=227) 36.6 38.8 24.7<br />

7. Required paperwork to access services (n=249) 32.5 36.1 31.3<br />

S. Handicapped accessibility of physical facilities (n=144) 53.5 31.9 14.6<br />

9 Transiti<strong>on</strong> from adolescent to adult services (n=56) 21.4 23.2 55.4<br />

1 0. Waiting time to schedule appts for primary care (n=275) 538. 35.3 10.9<br />

I I. Waiting time <strong>on</strong> day of appointment (n=287) 42.9 41.1 16.0<br />

12. Info <strong>on</strong> what services are covered by child's plan (n=286) 31.8 36.7 31.5<br />

13. Flexibility to use cost-effective altemative services, equipment or<br />

providers (n=230) 1 22.6 30.4 47.0

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