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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738 Table 8 Family Voices Survey on ong>Managedong> ong>Careong> Family Satisfaction with Needed Services: Comparison of "Very Satisfied" Responses to "Not Satisfied" and "Needed/Not Available" Responses Combined (N=323) % Not Satisfied Satisfaction with Health Services (listed in ascending % Very and Needed, order of satisfaction) Satisfied Not Available Medical, Mental Health and ong>Specialong>ty Services X-ray/radiology (n--212) 63.7/ 4.71/o Laboratory services ( n=238) 61.8% 6.3% Prescription medications (n=285) 62.5% 6.3% Appropriate pediatric in-patient hospital (n"208) 64.4% 6.7% Emergency room services (n= 215) 54.0% - 8.8% Appropriate well child care (n=280) 67.1% 9.6% Appropriate pediatric specialty care providers (n=281) 59.8% 12.1% A primary care provider with knowledge of my child's 54.0% 19.2% special needs ( n--291) _ Genetic counseling/testing (n= 123) 50.4%/6 25.2% Durable medical equipment (n=152) 39.5% 25.7% Disposable medical supplies (n=109) 45.0% 28.4% Physical therapy (n=222) 49.5% 29.3% ong>Specialong>ized dental/orthodontic services (n=200) 41.00/6 34.00/* Occupational therapy(n=212) 38.7% 39.2% Home nursing services (n=84) _ 32.1% 40.5% Speech therapy (rt=242) 38.4% 42.1% Nutritional counseling (n=141) 39.70/ 43.3% Psychological testing (n=131) 29.0% 43.5% Adaptive equipment (n=160) 26.3% 45.6% Nutritional products(n=105) 36.2% 45. 7% Hospice services (n=24) 29.2%/ 50.0% Personal care attendant services (n=72) 29.2% 51.4% In-patient psychiatric care (n= 42) 23.8% 57.1% Family support groups (n=l59) 16.4% 57.9% Counseling for family members (n=148) . 20.90/. 59.5% Counseling for child (n=93) 24.7%/ 60.2%

739 Table 9 Family Voices Survey on ong>Managedong> ong>Careong> Family Satisfaction with Delivery of Services: Comparison of "Very Satisfied" Responses to "Not Satisfied" Responses (N=323) % Not Satisfied Satisfaction with Delivery of Health Services (listed in % Very (Needed, Not ascending order of satisfaction) Satisfied Available not a response oytton) Respect for my culture/Ethnic identity/ religious beliefs (n=177) 62.7% 10.7% Family inclusion in decision malting and planning (n=279) 57.0%/6 10.8% Waiting time to schedule appts with primary care provider 53.8% 10.9% (n-275) Time with my child's provider to ask questions (n=290) 54.5% 11.0% Explanation of medical treatments (n=289) 47.4% 11.1% Handicapped accessibility of facilities (n=144) 53.5% 14.6% Waiting time on day of appt (n=287) 42.9% 16.0% Telephone access to provider (n=283) 45.6% 17.7% Information about my child's medical needs (n=290) 40.3% 19.0%o. Child's participation in decision making (n=186) 41.4% 20.4% Ability to schedule timely specialty appts. (n=277) 41.90/% 21.3% Coordination of multiple appts (n=227) 36.6% 24.7% Access to second opinions(n=242) 39.3% 26.4% Translator/interpreter services (n=23) 39.1% 30.4% Communication between child's primary care provider and 34.2% 31.1% specialty providers (n=257) Required paperwork to access services (n=249) 32.5% 31_3_/_ - Info on what services are covered by child's plan (n=286) 31.8% 31.5% - Waiting time to approve special services/equipment (n=240) 27.1% 40.00/6 Access to a case manager or care coordinator (n=2 19) 32.0% 42.5% Appeals or grievance procedures (n=137) 15.3% 46.7% Flexibility to use cost effective alternative services, equipment, providers (n=234) 23.0% 47.0% TDD services for hearing impaired(n=34) 29.4% 47.1% Helping the school understand my-child's special health care 19.8% 47.4% needs (n=232) __ Transition from adolescent to adult services (n=56) 21.4% 55.4% Information re current research that might help my child (n=255) 15.3% 60.0%

738<br />

Table 8<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 Satisfacti<strong>on</strong> with Needed Services: Comparis<strong>on</strong> of "Very Satisfied" Resp<strong>on</strong>ses to<br />

"Not Satisfied" and "Needed/Not Available" Resp<strong>on</strong>ses Combined<br />

(N=323)<br />

% Not Satisfied<br />

Satisfacti<strong>on</strong> with Health Services (listed in ascending % Very and Needed,<br />

order of satisfacti<strong>on</strong>) Satisfied Not Available<br />

Medical, Mental Health and <str<strong>on</strong>g>Special</str<strong>on</strong>g>ty Services<br />

X-ray/radiology (n--212) 63.7/ 4.71/o<br />

Laboratory services ( n=238) 61.8% 6.3%<br />

Prescripti<strong>on</strong> medicati<strong>on</strong>s (n=285) 62.5% 6.3%<br />

Appropriate pediatric in-patient hospital (n"208) 64.4% 6.7%<br />

Emergency room services (n= 215) 54.0% - 8.8%<br />

Appropriate well child care (n=280) 67.1% 9.6%<br />

Appropriate pediatric specialty care providers (n=281) 59.8% 12.1%<br />

A primary care provider with knowledge of my child's 54.0% 19.2%<br />

special needs ( n--291) _<br />

Genetic counseling/testing (n= 123) 50.4%/6 25.2%<br />

Durable medical equipment (n=152) 39.5% 25.7%<br />

Disposable medical supplies (n=109) 45.0% 28.4%<br />

Physical therapy (n=222) 49.5% 29.3%<br />

<str<strong>on</strong>g>Special</str<strong>on</strong>g>ized dental/orthod<strong>on</strong>tic services (n=200) 41.00/6 34.00/*<br />

Occupati<strong>on</strong>al therapy(n=212) 38.7% 39.2%<br />

Home nursing services (n=84) _ 32.1% 40.5%<br />

Speech therapy (rt=242) 38.4% 42.1%<br />

Nutriti<strong>on</strong>al counseling (n=141) 39.70/ 43.3%<br />

Psychological testing (n=131) 29.0% 43.5%<br />

Adaptive equipment (n=160) 26.3% 45.6%<br />

Nutriti<strong>on</strong>al products(n=105) 36.2% 45. 7%<br />

Hospice services (n=24) 29.2%/ 50.0%<br />

Pers<strong>on</strong>al care attendant services (n=72) 29.2% 51.4%<br />

In-patient psychiatric care (n= 42) 23.8% 57.1%<br />

Family support groups (n=l59) 16.4% 57.9%<br />

Counseling for family members (n=148) . 20.90/. 59.5%<br />

Counseling for child (n=93) 24.7%/ 60.2%

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