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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740 Table 10 Family Voices Survey on ong>Managedong> ong>Careong> High Satisfaction by Type of Health Plan (N-204)- Percent of Respondents within each Type of Type of Health Service Health Plan Indicating "Verv Satisfied" Not in ong>Managedong> HMO PPO ong>Careong> Medical and ong>Specialong>ty Services n % n % n % 1. Appropriate routine. well-child care 52 69.3 51 662 18 60.0 2. A primary care provider with knowledge of my child's special needs 38 50.0 40 51.3 21 65.6 3 Appropriate pediatric specialty care providers 41 54.7 44 57.1 21 70.0 4 Appropriate pediatric n-patient hospital services 36 64.3 30 58.8 17 81.0 5 ong>Specialong>ized dental care or orthodontic services 14 27.5 23 42.6 10 55.6 6 Physicaltherapy seivices 20 39.2 30 51.7 14 51.9 7. Occupational therapy services 14 2912 22 37.3 12 48.0 8. Speechtherapyservices 20 30.3 27 39.7 13 44.8 9. Nutritionalcoumseling 11 31.4 16 40.0 8 53.3 10. Psychological testing 7 22.6 10 27.8 7 38.9 I 1.X-ray and radiology services 34 61.8 34 60.7 15 68.2 12. Laborstary services 35 556 40 64.5 19 67.9 13. Genetic counseling services 20 55.6 12 52.2 7 53.9 14. Emergency room services 24 40.7 26 4812 19 79.2 Mental Health Services I Counseling for child 4 16.0 8 33.3 1 11.1 2_ Counsel_ for &mil members 4 9.3 13 35.1 2 18.2 3 Fanulysupportgroups 4 9.5 11 25.6 2 18.2 4 Out-patient diagnostic services 6 30.0 9 40.9 4 50.0 5 Intunt sychatr 3 37.5 3 27.3 0 0.0 Other Health Services I Prescription medications 45 59.2 43 57.3 22 73.3 2. Durable medical equipment 12 35.3 13 33.3 12 70.6 3.Adaptive 8luipent 8 22.9 9 19.6 9 60.0 4. Disposable medical supplies 11 42.3 1L 37.9 6 85.7 5. Nutritional products or special diets 7 29.2 5 17.9 6 60.0 6. Home nursing services 6 27.3 7 35.0 4 57.1 7. Persoral careateida services (PCA) 5 31.3 4 20.0 4 66.7 8. Hospice services 3 50.0 1 14.3 2 100.0 IN = the number of respondents who identified a given rype of health plan for their child a Indicated their child needed or used a parricular service. Respondents who indicated thar rheir child is covered by more than one type of health plan or by a health plan categorized as "Other" were not included in the analysis for this table.

741 Table 10 (continued) Family Voices Survey on ong>Managedong> ong>Careong> High Satisfaction by Type of Health Plan (N=204)^ Percent of Respondents within each Type of Delivery of Health Service Health Plan Indicating 'Very Satisfied" Not in HMO PPO ong>Managedong> ong>Careong> n % Communication and Coordination of ong>Careong> I % n % 1. Information about mchild's medical needs 26 33.3 35 46.1 14 45.2 2. Explanation of medical treatments 29 37.2 45 57.7 19 63.3 3. Having time with my child's provider to ask questions 40 51.3 40 51.3 24 77.4 4. Family inclusion i decision-making and planning 37 51.4 53 69.7 23 76.7 5. Child's participation in decision-making and planning I8 33.3 25 46.3 . 14 70.0 6. Communication between my child's primary care provider and specialt care providers 19 26.7 19 27.5 16 59.3 7. Accesstoacasemanagerofcarecoordinator 14 25.0 16 29.1 13 59.1 S. Helping the school understand my child's special health care needs 9 15.8 10 16.1 S 32.0 9. Informtion re: currt research that might help my child 6 10.0 9 13.2 5 17.9 10. TDD services for hearing impaired 2 40.0 3 27.3 2 50.0 11. Translatorfmterprerwservices 2 50.0 2 33.3 2 100.0 12. Respect fr my culture ethnic identity and religious beliefs 27 57.5 24 64.9 14 73.7 Overall Ease of Service Delivery 1. Telephone access to providers 30 40.0 38 51.4 17 54.8 2. Access to second opinions 18 27.3 24 39.3 16 59 3 3. Ability to schedule timely specialty care appointments /referrals 26 35.6 31 43.1 16 55.2 4. Waiting time to approve special servicesiequipment 17 27.9 14 22.2 13 56.5 5. Appeals or grievance procedures 4 12.1 6 15.0 5 41.7 6. Coordination of multiple appointments or visits 24 40.0 19 35.9 12 44.4 .7. Required paperwork to access services 25 37.9 18 28.6 9 39.1 8. Handicapped accessibility of physical facilities 22 55.0 20 54.1 6 54.6 9. Transition from adolescent-to adult services 4 33.3 2 14.3 2 33.3 10. Waiting time to schedule appts for primary care 39 52.0 38 50.7 17 60.7 I1 Waiting time on day of appoirtmnent 34 43.6 33 42.3 14 46-7 12. Infb on what services are covered by child's plan 24 30.8 30 39.0 12 38.7 13. Flexibility to use -cost-effective altemative services, equipmentorproviders 12 21.1 15 23.8 11 40.7 * N = the number of respondents who identified a given type of health planrfor their child and indicated their child needed or used a particular service. Respondents who indicated that their child is covered by more than one type of heaktoplan or by a health plan categorized as "Other " were not included in the analysisfor this table.

740<br />

Table 10<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 />

High Satisfacti<strong>on</strong> by Type of Health Plan<br />

(N-204)-<br />

Percent of Resp<strong>on</strong>dents within each Type of<br />

Type of Health Service Health Plan Indicating<br />

"Verv Satisfied"<br />

Not in <str<strong>on</strong>g>Managed</str<strong>on</strong>g><br />

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

Medical and <str<strong>on</strong>g>Special</str<strong>on</strong>g>ty Services n % n % n %<br />

1. Appropriate routine. well-child care 52 69.3 51 662 18 60.0<br />

2. A primary care provider with knowledge of my child's<br />

special needs 38 50.0 40 51.3 21 65.6<br />

3 Appropriate pediatric specialty care providers 41 54.7 44 57.1 21 70.0<br />

4 Appropriate pediatric n-patient hospital services 36 64.3 30 58.8 17 81.0<br />

5 <str<strong>on</strong>g>Special</str<strong>on</strong>g>ized dental care or orthod<strong>on</strong>tic services 14 27.5 23 42.6 10 55.6<br />

6 Physicaltherapy seivices 20 39.2 30 51.7 14 51.9<br />

7. Occupati<strong>on</strong>al therapy services 14 2912 22 37.3 12 48.0<br />

8. Speechtherapyservices 20 30.3 27 39.7 13 44.8<br />

9. Nutriti<strong>on</strong>alcoumseling 11 31.4 16 40.0 8 53.3<br />

10. Psychological testing 7 22.6 10 27.8 7 38.9<br />

I 1.X-ray and radiology services 34 61.8 34 60.7 15 68.2<br />

12. Laborstary services 35 556 40 64.5 19 67.9<br />

13. Genetic counseling services 20 55.6 12 52.2 7 53.9<br />

14. Emergency room services 24 40.7 26 4812 19 79.2<br />

Mental Health Services<br />

I Counseling for child 4 16.0 8 33.3 1 11.1<br />

2_ Counsel_ for &mil members 4 9.3 13 35.1 2 18.2<br />

3 Fanulysupportgroups 4 9.5 11 25.6 2 18.2<br />

4 Out-patient diagnostic services 6 30.0 9 40.9 4 50.0<br />

5 Intunt sychatr 3 37.5 3 27.3 0 0.0<br />

Other Health Services<br />

I Prescripti<strong>on</strong> medicati<strong>on</strong>s 45 59.2 43 57.3 22 73.3<br />

2. Durable medical equipment 12 35.3 13 33.3 12 70.6<br />

3.Adaptive 8luipent 8 22.9 9 19.6 9 60.0<br />

4. Disposable medical supplies 11 42.3 1L 37.9 6 85.7<br />

5. Nutriti<strong>on</strong>al products or special diets 7 29.2 5 17.9 6 60.0<br />

6. Home nursing services 6 27.3 7 35.0 4 57.1<br />

7. Persoral careateida services (PCA) 5 31.3 4 20.0 4 66.7<br />

8. Hospice services 3 50.0 1 14.3 2 100.0<br />

IN = the number of resp<strong>on</strong>dents who identified a given rype of health plan for their child a Indicated their<br />

child needed or used a parricular service. Resp<strong>on</strong>dents who indicated thar rheir child is covered by more<br />

than <strong>on</strong>e type of health plan or by a health plan categorized as "Other" were not included in the analysis for<br />

this table.

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