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

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741<br />

Table 10 (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 />

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 />

Delivery of Health Service Health Plan Indicating<br />

'Very Satisfied"<br />

Not in<br />

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

n %<br />

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

1. Informati<strong>on</strong> about mchild's medical needs 26 33.3 35 46.1 14 45.2<br />

2. Explanati<strong>on</strong> of medical treatments 29 37.2 45 57.7 19 63.3<br />

3. Having time with my child's provider to ask questi<strong>on</strong>s 40 51.3 40 51.3 24 77.4<br />

4. Family inclusi<strong>on</strong> i decisi<strong>on</strong>-making and planning 37 51.4 53 69.7 23 76.7<br />

5. Child's participati<strong>on</strong> in decisi<strong>on</strong>-making and planning I8 33.3 25 46.3 . 14 70.0<br />

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

and specialt care providers 19 26.7 19 27.5 16 59.3<br />

7. Accesstoacasemanagerofcarecoordinator 14 25.0 16 29.1 13 59.1<br />

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

needs 9 15.8 10 16.1 S 32.0<br />

9. Informti<strong>on</strong> re: currt research that might help my child 6 10.0 9 13.2 5 17.9<br />

10. TDD services for hearing impaired 2 40.0 3 27.3 2 50.0<br />

11. Translatorfmterprerwservices 2 50.0 2 33.3 2 100.0<br />

12. Respect fr my culture ethnic identity and religious beliefs 27 57.5 24 64.9 14 73.7<br />

Overall Ease of Service Delivery<br />

1. Teleph<strong>on</strong>e access to providers 30 40.0 38 51.4 17 54.8<br />

2. Access to sec<strong>on</strong>d opini<strong>on</strong>s 18 27.3 24 39.3 16 59 3<br />

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

/referrals 26 35.6 31 43.1 16 55.2<br />

4. Waiting time to approve special servicesiequipment 17 27.9 14 22.2 13 56.5<br />

5. Appeals or grievance procedures 4 12.1 6 15.0 5 41.7<br />

6. Coordinati<strong>on</strong> of multiple appointments or visits 24 40.0 19 35.9 12 44.4<br />

.7. Required paperwork to access services 25 37.9 18 28.6 9 39.1<br />

8. Handicapped accessibility of physical facilities 22 55.0 20 54.1 6 54.6<br />

9. Transiti<strong>on</strong> from adolescent-to adult services 4 33.3 2 14.3 2 33.3<br />

10. Waiting time to schedule appts for primary care 39 52.0 38 50.7 17 60.7<br />

I1 Waiting time <strong>on</strong> day of appoirtmnent 34 43.6 33 42.3 14 46-7<br />

12. Infb <strong>on</strong> what services are covered by child's plan 24 30.8 30 39.0 12 38.7<br />

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

equipmentorproviders 12 21.1 15 23.8 11 40.7<br />

* N = the number of resp<strong>on</strong>dents who identified a given type of health planrfor their child and indicated their<br />

child needed or used a particular service. Resp<strong>on</strong>dents who indicated that their child is covered by more than<br />

<strong>on</strong>e type of heaktoplan or by a health plan categorized as "Other " were not included in the analysisfor this<br />

table.

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