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

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Table 12
Family Voices Survey on <strong>Managed</strong> <strong>Care</strong>
Low Satisfaction with Health Service by Type of Health Plan
(N=204)-
Percent of Respondents within each
Delivery of Health Service Type of Health Plan Indicating
'Not Satiafied" nly"
Not in
. MO PPO <strong>Managed</strong> <strong>Care</strong>
Communication and Coordination of<strong>Care</strong> n % n % n %
1. Information ahoutmy child's medical needs 17 21.8 8 10.5 3 9.7
2. Explanation of medical treatme=ta 8 10.3 7 9.0 3 10.0
3. Having time with my child's provider to ask questions t 10.3 7 9.0 3 9.7
4. Family inclusion in decision-making and planning 9 12.5 6 7.9 3 10.0
S. Child's-participationinmdecision-makingandplanning I1 20.4 13 24.1 2 10.0
6. Communication between my child's primary care provider and
specialty care providers 20 31.3 24 34.8 6 22.2
7. Access to a case manager of care coordinator 26 46.4 25 45.5 3 13.6
8. Helping the school understand my child's special health care
needs 31 54.4 35 56.5 7 28.0
9. Infomiation re: current research that might help my child 40 66.7 44 64.7 10 35.7
10. TDD services for hearing impaired 2 40.0 6 54.6 1 25.0
11. Translatorfmterpreter services 0 0.0 3 50.0 0 0.0
12. Respect formyculure, ethnic identityandreligious belief 5 10.7 2 5.4 2 10.5
Overall Ease of Service Delivery
1. Telephone access to providers 16 21.3 10 13.5 2 6.5
2. Access to second opinions
3. Ability to schedule timely specialty care appointnunsis/referrals.
23 34.9 11 1 8.0 4 14.8
15 20.6 15 20.8 4 13.8
4. Waiting time to approve special servicestequipment 25 41.0 25 39.7 4 17.4
5. Appeals or grievance procedures 20 60.6 12 30.0 3 25.0
6. Coordination of multiple appointrients or visits 13 21.7 14 26.4 4 14.8
7. Requiredpaperworktoaccessservices 17 25.8 16 25.4 6 26.1
8. Handicapp'edaccessibilityofphysicalfacilities 5 .12.5 5 13.5 2 .18
9. Transition from adolescent to adult services 4 33.3 9 64.3 3 50.0
10. Waiting time to schedule appts fbrprimary care 7 9.3 9 12.0 3 10.7
11. Waitingtimeondayofappointmeat 9 11.5 13 16.7 7 23.3
12. Info on what services are covered by child's plan
13. Flexibility to use cost-effective alternative services. equipment
27 34.6 19 24.7 7 22.6
or providers 34 59.7 20 31.8 8 29.6
N = the number of respondents who identified a given type of health planfor 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 health plan or by a health plan categonzed as "Other were not included in the analysisfor this table.
For Communication and Coordination of <strong>Care</strong> and Overall Ease of Service Delivery. "Needed. Not Available
was not a response option.