Restrictive Medicaid Eligibility Criteria Associated with Higher Rates of Delayed Medical Care | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Restrictive Medicaid Eligibility Criteria Associated with Higher Rates of Delayed Medical Care

March 29, 2013
by John DeGaspari
| Reprints
Trend is especially prevalent in Florida and Texas

Effective health screening and preventive care is known to reduce health care costs and improve health outcomes, yet new research from Brigham and Women's Hospital (BWH) shows that restrictive Medicaid policies are associated with patients delaying needed medical care due to cost. States and counties with the most restrictive Medicaid eligibility criteria (where individuals must be far below the federal poverty level to qualify for Medicaid) have the highest rates of delayed care. The research appears in the March 28, 2013 issue of the New England Journal of Medicine.

"The causes of delaying care are complex. States with restrictive Medicaid policies need to review their strategies for improving access to care," said Cheryl Clark, M.D., Sc.D., a co-author of the research and the director of Health Equity Research and Intervention in the Center for Community Health and Health Equity at BWH.

Specifically, the research found:

  • States with the most restrictive Medicaid eligibility requirements have higher rates of patients delaying needed medical care.
  • Regions with the highest rates of delayed medical care are in the southeast, specifically Florida and Texas.
  • Across the United States, Hispanics are at a higher risk for delaying needed medical care.
  • Patients are less likely to delay needed medical care in regions with a greater concentration of primary care providers, such as New England.

"Solving this problem will take more than just a Medicaid expansion," said Jennifer Haas, M.D., M.S.P.H., a co-author of the research and a primary care physician at BWH. "The states and counties that have been successful in reducing their rates of delayed care have been able to increase the number of primary care physicians, reduce eligibility barriers for Hispanic patients and generally increase access to health care."

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

KLAS Research: Small Hospitals’ Buying Decisions Impacting EMR Market Share

A new KLAS Research report tracks shifts in electronic medical record (EMR) vendor market share among acute care hospitals, and finds that smaller hospitals are seeking technology solutions that meet their needs and limited budgets, and these contracts are making a mark on the EMR market.

Survey: Majority of Providers Predict Success for New Generic Drug Company, Project Rx

Back in January, four health systems, in consultation with the VA, announced a collaboration to develop a new, not-for-profit generic drug company. A survey has found that 90 percent of providers say they would become customers of the new venture.

Personalized Medicine Awareness Low Among U.S. Adults, Survey Finds

Genetics and personalized medicine are not top of mind for the general public in the U.S., according to a recent survey from GenomeWeb and the Personalized Medicine Coalition.

Industry Organizations Praise Senate Passage of VA Mission Act

The U.S. Senate on Wednesday passed, by a vote of 92-5, a major Veterans Affairs (VA) reform bill that includes health IT-related provisions to improve health data exchange between VA healthcare providers and community care providers.

NIH Issues Funding Announcement for All of Us Genomic Research Program

The National Institutes of Health’s (NIH) “All of Us” Research Program has issued a funding announcement for genome centers to generate genotype and whole genome sequence data from participants’ biosamples.

MGMA: Physician Compensation Data Illustrates Nationwide PCP Shortage

Primary care physicians’ compensation rose by more than 10 percent over the past five years, representing an increase which is nearly double that of specialty physicians’ compensation over the same period, according to the Medical Group Management Association (MGMA).