Participant Satisfaction Methods and Outcomes in Medicaid Managed Care

Barry, Teresa L.; Kaiser, Katherine Laux; López, Patricia Pérez; McNulty, Mary

doi:10.1111/j.1945-1474.2009.00002.x

Cited by 5 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[3] Most commercial health plans measure patient satisfaction as a quality indicator[3] but focus on limited dimensions of patients’ interactions with insurers. [4–5]…”

mentioning

confidence: 99%

The Quality of Health Insurance Service Delivery for Kidney Transplant Recipients: A Patient Perspective

Gordon

Conti

2010

American Journal of Transplantation

View full text Add to dashboard Cite

Increased attention has been devoted to improving quality care in kidney transplantation. The discourse on quality care has focused on transplant center metrics and other clinical parameters. However, there has been little discussion on the quality of health insurance service delivery, which may be critical to kidney recipients' access to transplantation and immunosuppression. This paper describes and provides a framework for characterizing kidney transplant recipients' positive and negative interactions with their insurers. A consecutive cohort of kidney recipients (n = 87) participated in semistructured interviews on their interactions with insurance agencies. Patients reported negative (37%) and/or neutral or positive (79%) interactions with their insurer (a subset [16%] reported both). Perceived negative experiences included: poor service, logistical difficulties with confusing and time-consuming paperwork, poor communication, rude behavior and concerns about adequate coverage. Positive experiences related to: having good coverage, a simple application process, straightforward transactions and helpful communication. Findings suggest that even when patients have insurance coverage, difficult interactions with insurers and limited skills in navigating insurance options may limit their access to needed medications and health services. Future research is needed to test this hypothesis in a larger population.

show abstract

“…[3] Most commercial health plans measure patient satisfaction as a quality indicator[3] but focus on limited dimensions of patients’ interactions with insurers. [4–5]…”

mentioning

confidence: 99%

The Quality of Health Insurance Service Delivery for Kidney Transplant Recipients: A Patient Perspective

Gordon

Conti

2010

American Journal of Transplantation

View full text Add to dashboard Cite

show abstract

“…Care pathways are "designed as recommendations for optimal management plans" that focus on increasing the quality and efficiency of care provided by health care facilities (McCue, Beck, & Smothers, 2009, p.43). Clear guidelines and expectations for the care of PWSUD could have the effects of improving the confidence and competence of ED nurses caring for PWSUDs, reducing variations in care and optimizing the application of evidence-based practices (McCue et al, 2009). Additionally, care pathways assist in directing patient populations to access the most appropriate care, in the most appropriate place, at the most appropriate time (Adeyemi, Demir, & Chaussalet, 2016).…”

Section: Wanting To Do the Right Thingmentioning

confidence: 99%

The experiences of registered nurses caring for people with substance use disorders in emergency department settings

Keeler¹

View full text Add to dashboard Cite

Substance use is a phenomenon affecting over 250 million people worldwide, with approximately 27 million people identified as living with a substance use disorder (SUD). This research study addressed the question "what are registered nurses' experiences caring for people with SUD in Emergency Department settings?" A qualitative descriptive methodology was used in the investigation which consisted of semi-structured interviews with 13 Registered Nurses recruited from three Emergency Departments within northern British Columba. Data was analyzed thematically and three major themes emerged: People with SUD in the Emergency Department; Organizational Barriers to Care and; Beliefs andAttitudes. This research provides insights into the challenges that nurses face caring for people with SUD in the Emergency Department setting, the need for education and resources aimed at improving outcomes for people with SUD, and the varying attitudes and beliefs that nurses hold regarding SUDs and people with SUDs, and how these impact care provision.iii

show abstract

Implementation of a Clinical Pharmacy Specialist-Managed Telephonic Hospital Discharge Follow-Up Program in a Patient-Centered Medical Home

Anderson

Marrs

Griend

et al. 2013

Population Health Management

View full text Add to dashboard Cite

The objectives of this retrospective study were to examine the feasibility and characteristics that define successful implementation of a Clinical Pharmacy Specialist (CPS) telephonic hospital discharge follow-up quality improvement initiative, as well as the impact of this initiative. Adult patients who were discharged from a safety-net hospital between July 1, 2010 and June 30, 2011 and who were part of a patient-centered medical home were included in this quality improvement initiative. CPSs attempted to contact 470 patients; of those, 207 received the intervention and 263 did not. Patients in the contacted group were more likely to attend a hospital discharge follow-up appointment (66.2% vs. 44.5%, P<0.01) and had lower rates of 30-day readmission (22 vs. 52, P<0.01) compared to those who were not contacted. Institutions should consider allocating resources for pharmacist-managed posthospital discharge follow-up services because of the potential for positive clinical and financial impact.

show abstract

Participant Satisfaction Methods and Outcomes in Medicaid Managed Care

Cited by 5 publications

References 14 publications

The Quality of Health Insurance Service Delivery for Kidney Transplant Recipients: A Patient Perspective

The Quality of Health Insurance Service Delivery for Kidney Transplant Recipients: A Patient Perspective

The experiences of registered nurses caring for people with substance use disorders in emergency department settings

Implementation of a Clinical Pharmacy Specialist-Managed Telephonic Hospital Discharge Follow-Up Program in a Patient-Centered Medical Home

Contact Info

Product

Resources

About