ArticleHealth services research2025
Enrollee, Plan, and State Characteristics Associated With Experience of Care Among Adults in Medicaid Managed Care.
Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Enrollee, Plan, and State Characteristics Associated With Experience of Care Among Adults in Medicaid Managed Care.Health services research · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine five enrollee-reported experience of care metrics and assess enrollee, plan, and state characteristics associated with higher care ratings. STUDY SETTING AND
designWe conducted a repeated cross-sectional study using multivariable linear probability models and predictors that captured various enrollee, plan, and state characteristics. We evaluated five enrollee-reported experience of care measures: being "always or usually" easy to get needed care (yes/no), having a personal doctor (yes/no), having timely access to a checkup or routine care (yes/no), having timely access to specialty care (yes/no), and healthcare rating (0-10). DATA SOURCES AND ANALYTIC SAMPLE: We used enrollee-level data for adults aged 18-64 from the National Committee on Quality Assurance (NCQA) Adult Medicaid Managed Care Member Experience Survey in 2018 and 2020. PRINCIPAL
findingsThe study included 94,296 adults enrolled in 172 Medicaid managed care plans in 38 states and who responded to the member experience survey. Enrollees from racially and ethnically minoritized groups reported significantly worse experiences of care than non-Hispanic White enrollees on all outcomes. Larger plan size was associated with a lower likelihood of timely access to checkups (-5.44 percentage points [PP] difference) but a higher likelihood of having a personal doctor (4.52 PP). Plan for-profit status was associated with a lower likelihood of having access to needed care (-2.24 PP) or having a personal doctor (-4.07 PP). Enrollees in states with Medicaid managed care quality incentives for improving consumer experience of care were significantly more likely to report timely access to specialty care (5.16 PP).
conclusionsEnrollees from racially and ethnically minoritized groups with poor health status report worse access to care, with characteristics such as for-profit plan status and large plan size being associated with access to care. Strategies to improve care experiences may include targeted outreach, equity initiatives, and strengthening provider networks and availability.
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