ArticleHealth affairs scholar2025
Transportation barriers for Iowa Medicaid-enrolled adults with and without non-emergency medical transportation services.
Article in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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3 authors.
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Abstract
Introduction: State Medicaid programs must provide transportation to medical appointments through the non-emergency medical transportation (NEMT) benefit. Iowa is one of a few states not required to provide NEMT for adults in their Medicaid expansion program if not medically exempt or under age 21. Methods: Data from a 2022 survey assessed transportation barriers for 3 adult Iowa Medicaid groups ( Results: Recipients without NEMT reported fewer transportation barriers than recipients with NEMT. For example, 6% of expansion members without NEMT reported transportation-related missed health visits (past 6 months) vs 15% for expansion members with NEMT and 11% for traditional Medicaid members. Few Medicaid group differences remained in adjusted models. NEMT benefit impact was limited by low reported awareness and use of the benefit and higher vulnerabilities in NEMT-eligible populations. Conclusion: Adults in all Medicaid groups could benefit from transportation services, but innovation is needed to determine more effective ways to meet transportation needs.
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