Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program

Consumer decisions to switch health plans have implications for quality of care and risk selection. We examine factors related to time to disenrollment in a Medicaid managed care program where beneficiaries face a menu of plans and can change plans every month. Several findings have direct policy relevance. Families and individuals who make active choices upon entering the program are at substantially lower risk of disenrollment than those who are auto-assigned. Interactions between enrollee ethnicity and provider language proficiency suggest that enrollee satisfaction depends on the cultural competence of providers. Differential disenrollment by risk status results in adverse retention for certain types of plans

Actuarial science · Business · Competence (human resources · Ethnic group · Family medicine · Health care · Managed care · Medicaid · Medicaid managed care · Political science · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Psychology · Social Psychology

• The stigma of public programs

  Open Access•Patricia Ketsche, E Kathleen Adams et al.•Journal of Policy Analysis and…•2007

  Añadir item

• Preferences and choices for care and health insurance

  Open Access•Bibi Van Den Berg, Bernard Van Den Berg et al.•Social Science & Medicine•2008

  Añadir item

• Linguistic and cultural barriers to care

  Quyen Ngo‐Metzger, Quyen Ngo-Metzger et al.•Journal of General Internal…•2003

  Añadir item

• Partial residuals for the proportional hazards regression model

  David Schoenfeld•Biometrika•1982

  Añadir item

• Risk Selection among SSI Enrollees in TennCare

  Open Access•Sarah Catherine Hill, Steven C Hill et al.•INQUIRY The Journal of Health…•2002

  Añadir item

• Can Medicaid managed care provide continuity of care to new Medicaid enrollees? An analysis of tenure on Medicaid

  Olveen Carrasquillo, D U Himmelstein et al.•American Journal of Public Health•1998

  Añadir item

• Employee Premiums, Availability of Alternative Plans, and HMO Disenrollment

  Stephen H Long, Russell F Settle et al.•Medical Care•1988

  Añadir item

• Utilization Patterns of Health Maintenance Organization Disenrollees

  Mary Jane Griffith, Nicholas Baloff et al.•Medical Care•1984

  Añadir item

• Disenrollment From a Prepaid Group Plan

  Virginia D Hennelly, Stuart B Boxerman•Medical Care•1983

  Añadir item

• Disenrollment of Medicare Cancer Patients from Health Maintenance Organizations

  Gerald F Riley, Eric J Feuer et al.•Medical Care•1996

  Añadir item

• Health Plan Switching in Anticipation of Increased Medical Care Utilization

  James C Robinson, Laura B Gardner et al.•Medical Care•1993

  Añadir item

• Access to Medical Care

  Roy Penchamsky•Medical Care•1976

  Añadir item

• Demographic Characteristics and Prior Utilization Experience of HMO Disenrollees Compared With Total Membership

  Richard P Wersinger, Andrew A Sorensen•Medical Care•1982

  Añadir item

• Racial and Ethnic Differences in a Patient Survey

  Jann L Murray-García, Jann Murray-García et al.•Medical Care•2000

  Añadir item

• The Archimedean point and eccentricity

  Pieter Tijmes•Inquiry•1992

  Añadir item