Plan characteristics and SSI enrollees' access to and quality of care in four TennCare MCOs.
OBJECTIVE
To assess hypotheses about which managed care organization (MCO) characteristics affect access to care and quality of care--including access to specialists, providers' knowledge about disability, and coordination of care--for people with disabilities.


METHODS
Survey of blind/disabled Supplemental Security Income (SSI) enrollees in four MCOs serving TennCare, Tennessee's Medicaid managed care program, in Memphis, conducted from 1998 through spring 1999.


METHODS
We compared enrollee reports of access and quality across the four MCOs using regression methods, and we use case study methods to assess whether patterns both within and across MCOs are consistent with the hypotheses.


METHODS
We conducted computer-assisted telephone surveys and used regression analysis to compare access and quality controlling for enrollee characteristics.


RESULTS
Although the four MCOs' characteristics varied, access to providers, coordination of care, and access to some services were generally similar across MCOs. Enrollees in one plan, the only MCO with a larger provider network and that paid physicians on a fee-for-service basis, reported their providers were more knowledgeable, and they had more secondary preventive care visits. Differences found in access to specialists and delays in approving care appear to be unrelated to characteristics reported by the MCOs, but instead may be related to how tightly utilization is reviewed.


CONCLUSIONS
Plan networks, financial incentives, utilization management methods, and state requirements are important areas for further study, and, in the meantime, ongoing monitoring of SSI enrollees in each MCO may be important for detecting problems and successes.
Hill
Steven C
SC
Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA.
Wooldridge
Judith
J
D003266:Continuity of Patient Care / Q000458:organization & administration / Q000592:standards; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006302:Health Services Research; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D008484:Medicaid / Q000458:organization & administration* / Q000592:standards; D011314:Preventive Health Services / Q000458:organization & administration / Q000592:standards; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D012044:Regression Analysis; D013221:State Health Plans / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D013714:Tennessee; D014481:United States