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Oregon's Emphasis On Equity Shows Signs Of Early Success For Black And American Indian Medicaid Enrollees.
- Source :
-
Health affairs (Project Hope) [Health Aff (Millwood)] 2018 Mar; Vol. 37 (3), pp. 386-393. - Publication Year :
- 2018
-
Abstract
- In 2012 Oregon transformed its Medicaid program, providing coverage through sixteen coordinated care organizations (CCOs). The state identified the elimination of health disparities as a priority for the CCOs, implementing a multipronged approach that included strategic planning, community health workers, and Regional Health Equity Coalitions. We used claims-based measures of utilization, access, and quality to assess baseline disparities and test for changes over time. Prior to the CCO intervention there were significant white-black and white-American Indian/Alaska Native disparities in utilization measures and white-black disparities in quality measures. The CCOs' transformation and implementation of health equity policies was associated with reductions in disparities in primary care visits and white-black differences in access to care, but no change in emergency department use, with higher visit rates persisting among black and American Indian/Alaska Native enrollees, compared to whites. States that encourage payers and systems to prioritize health equity could reduce racial and ethnic disparities for some measures in their Medicaid populations.
- Subjects :
- Adolescent
Adult
Emergency Service, Hospital statistics & numerical data
Female
Humans
Male
Middle Aged
Models, Organizational
Oregon
Primary Health Care statistics & numerical data
Quality Improvement
Regional Health Planning
United States
Young Adult
Black or African American
Accountable Care Organizations economics
Accountable Care Organizations standards
Black People statistics & numerical data
Indians, North American statistics & numerical data
Managed Care Programs economics
Managed Care Programs organization & administration
Medicaid economics
Medicaid organization & administration
Patient Acceptance of Health Care ethnology
Patient Acceptance of Health Care statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 2694-233X
- Volume :
- 37
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Health affairs (Project Hope)
- Publication Type :
- Academic Journal
- Accession number :
- 29505371
- Full Text :
- https://doi.org/10.1377/hlthaff.2017.1282