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 re...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2004-11-01
|
| Series: | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| Online Access: | https://doi.org/10.5034/inquiryjrnl_41.4.447 |
| _version_ | 1818354862566408192 |
|---|---|
| author | Thomas C. Buchmueller Todd Gilmer Katherine Harris |
| author_facet | Thomas C. Buchmueller Todd Gilmer Katherine Harris |
| author_sort | Thomas C. Buchmueller |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T19:32:10Z |
| format | Article |
| id | doaj.art-6977cc2227474fbaad85361d030c2aea |
| institution | Directory Open Access Journal |
| issn | 0046-9580 |
| language | English |
| last_indexed | 2024-12-13T19:32:10Z |
| publishDate | 2004-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| spelling | doaj.art-6977cc2227474fbaad85361d030c2aea2022-12-21T23:33:54ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95802004-11-014110.5034/inquiryjrnl_41.4.447Health Plan Disenrollment in a Choice-Based Medicaid Managed Care ProgramThomas C. BuchmuellerTodd GilmerKatherine HarrisConsumer 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.https://doi.org/10.5034/inquiryjrnl_41.4.447 |
| spellingShingle | Thomas C. Buchmueller Todd Gilmer Katherine Harris Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program Inquiry: The Journal of Health Care Organization, Provision, and Financing |
| title | Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program |
| title_full | Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program |
| title_fullStr | Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program |
| title_full_unstemmed | Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program |
| title_short | Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program |
| title_sort | health plan disenrollment in a choice based medicaid managed care program |
| url | https://doi.org/10.5034/inquiryjrnl_41.4.447 |
| work_keys_str_mv | AT thomascbuchmueller healthplandisenrollmentinachoicebasedmedicaidmanagedcareprogram AT toddgilmer healthplandisenrollmentinachoicebasedmedicaidmanagedcareprogram AT katherineharris healthplandisenrollmentinachoicebasedmedicaidmanagedcareprogram |