Qualitative perspectives of primary care providers who treat Medicaid managed care patients

BMC Health Services Research
Sarah H GordonAmal N Trivedi

Abstract

Declining job satisfaction and concurrent reductions in Medicaid participation among primary care providers have been documented, but there is limited qualitative work detailing their first-hand experiences treating Medicaid patients. The objective of this study is to describe the experiences of some primary care providers who treat Medicaid patients using in-depth qualitative analysis. We conducted qualitative interviews with 15 primary care providers treating Medicaid patients in a Northeastern state. Participant recruitment efforts focused on including different types of primary care providers practicing in diverse settings. Qualitative interviews were conducted using a semi-structured interview protocol. We developed a coding scheme to analyze interview transcripts and identify themes. Providers expressed challenges effectively meeting their patients' needs under current policy. They described low Medicaid reimbursement and underinvestment in care coordination programs to adequately address the social determinants of health. Providers shared other concerns including poor access to behavioral health services, discontinuous Medicaid coverage due to enrollment and renewal policies, and limited reimbursement for alternative pai...Continue Reading

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Citations

Apr 6, 2019·Medical Care Research and Review : MCRR·Emily A GadboisAmal N Trivedi
Jan 7, 2020·Health Affairs·Sarah H GordonAmal N Trivedi
Apr 3, 2020·Annual Review of Public Health·Daniela Franco MontoyaE Kathleen Adams
Oct 20, 2020·JAMA Internal Medicine·Shailender SwaminathanAmal N Trivedi
Jan 6, 2021·Health Affairs·Steven B SpivackValerie A Lewis
Aug 5, 2019·The Journal of Surgical Research·Katelyn G BennettNicholas H Osborne
May 11, 2021·Journal of Women's Health·Susannah E Gibbs, S Marie Harvey

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