Impact of Medicaid Managed Long-Term Services on Quality of Life
Author Information
Author(s): Degenholtz, Treat Anny, Kastner Keri, Yauch John
Primary Institution: University of Pittsburgh
Hypothesis
How does the transition to Managed Long-Term Services and Supports affect participant quality of life and unmet needs?
Conclusion
The transition to Managed Long-Term Services and Supports in Pennsylvania did not significantly change participants' psychological well-being, but depressive symptoms decreased over time.
Supporting Evidence
- Psychological well-being remained unchanged after the transition.
- Depressive symptoms among participants decreased over time.
- HCBS users reported lower access to primary care compared to duals.
- After implementation, duals reported higher health status.
Takeaway
This study looked at how changes in Medicaid services affected people’s happiness and needs, finding that while some things stayed the same, people felt less sad over time.
Methodology
The study involved 14,706 telephone interviews with participants before and after the transition to the new Medicaid program.
Limitations
The study primarily focused on subjective experiences and may not capture all aspects of quality of life.
Participant Demographics
Participants included adults with disabilities receiving home and community-based services and those dually eligible for Medicaid and Medicare.
Digital Object Identifier (DOI)
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