Restrictive Medicaid eligibility criteria associated with higher rates of delayed medical care

March 27th, 2013 in Health /
This map shows the prevalence of delayed medical care due to cost in the United States. Darker colors show the highest rates of delayed care and correspond with more restrictive Medicaid eligibility criteria. Credit: Brigham and Women's Hospital


This map shows the prevalence of delayed medical care due to cost in the United States. Darker colors show the highest rates of delayed care and correspond with more restrictive Medicaid eligibility criteria. Credit: Brigham and Women's Hospital

Effective health screening and preventive care is known to reduce health care costs and improve health outcomes, yet new research from Brigham and Women's Hospital (BWH) shows that restrictive Medicaid policies are associated with patients delaying needed medical care due to cost. States and counties with the most restrictive Medicaid eligibility criteria (where individuals must be far below the federal poverty level to qualify for Medicaid) have the highest rates of delayed care.

This research appears in the March 28, 2013 issue of the New England Journal of Medicine.

"The causes of delaying care are complex. States with restrictive Medicaid policies need to review their strategies for improving access to care," said Cheryl Clark, MD, ScD, a co-author of the research and the director of Research and Intervention in the Center for Community Health and Health Equity at BWH.

Specifically, the research found:

"Solving this problem will take more than just a Medicaid expansion," said Jennifer Haas, MD, MSPH, a co-author of the research and a primary care physician at BWH. "The states and counties that have been successful in reducing their rates of delayed care have been able to increase the number of , reduce eligibility barriers for Hispanic patients and generally increase access to health care."

Provided by Brigham and Women's Hospital

"Restrictive Medicaid eligibility criteria associated with higher rates of delayed medical care." March 27th, 2013. http://medicalxpress.com/news/2013-03-restrictive-medicaid-eligibility-criteria-higher.html