Carefirst bcbs fee schedule 2018

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In addition, although also not proven, other possible solutions to improve access to eye care include social workers or case managers at primary care offices to help coordinate appointments and the design of an easy to use centralized resource with information about the insurance plans that eye care professionals accept.

Future work should examine the effectiveness of these kinds of interventions to improve access to eye care and outcomes among patients with Medicaid. JAMA Ophthalmology. JAMA Ophthalmol. Published online Apr Yoon H.

Lee , BS, 1 Andrew X. Andrew X. Gloria H. David S. Joshua D. Joshua R. Author information Article notes Copyright and License information Disclaimer.

Corresponding author. Corresponding Author: Joshua R. Received Nov 21; Accepted Feb Copyright American Medical Association. All Rights Reserved. Characteristics of Counties eMethods 1. Telephone Call Script eMethods 2. Qualtrics Survey.

Key Points Question Is there a difference in access to eye care appointments between patients with Medicaid and those with private health insurance? Findings In this cohort study of unique eye care professionals, the proportion of callers who successfully obtained eye care appointments for adults and children with Medicaid was less than that of those with private health insurance, but there was no difference identified in appointment wait times when an appointment was made.

Meaning Difficulty obtaining appointments may explain, in part, the lower rates of use of recommended eye care services among those with Medicaid. Abstract Importance Although low-income populations have more eye problems, whether they face greater difficulty obtaining eye care appointments is unknown.

Objective To compare rates of obtaining eye care appointments and appointment wait times for those with Medicaid vs those with private insurance. Design, Setting, and Participants In this prospective, cohort study conducted from January 1, , to July 1, , researchers made telephone calls to a randomly selected sample of vision care professionals in Michigan and Maryland stratified by neighborhood urban vs rural and professional type ophthalmologist vs optometrist to request the first available appointment.

Main Outcomes and Measures Rate of successfully made appointments and mean wait time for the first available appointment. Results A total of telephone calls were made to eye care professionals calls [ Conclusions and Relevance Callers were less successful in trying to obtain eye care appointments with Medicaid than with BCBS, suggesting a disparity in access to eye care based on insurance status, although confounding factors may have contributed to this finding.

Introduction Poor eye health negatively affects quality of life, school performance, and work performance. Methods This prospective, multicenter study was conducted from January 1, , to July 1, Study Procedures The list of ophthalmologists and optometrists in the state of Maryland was obtained from the Maryland Department of Health website.

Results A total of calls were made to unique eye care professionals consisting of ophthalmologists [ Table 1. Characteristics of Eye Care Practices Contacted. Characteristic No. Open in a separate window. Insurance Type Of Medicaid patients, adults Figure 1. Figure 2. Table 2. Eye Care Professional Type Overall, not accounting for insurance type, the rates of successfully obtaining appointments were Neighborhood Type For adults, the rates of successfully obtaining appointments in urban and rural practices were State For adults, the rates of successfully obtaining appointments were Factors Associated With Odds of an Appointment Table 3 gives the results of multivariable models presenting the adjusted odds of receiving an appointment for patients with Medicaid and BCBS insurance.

Table 3. Odds of Successfully Scheduling Appointment. Discussion This study found that adults and children with Medicaid were less successful in making eye care appointments than those with BCBS insurance. Limitations This study has some limitations. Conclusions This study suggests that lower eye care professional acceptance of Medicaid may be an important barrier to obtaining eye care for patients with Medicaid.

Notes Supplement. Qualtrics Survey Click here for additional data file. References 1. Care First. Our Vision Plans. Accessed January 17, J Racial Ethn Health Disparities. Influence of socio-demographic characteristics on eye care expenditure: data from the Medical Expenditure Panel Survey Ophthalmic Epidemiol. The effect of Medicaid adult vision coverage on the likelihood of appropriate correction of distance vision: evidence from the National Health and Nutrition Examination Survey.

Soc Sci Med. Shin P, Finnegan B. Assessing the need for on-site eye care professionals in community health centers. February Assessing geographic variation in strabismus diagnosis among children enrolled in Medicaid. Access to appointments based on insurance status in Washington, D.

J Health Care Poor Underserved. Survey of patient insurance status on access to specialty foot and ankle care under the Affordable Care Act. Foot Ankle Int. Annual diabetic eye examinations in a managed care Medicaid population. Am J Manag Care. The effect of insurance type on fragility fracture patient access to endocrinology under the Affordable Care Act.

Geriatr Orthop Surg Rehabil. World Medical Association World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Maryland Medical Programs Provider directory. Accessed November 1, Find a doctor, pharmacy, or dentist. Accessed June 29, Upper Peninsula Health Plan Provider and pharmacy directory. Accessed June 6, Priority Health Choice Find a doctor. Accessed June 14, UnitedHealthcare Community Plan Find a doctor. Accessed June 28, Harbor Health Find a provider.

Accessed June 9, Heritage Vision Plans. Midwest provider directory. Accessed June 20, Total Health Care. Accessed June 8, Health Alliance Plan of Michigan.

Provider lookup online. Aetna Better Health of Michigan Provider type chart. Maryland counties by population. Maryland demographics. Michigan counties by population. Michigan demographics. Health Serv Res. The influence of medical insurance on patient access to orthopaedic surgery sports medicine appointments under the Affordable Care Act. Orthop J Sports Med. The effect of insurance type on trauma patient access to psychiatric care under the Affordable Care Act.

Gen Hosp Psychiatry. Large disparities in receipt of glaucoma care between enrollees in Medicaid and those with commercial health insurance. Accessed January 16, Professional Services Fee Schedule January Department of Health and Mental Hygiene.

Accessed January 23, Vision Services Database January Michigan Department of Health and Human Services. Accessed January 26, Long SK. Physicians may need more than higher reimbursements to expand Medicaid participation: findings from Washington State. Health Aff Millwood. Missed appointments in resident continuity clinic: patient characteristics and health care outcomes.

J Grad Med Educ. Patterns of vision care among Medicaid-enrolled children. Maria Sulima, Membership Coordinator [email protected]. Be a fan on Facebook Follow us on Twitter Link us in linkedin. Search this site. PCC Resources. Calendar Upcoming Events. News Releases Newsletters Advocacy Updates. January 17, December 19, December 8, Executive Member Since:.

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