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Health Policy to Promote Colorectal Cancer Screening: Improving Access and Aligning Federal and State Incentives.
- Source :
-
Clinical researcher (Alexandria, Va.) [Clin Res (Alex)] 2015 Feb; Vol. 29 (1), pp. 50-55. Date of Electronic Publication: 2015 Feb 01. - Publication Year :
- 2015
-
Abstract
- Since implementation of the Affordable Care Act, 7 million+ individuals are newly covered on state-managed Medicaid programs and millions more on subsidized commercial insurance plans. We describe Oregon's experience in including colorectal cancer (CRC) screening as a measure for the state's new pay-for-performance Medicaid program. Using Oregon Health Authority data, we present 1) frequencies of Medicaid enrollees age-eligible for CRC screening, before and after Medicaid expansion; 2) CRC screening rates for 2011 and 2013; and 3) stakeholder perceptions about incentivizing CRC screening. Between December 2013 and June 2014, the size of the Medicaid-enrolled population age-eligible for CRC screening increased by 55% (104,920 to 163,078). Between 2011 and 2013, CRC screening rates improved by more than three percent for 6/15 (40%) CCOs; the majority of stakeholders surveyed (70%) supported the CRC screening metric. Inclusion of CRC screening as a Medicaid quality metric may present a unique opportunity to raise rates among historically underserved populations.
Details
- Language :
- English
- ISSN :
- 2334-1882
- Volume :
- 29
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Clinical researcher (Alexandria, Va.)
- Publication Type :
- Academic Journal
- Accession number :
- 27135047
- Full Text :
- https://doi.org/10.14524/CR-14-0044