Boston – 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 Health Equity 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 primary care physicians, reduce eligibility barriers for Hispanic patients and generally increase access to health care."
This research was supported by grant UL1 RR 025758-01 from the National Institutes of Health and grant K08 AG 032357 from the National Institute on Aging.
New England Journal of Medicine