Rating of quality of care for patients with Medicaid versus private insurance

Rating of quality of care for patients with Medicaid versus private insurance

Cary Gross, MD, discusses the background of his research on lung cancer and Medicaid patients.

Cary Gross, MD, professor of medicine and epidemiology, and founder and director of Cancer Outcomes, Public Policy and Effectiveness Research Center, Yale School of Medicine; Director, Adult Primary Care Center, Quality Improvement; Chair, National Clinician Scientist Program; and Director, National Clinician Scholars Program, discusses the background of his research on lung cancer and Medicaid patients.

In the US healthcare system, Medicaid is one of the largest public health insurance programs with approximately 1 in 5 Americans receiving its coverage. A study by Gross et al compared Medicaid patients with private insurance patients.

Investigators sought to assess this topic, as previous studies have suggested that cancer patients who receive Medicaid end up receiving lower quality care compared to privately insured patients.

Transcription:

0:08 | The reason my authors and I set out to study the relationship between Medicaid and the quality of lung cancer care is that Medicaid is a vitally important player in the American healthcare system. It is the largest public health insurance program in our country and covers approximately 1 in 5 Americans. For our study, this comparator was patients with private insurance.

0:38 | But what I wanted to be clear is that Medicaid is much better than not having insurance. Numerous studies have shown that patients with Medicaid have better access to care than the uninsured. Patients with Medicaid are more likely to get high-quality care and are more satisfied than uninsured patients. So I wouldn’t want anyone looking at our study and saying, “I guess Medicaid isn’t that good” or “Let’s get rid of Medicaid.” That’s not what we’re talking about. This is a study of Medicaid versus private insurance. And the reason we set out to explore Medicaid is because previous studies have suggested that cancer patients on Medicaid receive lower quality care than privately insured patients.

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