Oregon's emphasis on equity shows signs of early success for black and American Indian medicaid enrollees

Kenneth (John) McConnell, Christina J. Charlesworth, Thomas H.A. Meath, Rani M. George, Hyunjee Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

In 2012 Oregon transformed its Medicaid program, providing coverage through sixteen coordinated care organizations (CCOs). The state identified the elimination of health disparities as a priority for the CCOs, implementing a multipronged approach that included strategic planning, community health workers, and Regional Health Equity Coalitions. We used claims-based measures of utilization, access, and quality to assess baseline disparities and test for changes over time. Prior to the CCO intervention there were significant white-black and white-American Indian/Alaska Native disparities in utilization measures and white-black disparities in quality measures. The CCOs' transformation and implementation of health equity policies was associated with reductions in disparities in primary care visits and white-black differences in access to care, but no change in emergency department use, with higher visit rates persisting among black and American Indian/Alaska Native enrollees, compared to whites. States that encourage payers and systems to prioritize health equity could reduce racial and ethnic disparities for some measures in their Medicaid populations.

Original languageEnglish (US)
Pages (from-to)386-393
Number of pages8
JournalHealth Affairs
Volume37
Issue number3
DOIs
StatePublished - Feb 1 2018

Fingerprint

North American Indians
Medicaid
Organizations
Health Policy
Hospital Emergency Service
Primary Health Care
Health
Population
Health Equity
hydroquinone
Alaska Natives

ASJC Scopus subject areas

  • Health Policy

Cite this

Oregon's emphasis on equity shows signs of early success for black and American Indian medicaid enrollees. / McConnell, Kenneth (John); Charlesworth, Christina J.; Meath, Thomas H.A.; George, Rani M.; Kim, Hyunjee.

In: Health Affairs, Vol. 37, No. 3, 01.02.2018, p. 386-393.

Research output: Contribution to journalArticle

McConnell, Kenneth (John) ; Charlesworth, Christina J. ; Meath, Thomas H.A. ; George, Rani M. ; Kim, Hyunjee. / Oregon's emphasis on equity shows signs of early success for black and American Indian medicaid enrollees. In: Health Affairs. 2018 ; Vol. 37, No. 3. pp. 386-393.
@article{98263bb648e44656b7fbccbb7c101f5a,
title = "Oregon's emphasis on equity shows signs of early success for black and American Indian medicaid enrollees",
abstract = "In 2012 Oregon transformed its Medicaid program, providing coverage through sixteen coordinated care organizations (CCOs). The state identified the elimination of health disparities as a priority for the CCOs, implementing a multipronged approach that included strategic planning, community health workers, and Regional Health Equity Coalitions. We used claims-based measures of utilization, access, and quality to assess baseline disparities and test for changes over time. Prior to the CCO intervention there were significant white-black and white-American Indian/Alaska Native disparities in utilization measures and white-black disparities in quality measures. The CCOs' transformation and implementation of health equity policies was associated with reductions in disparities in primary care visits and white-black differences in access to care, but no change in emergency department use, with higher visit rates persisting among black and American Indian/Alaska Native enrollees, compared to whites. States that encourage payers and systems to prioritize health equity could reduce racial and ethnic disparities for some measures in their Medicaid populations.",
author = "McConnell, {Kenneth (John)} and Charlesworth, {Christina J.} and Meath, {Thomas H.A.} and George, {Rani M.} and Hyunjee Kim",
year = "2018",
month = "2",
day = "1",
doi = "10.1377/hlthaff.2017.1282",
language = "English (US)",
volume = "37",
pages = "386--393",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "3",

}

TY - JOUR

T1 - Oregon's emphasis on equity shows signs of early success for black and American Indian medicaid enrollees

AU - McConnell, Kenneth (John)

AU - Charlesworth, Christina J.

AU - Meath, Thomas H.A.

AU - George, Rani M.

AU - Kim, Hyunjee

PY - 2018/2/1

Y1 - 2018/2/1

N2 - In 2012 Oregon transformed its Medicaid program, providing coverage through sixteen coordinated care organizations (CCOs). The state identified the elimination of health disparities as a priority for the CCOs, implementing a multipronged approach that included strategic planning, community health workers, and Regional Health Equity Coalitions. We used claims-based measures of utilization, access, and quality to assess baseline disparities and test for changes over time. Prior to the CCO intervention there were significant white-black and white-American Indian/Alaska Native disparities in utilization measures and white-black disparities in quality measures. The CCOs' transformation and implementation of health equity policies was associated with reductions in disparities in primary care visits and white-black differences in access to care, but no change in emergency department use, with higher visit rates persisting among black and American Indian/Alaska Native enrollees, compared to whites. States that encourage payers and systems to prioritize health equity could reduce racial and ethnic disparities for some measures in their Medicaid populations.

AB - In 2012 Oregon transformed its Medicaid program, providing coverage through sixteen coordinated care organizations (CCOs). The state identified the elimination of health disparities as a priority for the CCOs, implementing a multipronged approach that included strategic planning, community health workers, and Regional Health Equity Coalitions. We used claims-based measures of utilization, access, and quality to assess baseline disparities and test for changes over time. Prior to the CCO intervention there were significant white-black and white-American Indian/Alaska Native disparities in utilization measures and white-black disparities in quality measures. The CCOs' transformation and implementation of health equity policies was associated with reductions in disparities in primary care visits and white-black differences in access to care, but no change in emergency department use, with higher visit rates persisting among black and American Indian/Alaska Native enrollees, compared to whites. States that encourage payers and systems to prioritize health equity could reduce racial and ethnic disparities for some measures in their Medicaid populations.

UR - http://www.scopus.com/inward/record.url?scp=85046782111&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85046782111&partnerID=8YFLogxK

U2 - 10.1377/hlthaff.2017.1282

DO - 10.1377/hlthaff.2017.1282

M3 - Article

C2 - 29505371

AN - SCOPUS:85046782111

VL - 37

SP - 386

EP - 393

JO - Health Affairs

JF - Health Affairs

SN - 0278-2715

IS - 3

ER -