Do Managed Care Plans’ Tiered Networks Lead To Inequities In Care For Minority Patients?

作者: Troyen A. Brennan , Claire M. Spettell , Joaquim Fernandes , Roberta L. Downey , Lisa M. Carrara

DOI: 10.1377/HLTHAFF.27.4.1160

关键词: Claims dataPacific islandersManaged careEthnic groupRace (biology)NursingMedicineFamily medicineHealth policy

摘要: This study examined whether specialists designated as meeting efficiency thresholds in an insurance company’s performance network were less likely than non-designated to treat minority patients insured by that company. Claims data used identify treated specialists. Claimants’ race/ethnicity status was self-reported the insurer at enrollment. In large part, appeared be evenly distributed across network, with exception of Asian/Pacific Islanders, who more nondesignated physicians “good-performing”

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