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Medical Care Research and Review
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What's this?

Design and Feasibility of a National Medicaid Access Survey with State-Specific Estimates

Marsha Gold

Mathematica Policy Research, Inc.

Jack Hadley

Georgetown Center for Health Policy Studies

Donna Eisenhower

Mathematica Policy Research, Inc.

John Hall

Mathematica Policy Research, Inc.

Charles Metcalf

Mathematica Policy Research, Inc.

Lyle Nelson

Mathematica Policy Research, Inc.

Karyen Chu

Mathematica Policy Research, Inc.

Richard Strouse

Mathematica Policy Research, Inc.

David Colby

Physician Payment Review Commission

This article presents the results ofa study to design and assess the feasibility of conducting a national Medicaid Access Survey to generate timely, state-specific estimates of access to care for Medicaid enrollees. State-specific data on Medicaid access is especially relevant because state programs and environments vary considerably and are changing rapidly in ways that could influence access. We analyze (1) basic survey design parameters and instrument content, (2) alternative sampling approaches and their feasibility, (3) pilot test results, (4) the feasibility of using existing national surveys to generate comparison estimates for state-based surveys, and (5) estimates of the required sample size and costs for such a national Medicaid Access Survey. We conclude that a survey generating timely, state-speafic estimates of Medicaid access is both feasible and affordable if attention is paid to key design challenges while keeping objectives and design simple.

Medical Care Research and Review, Vol. 52, No. 3, 409-430 (1995)
DOI: 10.1177/107755879505200305
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