Challenges in Reaching Medicaid and Medicare Enrollees in a Mailed Fecal Immunochemical Test Program
| العنوان: | Challenges in Reaching Medicaid and Medicare Enrollees in a Mailed Fecal Immunochemical Test Program |
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| المؤلفون: | Jennifer Coury, Gloria D. Coronado, Beverly B. Green, Malaika Schwartz, Laura-Mae Baldwin, Imara I. West |
| المصدر: | Journal of Community Health. 45:916-921 |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Health plan, medicine.medical_specialty, Health (social science), Binomial regression, Primary care, Medicare, Ambulatory Care Facilities, Feces, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Postal Service, 030212 general & internal medicine, Health insurance plan, Early Detection of Cancer, Aged, Motivation, 030505 public health, Medicaid, Crc screening, business.industry, Public Health, Environmental and Occupational Health, Middle Aged, United States, Fecal Immunochemical Test, Occult Blood, Family medicine, Female, Colorectal Neoplasms, 0305 other medical science, business |
| الوصف: | BeneFIT was a demonstration project that worked with a Medicaid/Medicare health plan to implement a mailed fecal immunochemical test (FIT) program. The goal was to reach age-eligible enrollees who were due for colorectal cancer (CRC) screening and prompt them to complete a FIT. One health insurance plan collaborated with six federally qualified health centers (FQHCs) in Oregon. Reach was defined as the percent of eligible individuals overdue for CRC screening who were mailed a FIT in 2016. We examined patient-level factors associated with reach, using multivariable log binomial regression and FIT completion rates at 6 months. The health plan identified 3386 age-eligible members overdue for CRC screening. Of these, 2615 (77.2%) were reached (mailed FIT kits) and 771 (22.8%) were not; 478 (14.1%) because they were not considered to be clinic patients and 290 (8.6%) because of mailing issues. Patient-level factors associated with not being reached were: being male, being Medicaid-insured (vs. Medicare), and having no primary care visits (vs. 4+ visits) in the last year. Among all enrollees identified as overdue for CRC screening, FIT completion rates at 6 months were 14.8% overall and 18.5% in the subgroup reached. In a mailed FIT program, a health insurance plan attempted to reach as many enrollees overdue for CRC screening as possible, however 22.8% were not mailed a FIT. Additional efforts are needed to ensure that the hardest to reach enrollees can participate in CRC screening. |
| تدمد: | 1573-3610 0094-5145 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::27e381d124b2b172d8afc6bf483d3950Test https://doi.org/10.1007/s10900-020-00809-9Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....27e381d124b2b172d8afc6bf483d3950 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15733610 00945145 |
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