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089261 1 (1979-01-05)

handle is hein.gao/gaobacveu0001 and id is 1 raw text is: UNITED STATES WAS HUMAN RESOURCES DIVISION A704 Mr. qeonard Schaeffer Administrator Health Care Financing Administration GENERAL iINGTON, JZ ACCOUNTING OFFICE D.C. 20548 anuary 5, 1979 RELEASED Dear Mr. Schaeffer: We conducted a study designed to determine where Medicaid recipients received their medical care and what problems, if any, they had in obtaining care. Our review encompassed a city, a rural county with a relatively large number of phy- sicians, and a rural county with few physicians in Colorado, Hawaii, Missouri, New Mexico, New York, and Virginia. Although other types of providers were included, we concen- trated on the use of physicians because the physician is the normal entry point into the health delivery system. In addition, we wanted to develop data on the extent of provider participation in Medicaid and the primary reasons for any lack of physician participation. Although this report contains no recommendations, we are providing the results of our study to you in light of HCFA's Research, Demonstration and Evaluation program priority areas for 1980 which include (1) studies to determine the effec- tiveness of HCFA's programs in removing barriers that prevent beneficiaries' access to health care services and (2) demon- stration projects designed to increase physician participa- tion in the Medicaid program. SUMMARY OF STUDY FINDINGS 17e interviewed 750 randomly selected Medicaid recipients who headed households containing 2,268 people eligible for Medicaid in the six States. Most interviews were conducted during the first 6 months of 1976. They told us that they were generally able to obtain medical services when needed. They also said they were generally satisfied with the care they received. The only problem raised frequently was that obtaining transportation to and from providers was diffi- cult. 0892111111111 5- 3 zz 7

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