Existing Medicaid Patients May Miss Out on Preventive Care

ACA preventive care mandates differentiate existing, newly insured

WEDNESDAY, July 10 (HealthDay News) -- Existing Medicaid enrollees may not receive preventive care measures the Affordable Care Act mandates for those covered under new insurance requirements, according to a study published in the July issue of Health Affairs.

Sara E. Wilensky, Ph.D., J.D., and Elizabeth A. Gray, J.D., from George Washington University in Washington, D.C., reviewed Medicaid programs across the country to determine coverage of preventive services for adults.

The researchers found that most states do not cover all of the U.S. Preventive Services Task Force A- and B-rated recommended services for adults. Existing adult Medicaid beneficiaries might not have coverage for the same preventive services most other insured people have under the health reform law. Aspects of how preventive services are defined in many states result in confusion about coverage parameters, potentially creating an additional access barrier for existing Medicaid beneficiaries.

"Because the Affordable Care Act treats newly eligible and existing Medicaid beneficiaries differently, all adult Medicaid beneficiaries within a state might not be eligible for the same preventive services," the authors write.

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Physician’s Briefing Staff

Physician’s Briefing Staff

Published on July 10, 2013

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