Geographic and Racial Disparities in Behavioral Health Services in Michigan Medicaid
Federal rules require state Medicaid managed care programs to develop a quality strategy that includes a plan to "identify, evaluate, and reduce... health disparities based on age, race, ethnicity, sex, primary language, and disability status." This work may be delegated to managed care entities that might be technically and operationally unprepared to take it on. Without assistance, health care program leaders may have difficulty figuring out where and how to start. Using data from the Michigan Medicaid agency, four quality of care measures were stratified by race/ethnicity and county for measurement years 2018-2020. Results indicate that racial/ethnic disparities exist for most measures, in all counties, in all years. And although there are differences in performance across counties, there are also clear trends.
- Health Care Policy Makers.
- Health Care and Community Leadership.
- Payors and Providers Seeking Value Based Care.
- Assess Race Ethnicity and Language (REL) and Social Determinants of Health data.
- Develop a Health Care Disparity Index to guide future Value Based Care Payment Models.
- Strategies for Partnering with Providers, Policy Makers and Community Leaders to Create a "Coalition of Willing" for targeted action to improve Health Care Equity.
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Monica Trevina, MA
Director of Center for Social Enterprise
Michigan Public Health Institute