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The Minnesota Senior Health Options Program

An Early Effort at Integrating Care for the Dually Eligible

^a University of Minnesota School of Public Health, Minneapolis

Robert L. Kane, University of Minnesota School of Public Health, Mayo Mail Stop 197 (Room D351), 420 Delaware Street SE, Minneapolis, MN 55455 E-mail: kanex001{at}umn.edu.

Decision Editor: John E. Morley, MB, BCh

Background. Duplication of funding and resultant inefficiencies have prompted active consideration of pooling the funding for persons covered by both Medicare and Medicaid into a single managed care program. This study reports the initial results of the first such program.

Methods. A sample of enrollees in Minnesota Senior Health Options (MSHO) and two sets of controls (within the same catchment area and outside it) as well as their families were interviewed to assess their functional status and satisfaction with their medical care. Respondents included those living in the community and those living in nursing homes.

Results. The MSHO and control samples were generally alike in terms of demographics and illness patterns. The differences that were found reflected those attributable to geographic location more than program. The groups were also similar with regard to functional status. There were few satisfaction differences among the community-dwelling samples, but the MSHO nursing residents and especially their families expressed more satisfaction with several aspects of care.

Conclusions. Whereas no causal conclusions about outcomes can be drawn from a cross-sectional sample, there is no indication that managed care for the dually eligible population has profound impacts on care. However, the system of care provided to nursing home residents is appreciated over traditional care.

This article has been cited by other articles: (Search Google Scholar for Other Citing Articles)

				R. L. Kane, P. Homyak, B. Bershadsky, T. Lum, S. Flood, and H. Zhang The Quality of Care Under a Managed-Care Program for Dual Eligibles Gerontologist, August 1, 2005; 45(4): 496 - 504. [Abstract] [Full Text] [PDF]

				R. L. Kane, P. Homyak, and B. Bershadsky Consumer Reactions to the Wisconsin Partnership Program and Its Parent, the Program for All-Inclusive Care of the Elderly (PACE) Gerontologist, June 1, 2002; 42(3): 314 - 320. [Abstract] [Full Text] [PDF]