Publication Date: May 2004
Publisher: California HealthCare Foundation
Author(s): Marsha Gold; Erin Fries Taylor
Research Area: Health
This issue brief provides insight into the issues associated with physician access for people covered by California's Medi-Cal and Healthy Families programs. The authors summarize five studies commissioned by CHCF and the results of an extensive review of literature. Key findings include:
*Enrollment in Medi-Cal and Healthy Families improves access to physician services; however, access is worse for those whose coverage is intermittent. *Adult beneficiaries experience more access problems than children enrolled in these public programs. *Beneficiaries with chronic illnesses and those who require specialty care face more access problems. *Medi-Cal beneficiaries enrolled in fee-for-service Medi-Cal may experience worse access than those enrolled in Medi-Cal managed care. *There are large differences in access across counties for those covered by Medi-Cal and Healthy Families.
The findings underscore areas for improvements in California's public insurance programs and suggest dimensions of access that should continue to be monitored.