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The role of primary care providers in testing for sexually transmitted infections in the MassHealth Medicaid program

The objective of this study was to determine the prevalence and predictors of testing for sexually transmitted infections (STIs) under an accountable care model of health care delivery. Data sources were claims and encounter records from the Massachusetts Medicaid and Children’s Health Insurance Pro...

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Autores principales: Mick, Eric O., Sabatino, Meagan J., Alcusky, Matthew J., Eanet, Frances E., Pearson, William S., Ash, Arlene S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10688870/
https://www.ncbi.nlm.nih.gov/pubmed/38033169
http://dx.doi.org/10.1371/journal.pone.0295024
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author Mick, Eric O.
Sabatino, Meagan J.
Alcusky, Matthew J.
Eanet, Frances E.
Pearson, William S.
Ash, Arlene S.
author_facet Mick, Eric O.
Sabatino, Meagan J.
Alcusky, Matthew J.
Eanet, Frances E.
Pearson, William S.
Ash, Arlene S.
author_sort Mick, Eric O.
collection PubMed
description The objective of this study was to determine the prevalence and predictors of testing for sexually transmitted infections (STIs) under an accountable care model of health care delivery. Data sources were claims and encounter records from the Massachusetts Medicaid and Children’s Health Insurance Program (MassHealth) for enrollees aged 13 to 64 years in 2019. This cross-sectional study examines the one-year prevalence of STI testing and evaluates social determinants of health and other patient characteristics as predictors of such testing in both primary care and other settings. We identified visits with STI testing using procedure codes and primary care settings from provider code types. Among 740,417 members, 55% were female, 11% were homeless or unstably housed, and 15% had some level of disability. While the prevalence of testing in any setting was 20% (N = 151,428), only 57,215 members had testing performed in a primary care setting, resulting in an 8% prevalence of testing by primary care clinicians (PCCs). Members enrolled in a managed care organization (MCO) were significantly less likely to be tested by a primary care provider than those enrolled in accountable care organization (ACO) plans that have specific incentives for primary care practices to coordinate care. Enrollees in a Primary Care ACO had the highest rates of STI testing, both overall and by primary care providers. Massachusetts’ ACO delivery systems may be able to help practices increase STI screening with explicit incentives for STI testing in primary care settings.
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spelling pubmed-106888702023-12-01 The role of primary care providers in testing for sexually transmitted infections in the MassHealth Medicaid program Mick, Eric O. Sabatino, Meagan J. Alcusky, Matthew J. Eanet, Frances E. Pearson, William S. Ash, Arlene S. PLoS One Research Article The objective of this study was to determine the prevalence and predictors of testing for sexually transmitted infections (STIs) under an accountable care model of health care delivery. Data sources were claims and encounter records from the Massachusetts Medicaid and Children’s Health Insurance Program (MassHealth) for enrollees aged 13 to 64 years in 2019. This cross-sectional study examines the one-year prevalence of STI testing and evaluates social determinants of health and other patient characteristics as predictors of such testing in both primary care and other settings. We identified visits with STI testing using procedure codes and primary care settings from provider code types. Among 740,417 members, 55% were female, 11% were homeless or unstably housed, and 15% had some level of disability. While the prevalence of testing in any setting was 20% (N = 151,428), only 57,215 members had testing performed in a primary care setting, resulting in an 8% prevalence of testing by primary care clinicians (PCCs). Members enrolled in a managed care organization (MCO) were significantly less likely to be tested by a primary care provider than those enrolled in accountable care organization (ACO) plans that have specific incentives for primary care practices to coordinate care. Enrollees in a Primary Care ACO had the highest rates of STI testing, both overall and by primary care providers. Massachusetts’ ACO delivery systems may be able to help practices increase STI screening with explicit incentives for STI testing in primary care settings. Public Library of Science 2023-11-30 /pmc/articles/PMC10688870/ /pubmed/38033169 http://dx.doi.org/10.1371/journal.pone.0295024 Text en https://creativecommons.org/publicdomain/zero/1.0/This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication.
spellingShingle Research Article
Mick, Eric O.
Sabatino, Meagan J.
Alcusky, Matthew J.
Eanet, Frances E.
Pearson, William S.
Ash, Arlene S.
The role of primary care providers in testing for sexually transmitted infections in the MassHealth Medicaid program
title The role of primary care providers in testing for sexually transmitted infections in the MassHealth Medicaid program
title_full The role of primary care providers in testing for sexually transmitted infections in the MassHealth Medicaid program
title_fullStr The role of primary care providers in testing for sexually transmitted infections in the MassHealth Medicaid program
title_full_unstemmed The role of primary care providers in testing for sexually transmitted infections in the MassHealth Medicaid program
title_short The role of primary care providers in testing for sexually transmitted infections in the MassHealth Medicaid program
title_sort role of primary care providers in testing for sexually transmitted infections in the masshealth medicaid program
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10688870/
https://www.ncbi.nlm.nih.gov/pubmed/38033169
http://dx.doi.org/10.1371/journal.pone.0295024
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