PDF(Pubmed)
Abstract：
BACKGROUND: This study aims to study the disparity in Cigna and Medicaid insurance holders, to secure an appointment for a patient with a headache for two days unrelieved by over-the-counter medication.
METHODS: This is a cross-sectional \"secret shopper\" type study, assessing the three most populated cities in seven states with the lowest Medicaid coverage and Internal Medicine specialists within a 10-mile radius, with a minimum rating of 3 stars and a willingness to accept new patients.
RESULTS: There was a statistically significant difference in the average waiting period for those with Medicaid and Cigna in the states of Missouri, Nebraska, and Utah, as well as the total average for all seven states. Moreover, there were more healthcare providers who accepted Medicaid rather than Cigna in New Hampshire; whereas in Wyoming, the numbers for Medicaid and Cigna were almost equal.
CONCLUSIONS: The significant Medicaid-Cigna acceptance rate disparities should be corrected to ensure higher healthcare access.
METHODS: This is a cross-sectional \"secret shopper\" type study, assessing the three most populated cities in seven states with the lowest Medicaid coverage and Internal Medicine specialists within a 10-mile radius, with a minimum rating of 3 stars and a willingness to accept new patients.
RESULTS: There was a statistically significant difference in the average waiting period for those with Medicaid and Cigna in the states of Missouri, Nebraska, and Utah, as well as the total average for all seven states. Moreover, there were more healthcare providers who accepted Medicaid rather than Cigna in New Hampshire; whereas in Wyoming, the numbers for Medicaid and Cigna were almost equal.
CONCLUSIONS: The significant Medicaid-Cigna acceptance rate disparities should be corrected to ensure higher healthcare access.
摘要：
背景：本研究旨在研究Cigna和Medicaid保险持有人之间的差异，为患有头痛的患者预约两天，而非处方药没有缓解。
方法：这是一项横断面的“秘密购物者”类型研究，评估七个州中人口最多的三个城市，医疗补助覆盖率最低，10英里半径内的内科专家，最低评级为3星，并愿意接受新患者。
结果：密苏里州的Medicaid和Cigna患者的平均等待期有统计学意义的差异，内布拉斯加州,还有犹他州,以及所有七个州的总平均值。此外，在新罕布什尔州，有更多的医疗保健提供者接受医疗补助而不是信诺；而在怀俄明州，医疗补助和信诺的数字几乎相等。
结论：应纠正重大的Medicaid-Cigna接受率差异，以确保获得更高的医疗保健。
方法：这是一项横断面的“秘密购物者”类型研究，评估七个州中人口最多的三个城市，医疗补助覆盖率最低，10英里半径内的内科专家，最低评级为3星，并愿意接受新患者。
结果：密苏里州的Medicaid和Cigna患者的平均等待期有统计学意义的差异，内布拉斯加州,还有犹他州,以及所有七个州的总平均值。此外，在新罕布什尔州，有更多的医疗保健提供者接受医疗补助而不是信诺；而在怀俄明州，医疗补助和信诺的数字几乎相等。
结论：应纠正重大的Medicaid-Cigna接受率差异，以确保获得更高的医疗保健。
