Accuracy of Dermatologist Listings in Hawai'i's Medicaid (Med-QUEST) Physician Directories.

Q4 Medicine
Amity Tran, Hannah Mettias, Lauren Nakamine, Tiffany Ng, Devashri Prabhudesai, John J Chen, Lee E Buenconsejo-Lum
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Abstract

Since 2017, Hawai'i has had a statute requiring health plans to update their provider directories at least monthly. However, the results of this study suggest that despite this regulation, errors in physician directories may be an ongoing problem. Using publicly available online Medicaid physician directories from Med-QUEST, Hawaii Medical Service Association (HMSA), AlohaCare, 'Ohana Health Plan, and United Healthcare, 473 unique listings for dermatologists were reviewed and 411 (86.9%) of these listings contained at least 1 inaccuracy. Using the deficiency scoring methodology designed by the Centers for Medicare & Medicaid Services (CMS), it was found that the proportions of deficient listings were significantly different among the directories (P<.001). Med-QUEST had the highest weighted final deficiency score of 92.9% and HMSA had the lowest weighted final score of 49.2%. In between were United Healthcare (71.0%), 'Ohana Health Plan (69.7%), and AlohaCare (65.7%). It is unknown whether these results are an improvement from the implementation of the statute. Nevertheless, this issue can cause additional barriers for Medicaid patients who already experience narrower networks and longer wait times for dermatologists. Furthermore, it would also be worth investigating if this issue is also prevalent in listings for other specialties.

夏威夷医疗补助(Med-QUEST)医师目录中皮肤科医生列表的准确性。
自2017年以来,夏威夷制定了一项法规,要求健康计划至少每月更新一次供应商目录。然而,这项研究的结果表明,尽管有这样的规定,医生目录中的错误可能是一个持续存在的问题。利用medi - quest、夏威夷医疗服务协会(HMSA)、AlohaCare、Ohana Health Plan和United Healthcare等公开的在线医疗补助医师目录,对473个皮肤科医生的独特列表进行了审查,其中411个(86.9%)列表包含至少1个不准确信息。使用由医疗保险和医疗补助服务中心(CMS)设计的缺陷评分方法,发现缺陷清单的比例在目录之间存在显著差异(P
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
1.50
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