The following list gives the items chosen to measure the general performance of the Indiana Medicaid program for 2012 with an emphasis on access to care. The good news is that Indiana contracts for an independent outside evaluation of its program. The bad news is that 13 of the 16 measures depend upon whether or not a patient decides to visit the doctor.
One Medicaid contractor spent money trying to improve its measures. It sent “non-compliant” members a lab-in-envelope that contains everything an individual needs to collect a blood spot specimen and mail it to a laboratory for a cholesterol test. Rewards were offered for completion. Response was nil. It invited all of its customers to two health fairs with free tests. Few showed up. It hired call centers to nag customers and met with primary care providers who had “non-compliant records.” Health spending went up, but people pretty much stayed away from the doctor at the same rate in 2012 as they did in 2008.