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Health-Care Access of Women Medicaid Recipients

Evidence of Disability-Based Disparities

University of North Carolina at Chapel Hill, parish{at}unc.edu

M. Jennifer Ellison-Martin

University of North Carolina at Chapel Hill

Little is known about the health care received by women with disabilities, who comprise a substantial subset of the population. This article describes the health care of a national sample of low-income female Medicaid recipients. Despite having similar potential for care (health insurance, usual source of care, and having a physician as a usual source of care) as compared to nondisabled women, women with disabilities had substantially worse rates of receiving medical care and medication when they were needed and of cervical cancer screenings. Women with disabilities were also much less likely to be satisfied with their care than were nondisabled women. These results support calls to mandate quality-based reimbursement incentives within Medicaid, specifically for women with disabilities.

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