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Medicaid Seniors Shows Delayed Care, Confusion, and Struggles

The Owner Press by The Owner Press
June 27, 2025
in Business News
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Two-Thirds of Dual-Eligible Beneficiaries Say Their Health is a Day-to-Day Challenge, Cityblock Health Survey Reveals

What You Ought to Know: 

– Cityblock Health introduced the compelling findings from a new survey, performed in partnership with Ipsos, shedding gentle on the complicated healthcare experiences of people enrolled in each Medicare and Medicaid. 

– The survey highlights vital challenges confronted by this quickly rising inhabitants, together with widespread confusion, delayed care, and difficulties accessing important companies.

The Twin-Eligible Problem

Twin-eligible people face the daunting activity of navigating two distinct well being plans—Medicare and Medicaid—every with its personal protection guidelines and complexities. This typically results in confusion, gaps in care, and, because the survey reveals, delayed entry to essential medical consideration. With the dual-eligible inhabitants projected to develop by 6% yearly, reaching over 15 million people by 2028, understanding and addressing these challenges is extra crucial than ever. The Ipsos-Cityblock survey explored each day residing conditions, perceptions of healthcare advantages, and interactions with healthcare professionals to supply a complete image of their experiences.

Key Findings: A System Beneath Pressure

The survey, which included 280 dual-eligible people, uncovered a number of regarding tendencies:

  • Entry Boundaries and Delays: Many dual-eligible people reported prolonged wait occasions for physician visits and common problem accessing healthcare.
    • 24% waited two or extra weeks for an appointment with their fundamental physician.
    • Almost two out of 5 sufferers (38%) waited greater than half-hour for a medical appointment to start no less than among the time.
    • One in 5 (20%) discovered their healthcare exhausting to entry.
  • Detrimental Experiences Result in Pricey Outcomes: Dissatisfaction with care or problem understanding protection often led to people delaying healthcare or resorting to emergency room visits.
    • 42% reported visiting the emergency room (ER) or pressing care no less than as soon as within the final yr attributable to dissatisfaction with their physician.
    • 33% delayed in search of healthcare no less than as soon as up to now yr attributable to a unfavourable expertise with the healthcare system or a physician.
    • 1 / 4 (25%) delayed in search of care as a result of they didn’t perceive their well being plan.
  • Psychological Well being and Social Determinants: The survey additionally highlighted the profound impression of psychological well being struggles and social obstacles on this inhabitants’s skill to hunt care.
    • 54% reported experiencing disappointment no less than month-to-month.
    • 45% reported melancholy no less than month-to-month.
    • 42% reported loneliness no less than month-to-month.
    • 28% indicated {that a} lack of dependable transportation impacted their entry to care no less than among the time.
    • A hanging 69% reported that cash is a day-to-day problem of their lives.

“With practically two in three dual-eligible sufferers scuffling with their well being each day, it’s clear that extra must be achieved to supply a reliable, efficient, and longitudinal care expertise for this inhabitants and stop expensive penalties like avoidable delays in care and pointless ER visits,” stated Dr. Toyin Ajayi, CEO and Co-founder of Cityblock Well being. She emphasised that the outcomes underscore the worth of outcomes-based care fashions that proactively help members in navigating their advantages and guarantee a extra tightly coordinated healthcare expertise.



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