Evidence-Based Practices for Medicaid Beneficiaries with Schizophrenia and Bipolar Disorder. B. State Variation in Receipt of Preventive Physical Health Services


The proportion of beneficiaries who received a comprehensive health examination in 2007 was generally low in every state, with less than one-third in each state receiving an examination. However, in three states (Alaska, Alabama, and Georgia) fewer than 5 percent of beneficiaries received a physical health exam.

If we consider certain cancer screenings (mammograms, colonoscopies, and Pap smears) as preventive health services, between 25 percent and 45 percent of beneficiaries in a given state received a preventive health service in 2007.

In California and Indiana, beneficiaries enrolled in HMOs were respectively 7 and 5 percentage points more likely to receive a preventive health exam, and 4 and 13 percentage points more likely to receive a cancer screening.

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