Understanding of Asthma Management: Medicaid Health-Care System

Understanding of Asthma Management: Medicaid Health-Care SystemCaregivers addressed the impact of their child’s asthma on their employment. Parents expressed the need for care throughout the day, knowing that they were unable to monitor their child 24 h/d. Appropriate management strategies for monitoring of their child’s asthma, including peak flow readings, were utilized by some parents in adjusting medications as needed in the mornings and evenings to avoid problems during the work day.
Experiences with the Medicaid system and personnel varied, while some caregivers mentioned no complaints, others believed they were discriminated against or frustrated by paperwork and changing coverage. Physician or specialist referrals were cited by parents as a barrier to acquiring proper asthma care. An additional barrier to ensuring good asthma care for children was the limitations set on refills by insurance. Caregivers believed it would be easier to manage their child’s asthma if they were able to receive multiple inhalers: one for school and another for home. Likewise, they need to be allowed to refill medications that were lost prior to the Medicaid 30-day refill cycle. read
A concern for parents was the use of generic drugs. There was a general mistrust of generic drugs by parents who participated in the groups. For these parents, it was a matter of choice, being able to decide if they would use a generic over a brand-name medication.
Some caregivers reported completing monthly paperwork in order to maintain their Medicaid coverage. This was not only time-consuming, but difficult for the parents to coordinate in a timely manner to maintain care coverage while managing a household and caring for other children. Continuity of coverage was also difficult for parents to coordinate due to changes in physician participation with Medicaid or changes in patient insurance coverage. Parents related that Medicaid should allow children with chronic conditions to have extended coverage. Changes in Medicaid coverage were sometimes a revelation to parents. Physicians or their office staff were often responsible for providing coverage information. A child’s asthma care may also require supplies that are costly for parents who understand their role in providing proper asthma care for their child, but could not afford them. Parents voiced willingness to learn more about the Medicaid system, to better maneuver and advocate for their child’s care, but were unsure where to get such information.

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