Table 1 Characteristics of Medicaid specialty plan enrollees with schizophrenia or bipolar disorders who are on antipsychotic medications, examined in the context of two HEDIS measures, 2015. The two measures of interest were 1) adherence to antipsychotic medication (SAA), which includes persons with schizophrenia, and 2) receipt of recommended diabetes screening (SSD), which includes persons with schizophrenia or bipolar disorder. Significance was tested using unadjusted random effect logistic regression models
Medicaid Enrollee Characteristics | Measure 1: Adherence to Antipsychotic Medication (SAA) | Measure 2: Receipt of Diabetes Screening (SSD) | ||||||
|---|---|---|---|---|---|---|---|---|
Total in SAA Denominator N=3705 n (%) | Adherent N=1927 n (%) | Non-Adherent N=1778 n (%) | p-value | Total in SSD Denominator N=4910 n (%) | Screened N=3487 n (%) | Not Screened N=1423 n (%) | p-value | |
Sex | ||||||||
 Female | 1461 (39.43) | 752 (39.02) | 709 (39.88) | 0.699 | 2327 (47.39) | 1780 (51.05) | 547 (38.44) | < 0.001 |
 Male | 2244 (60.57) | 1175 (60.98) | 1069 (60.12) | 2583 (52.61) | 1707 (48.95) | 876 (61.56) | ||
Age Group | ||||||||
 18–29 | n/a | n/a | n/a | < 0.001 | 1153 (23.48) | 771 (22.11) | 382 (26.84) | < 0.001 |
 19–29 | 726 (19.60) | 296 (15.36) | 430 (24.18) | n/a | n/a | n/a | ||
 30–39 | 875 (23.62) | 423 (21.95) | 452 (25.42) | 1263 (25.72) | 864 (24.78) | 399 (28.04) | ||
 40–49 | 755 (20.38) | 391 (20.29) | 364 (20.47) | 1003 (20.43) | 725 (20.79) | 278 (19.54) | ||
 50–64 | 1349 (36.41) | 817 (42.40) | 532 (29.92) | 1491 (30.37) | 1127 (32.32) | 364 (25.58) | ||
Race/Ethnicity | ||||||||
 White | 782 (21.11) | 485 (25.17) | 297 (16.70) | < 0.001 | 1451 (29.55) | 1075 (30.83) | 376 (26.42) | < 0.001 |
 Black / African American | 1324 (35.74) | 594 (30.83) | 730 (41.06) | 1415 (28.82) | 943 (27.04) | 472 (33.17) | ||
 Hispanic | 575 (15.52) | 333 (17.28) | 242 (13.61) | 723 (14.73) | 540 (15.49) | 183 (12.86) | ||
 Other | 83 (2.24) | 59 (3.06) | 24 (1.35) | 98 (2.00) | 70 (2.01) | 28 (1.97) | ||
 Not Provided | 941 (25.40) | 456 (23.66) | 485 (27.28) | 1223 (24.91) | 859 (24.63) | 364 (25.58) | ||
Language | ||||||||
 English | 3054 (82.43) | 1529 (79.35) | 1525 (85.77) | < 0.001 | 4211 (85.76) | 2977 (85.37) | 1234 (86.72) | 0.351 |
 Not English | 651 (17.57) | 398 (20.65) | 253 (14.23) | 699 (14.24) | 510 (14.63) | 189 (13.28) | ||
Urbanicity | ||||||||
 Large Central Metro (most urban) | 2043 (55.14) | 1044 (54.18) | 999 (56.19) | 0.217 | 2575 (52.44) | 1804 (51.74) | 771 (54.18) | 0.094 |
 Large Fringe Metro | 936 (25.26) | 504 (26.15) | 432 (24.30) | 1231 (25.07) | 922 (26.44) | 309 (21.71) | ||
 Medium Metro | 602 (16.25) | 307 (15.93) | 295 (16.59) | 891 (18.15) | 619 (17.75) | 272 (19.11) | ||
 Small Metro or Non-Metro (most rural) | 124 (3.35) | 72 (3.74) | 52 (2.92) | 213 (4.34) | 142 (4.07) | 71 (4.99) | ||
Education Levels in County | ||||||||
 15%+ of adults have HS degree | 2407 (64.97) | 1222 (63.41) | 1185 (66.65) | 0.131 | 3307 (67.35) | 2319 (66.50) | 988 (69.43) | 0.030 |
 < 15% of adults have HS degree | 1298 (35.03) | 705 (36.59) | 593 (33.35) | 1603 (32.65) | 1168 (33.50) | 435 (30.57) | ||
County is Mental Health HPSA | ||||||||
 No | 3488 (94.14) | 1819 (94.40) | 1669 (93.87) | 0.714 | 4577 (93.22) | 3257 (93.40) | 1320 (92.76) | 0.880 |
 Yes | 217 (5.86) | 108 (5.60) | 109 (6.13) | 333 (6.78) | 230 (6.60) | 103 (7.24) | ||
Member’s Distance from PCP | ||||||||
 Same Zip Code | 788 (21.27) | 406 (21.07) | 382 (21.48) | 0.154 | 1012 (20.61) | 703 (20.16) | 309 (21.71) | 0.248 |
 > 0 to < 5 Miles | 1274 (34.39) | 695 (36.07) | 579 (32.56) | 1621 (33.01) | 1148 (32.92) | 473 (33.24) | ||
 5 to < 15 Miles | 1170 (31.58) | 586 (30.41) | 584 (32.85) | 1592 (32.42) | 1129 (32.38) | 463 (32.54) | ||
 15 to < 30 Miles | 316 (8.53) | 166 (8.61) | 150 (8.44) | 436 (8.88) | 314 (9.00) | 122 (8.57) | ||
 >=30 Miles | 157 (4.24) | 74 (3.84) | 83 (4.67) | 249 (5.07) | 193 (5.53) | 56 (3.94) | ||
Depression | ||||||||
 No | 2430 (65.59) | 1343 (69.69) | 1087 (61.14) | < 0.001 | 3144 (64.03) | 1958 (56.15) | 1186 (83.35) | < 0.001 |
 Yes | 1275 (34.41) | 584 (30.31) | 691 (38.86) | 1766 (35.97) | 1529 (43.85) | 237 (16.65) | ||
Anxiety | ||||||||
 No | 2358 (63.64) | 1293 (67.10) | 1065 (59.90) | < 0.001 | 2919 (59.45) | 1794 (51.45) | 1125 (79.06) | < 0.001 |
 Yes | 1347 (36.36) | 634 (32.90) | 713 (40.10) | 1991 (40.55) | 1693 (48.55) | 298 (20.94) | ||
Bipolar Disorder (in addition to Schizophrenia) | ||||||||
 No | 2856 (77.09) | 1571 (81.53) | 1285 (72.27) | < 0.001 | n/a | n/a | n/a | n/a |
 Yes | 849 (22.91) | 356 (18.47) | 493 (27.73) | n/a | n/a | n/a | ||
Schizophrenia or Bipolar Disorder | ||||||||
 Bipolar | n/a | n/a | n/a | n/a | 1409 (28.70) | 1021 (29.28) | 388 (27.27) | < 0.001 |
 Schizophrenia | n/a | n/a | n/a | 2654 (54.05) | 1717 (49.24) | 937 (65.85) | ||
 Both Schizophrenia and Bipolar | n/a | n/a | n/a | 847 (17.25) | 749 (21.48) | 98 (6.89) | ||
Substance Use Disorder | ||||||||
 No | 2210 (59.65) | 1285 (66.68) | 925 (52.02) | < 0.001 | 2795 (56.92) | 1695 (48.61) | 1100 (77.30) | < 0.001 |
 Yes | 1495 (40.35) | 642 (33.32) | 853 (47.98) | 2115 (43.08) | 1792 (51.39) | 323 (22.70) | ||
Asthma | ||||||||
 No | 2802 (75.63) | 1488 (77.22) | 1314 (73.90) | 0.019 | 3639 (74.11) | 2400 (68.83) | 1239 (87.07) | < 0.001 |
 Yes | 903 (24.37) | 439 (22.78) | 464 (26.10) | 1271 (25.89) | 1087 (31.17) | 184 (12.93) | ||
Cardiac Condition (CHF/CAD/MI) | ||||||||
 No | 3622 (97.76) | 1892 (98.18) | 1730 (97.30) | 0.157 | 4841 (98.59) | 3422 (98.14) | 1419 (99.72) | < 0.001 |
 Yes | 83 (2.24) | 35 (1.82) | 48 (2.70) | 69 (1.41) | 65 (1.86) | 4 (0.28) | ||
COPD | ||||||||
 No | 3166 (85.45) | 1637 (84.95) | 1529 (86.00) | 0.512 | 4269 (86.95) | 2921 (83.77) | 1348 (94.73) | < 0.001 |
 Yes | 539 (14.55) | 290 (15.05) | 249 (14.00) | 641 (13.05) | 566 (16.23) | 75 (5.27) | ||
Hypertension | ||||||||
 No | 1867 (50.39) | 977 (50.70) | 890 (50.06) | 0.667 | 2829 (57.62) | 1707 (48.95) | 1122 (78.85) | < 0.001 |
 Yes | 1838 (49.61) | 950 (49.30) | 888 (49.94) | 2081 (42.38) | 1780 (51.05) | 301 (21.15) | ||
Obesity | ||||||||
 No | 3062 (82.65) | 1572 (81.58) | 1490 (83.80) | 0.074 | 4260 (86.76) | 2893 (82.97) | 1367 (96.06) | < 0.001 |
 Yes | 643 (17.35) | 355 (18.42) | 288 (16.20) | 650 (13.24) | 594 (17.03) | 56 (3.94) | ||
Diabetes | ||||||||
 No | 2922 (78.87) | 1474 (76.49) | 1448 (81.44) | < 0.001 | n/a | n/a | n/a | n/a |
 Yes | 783 (21.13) | 453 (23.51) | 330 (18.56) | n/a | n/a | n/a | ||