Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries
| Autor: | Marc N. Elliott, Judy H. Ng, Joshua S. Mallett, Loida Tamayo, Megan Mathews, Denis Agniel, Nate Orr, Cheryl L. Damberg, Steven C. Martino |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Aged 80 and over Male business.industry Public Health Environmental and Occupational Health Ethnic group Percentage point Middle Aged Medicare Advantage Medicare Logistic regression United States Racial ethnic Turnover Ethnicity Humans Medicare Part C Pacific islanders Medicine Female Residence business Minority Groups Aged Demography |
| Zdroj: | Medical Care. 59:778-784 |
| ISSN: | 0025-7079 |
| DOI: | 10.1097/mlr.0000000000001574 |
| Popis: | BACKGROUND Each year, about 10% of Medicare Advantage (MA) enrollees voluntarily switch to another MA contract, while another 2% voluntarily switch from MA to fee-for-service Medicare. Voluntary disenrollment from MA plans is related to beneficiaries' negative experiences with their plan, disrupts the continuity of care, and conflicts with goals to reduce Medicare costs. Little is known about racial/ethnic disparities in voluntary disenrollment from MA plans. OBJECTIVE The objective of this study was to investigate differences in rates of voluntary disenrollment from MA plans by race/ethnicity. SUBJECTS A total of 116,770,319 beneficiaries enrolled in 736 MA plans in 2015. METHODS Differences in rates of disenrollment across racial/ethnic groups [Asian or Pacific Islander (API), Black, Hispanic, and White] were summarized using 4 types of logistic regression models: adjusted and unadjusted models estimating overall differences and adjusted and unadjusted models estimating within-plan differences. Unadjusted overall models included only racial/ethnic group probabilities as predictors. Adjusted overall models added age, sex, dual eligibility, disability, and state of residence as control variables. Between-plan differences were estimated by subtracting within-plan differences from overall differences. RESULTS Adjusted rates of disenrollment were significantly (P |
| Databáze: | OpenAIRE |
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