ArticleHealth services research2011
How do the experiences of Medicare beneficiary subgroups differ between managed care and original Medicare?
Article in Health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed.
- Administrative Burden and Patient-Provider Communication Quality: Evidence From 11 Years of the Medical Expenditure Panel Survey.Journal of evaluation in clinical practice · 2026Article
- The Patient Experience Divide: How Income Relates to Care Quality in the Primary Care Setting.Medical care · 2026Article
- Understanding the Effect of Race on Medicare Advantage Enrollment.Health services research · 2025Article
- New Supplemental Benefits and Plan Ratings Among Medicare Advantage Enrollees.JAMA network open · 2024Article
- Assessing the difference in racial and ethnic disparities in access to and use of care between Traditional Medicare and Medicare Advantage.Health services research · 2023Article
- Racial and ethnic disparities in access to and enrollment in high-quality Medicare Advantage plans.Health services research · 2023Article
- Racial/Ethnic Disparities in Patient Care Experiences among Prostate Cancer Survivors: A SEER-CAHPS Study.Current oncology (Toronto, Ont.) · 2022Article
- Adjusting for Patient Characteristics to Compare Quality of Care Provided by Serious Illness Programs.Journal of palliative medicine · 2022Article
- Association of Medicare Advantage Star Ratings With Racial, Ethnic, and Socioeconomic Disparities in Quality of Care.JAMA health forum · 2021Article
- Understanding quality and equity: patient experiences with care in older adults diagnosed with hematologic malignancies.Cancer causes & control : CCC · 2021Article
- Racial and ethnic disparities in care for health system-affiliated physician organizations and non-affiliated physician organizations.Health services research · 2020Article
- Likelihood of hospital readmission in Medicare Advantage and Fee-For-Service within same hospital.Health services research · 2020Article
- Care experiences among dually enrolled older adults with cancer: SEER-CAHPS, 2005-2013.Cancer causes & control : CCC · 2019Observational
- Using predicted Spanish preference to target bilingual mailings in a mail survey with telephone follow-up.Health services research · 2019Article
- Geographic context of black-white disparities in Medicare CAHPS patient experience measures.Health services research · 2019Article
- Medicare Advantage and Fee-for-Service Performance on Clinical Quality and Patient Experience Measures: Comparisons from Three Large States.Health services research · 2017Article
- Implications of Variation in the Relationships between Beneficiary Characteristics and Medicare Advantage CAHPS Measures.Health services research · 2017Article
- Use of High-cost Systemic Treatments in Elderly mCRC Patients.Medical care · 2017Article
- Comparing the Health Care Experiences of Medicare Beneficiaries with and without Depressive Symptoms in Medicare Managed Care versus Fee-for-Service.Health services research · 2016Article
- Do Racial/Ethnic Disparities in Quality and Patient Experience within Medicare Plans Generalize across Measures and Racial/Ethnic Groups?Health services research · 2015Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether disparities in health care experiences of Medicare beneficiaries differ between managed care (Medicare Advantage [MA]) and traditional fee-for-service (FFS) Medicare. DATA SOURCES: 132,937 MA and 201,444 FFS respondents to the 2007 Medicare Consumer Assessment of Health Care Providers and Systems (CAHPS) survey. STUDY
designWe defined seven subgroup characteristics: low-income subsidy eligible, no high school degree, poor or fair self-rated health, age 85 and older, female, Hispanic, and black. We estimated disparities in CAHPS experience of care scores between each of these groups and beneficiaries without those characteristics within MA and FFS for 11 CAHPS measures and assessed differences between MA and FFS disparities in linear models. PRINCIPAL
findingsThe seven subgroup characteristics had significant (p<.05) negative interactions with MA (larger disparities in MA) in 27 of 77 instances, with only four significant positive interactions.
conclusionManaged care may provide less uniform care than FFS for patients; specifically there may be larger disparities in MA than FFS between beneficiaries who have low incomes, are less healthy, older, female, and who did not complete high school, compared with their counterparts. There may be potential for MA quality improvement targeted at the care provided to particular subgroups.
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