ArticleHealth services research2015
Do Racial/Ethnic Disparities in Quality and Patient Experience within Medicare Plans Generalize across Measures and Racial/Ethnic Groups?
Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
20 citing papers in PubMed.
- Patient Race/Ethnicity, Socioeconomic Status, and Acute Myocardial Infarction Mortality: Between-Hospital Versus Within-Hospital Disparities.Medical care · 2026Article
- Enrollee, Plan, and State Characteristics Associated With Experience of Care Among Adults in Medicaid Managed Care.Health services research · 2025Article
- Barriers and facilitators to accessing healthcare for early diagnosis of prostate cancer for black men-a qualitative exploration in North-East England and Scotland.BMC public health · 2025Article
- Frailty, social deprivation, and mortality among Medicare fee-for-service beneficiaries.Journal of the American Geriatrics Society · 2025Article
- Comparing Medicare Fee-for-Service Beneficiaries with ESKD Who Switched to Medicare Advantage versus Remained in Traditional Medicare.Clinical journal of the American Society of Nephrology : CJASN · 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
- Differences in racial/ethnic disparities in patient care experiences between prostate cancer survivors and males without cancer: A SEER-CAHPS study.Journal of geriatric oncology · 2023Article
- Types of usual sources of care and their association with healthcare outcomes among cancer survivors: a Medical Expenditure Panel Survey (MEPS) study.Journal of cancer survivorship : research and practice · 2023Article
- Article
- Provider discussion of health goals and psychosocial needs: Comparing older to younger veteran experience.Health services research · 2023Article
- Weak correlations in health services research: Weak relationships or common error?Health services research · 2022Article
- Incentivizing Excellent Care to At-Risk Groups with a Health Equity Summary Score.Journal of general internal medicine · 2021Article
- Association of Medicare Advantage Star Ratings With Racial, Ethnic, and Socioeconomic Disparities in Quality of Care.JAMA health forum · 2021Article
- Growth In Medicare Advantage Greatest Among Black And Hispanic Enrollees.Health affairs (Project Hope) · 2021Article
- A Review of Unsolicited Comments on the CAHPS 5.0 Health Plan Survey.Journal of patient experience · 2021Article
- The role of county-level socioeconomic status on brand-name prescriptions in Medicare part D: A cross-sectional Study.Medicine · 2020Article
- Patient Experience in Primary Care: A Systematic Review of CG-CAHPS Surveys.Journal of patient experience · 2019Article
- Imputation of race/ethnicity to enable measurement of HEDIS performance by race/ethnicity.Health services research · 2019Article
- Racial/Ethnic Differences in Primary Care Experiences in Patient-Centered Medical Homes among Veterans with Mental Health and Substance Use Disorders.Journal of general internal medicine · 2016Article
- Understanding negative feedback from South Asian patients: an experimental vignette study.BMJ open · 2016Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo examine how similar racial/ethnic disparities in clinical quality (Healthcare Effectiveness Data and Information Set [HEDIS]) and patient experience (Consumer Assessment of Healthcare Providers and Systems [CAHPS]) measures are for different measures within Medicare Advantage (MA) plans. DATA SOURCES/STUDY
setting5.7 million/492,495 MA beneficiaries with 2008-2009 HEDIS/CAHPS data. STUDY
designBinomial (HEDIS) and linear (CAHPS) hierarchical mixed models generated contract estimates for HEDIS/CAHPS measures for Hispanics, blacks, Asian-Pacific Islanders, and whites. We examine the correlation of within-plan disparities for HEDIS and CAHPS measures across measures. PRINCIPAL
findingsPlans with disparities for a given minority group (vs. whites) for a particular measure have a moderate tendency for similar disparities for other measures of the same type (mean r = 0.51/.21 and 53/34 percent positive and statistically significant for CAHPS/HEDIS). This pattern holds to a lesser extent for correlations of CAHPS disparities and HEDIS disparities (mean r = 0.05/0.14/0.23 and 4.4/5.6/4.4 percent) positive and statistically significant for blacks/Hispanics/API.
conclusionsSimilarities in CAHPS and HEDIS disparities across measures might reflect common structural factors, such as language services or provider incentives, affecting several measures simultaneously. Health plan structural changes might reduce disparities across multiple measures.
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