Evidence map›Paper›PMID 33588837›Full record

ArticleBMC health services research2021

Seniors don't use Medicare.Gov: how do eligible beneficiaries obtain information about Medicare Advantage Plans in the United States?

Maricruz Rivera-Hernandez, Kristy L Blackwood, Marquisele Mercedes, Kyle A Moody

Abstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Maricruz Rivera-HernandezDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Box G-121-6, 121 S. Main St. 6th floor, Providence, RI, 02912, USA. maricruz_rivera-Hernandez@brown.edu.ORCID http://orcid.org/0000-0001-5623-9609
Kristy L BlackwoodWarren Alpert Medical School of Brown University, Providence, Rhode Island (Blackwood), USA.
Marquisele MercedesDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Rhode Island (Mercedes), Box G-S121-3, Providence, RI, 02912, USA.
Kyle A MoodyCommunications Media at Fitchburg State University, Fitchburg, MA, 01420, USA.

Funding

Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI KOGUT, STEPHEN J · 2016 to 2025
$45.0M
Medicare Advantage Plan Choice and Selection Among Racial and Ethnic Minorities and Low-Income SeniorsK01AG057822 · NIA · BROWN UNIVERSITY · PI RIVERA-HERNANDEZ, MARICRUZ · 2019 to 2023
$632k
Nursing Home Care Disparities for Hispanic Medicare Advantage and Fee-For-Service Beneficiaries with Alzheimers and Related DimentiasR03AG054686 · NIA · BROWN UNIVERSITY · PI RIVERA-HERNANDEZ, MARICRUZ · 2018 to 2019
$163k
National Institute of General Medical Science U54GM115677NIA NIH HHS K01 AG057822NIA NIH HHS K01AG05782201A1NIA NIH HHS R03 AG054686NIA NIH HHS R03AG054686NIGMS NIH HHS U54 GM115677
6 · The paper itself

Abstract

backgroundManaged care programs in the US are becoming a preferred alternative among low-income individuals in the US. Every year during open enrollment, seniors can enroll in Medicare Advantage (MA) or switch MA plans. However, there is very limited information about how seniors obtain information to help them make their choices. While the Centers for Medicaid and Medicare offer online resources that are designed to enable potential beneficiaries to make informed coverage decisions, there is no information as to whether seniors use these resources, and therefore whether these resources are effective compared to other information retrieval methods.

methodsThe purpose of the present study was to qualitatively explore how seniors obtain information about insurance plans in MA. We conducted semi-structured interviews with 26 MA beneficiaries from Rhode Island.

resultsWe found that most seniors have strong preferences for obtaining information in-person regarding benefits, cost and other plan information. Some seniors relied heavily on insurance brokers or representatives, and considered the information provided to them without questioning the potential for bias. Others consulted with family and/or friends for guidance, or to compare costs and benefits. Only a few of these seniors used the available internet resources, and in fact most of them mentioned that they did not have a computer/smart device with internet capabilities. However, among those who used and appeared to be comfortable with navigating the internet, www.medicare.gov was not discussed as a useful resource for making decisions regarding health insurance.

conclusionsThis study suggests that existing online medical resource usage and effects among senior citizens in the United States may need supplementing with in-person communication among influential agents.

Indexed as

Access to InformationMedicare Part CAgedDecision MakingEligibility DeterminationHumansMedicaidUnited StatesInsurance choice and selectionManaged careMedicare plan compareMedicare star ratingsSeniors using the internet

Identifiers

PMID33588837
PMCPMC7883754

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.