Robert Weech?Maldonado|Marc N. Elliott|John Adams|Amelia Haviland|David J. Klein|Katrin Hambarsoomian|Carol Edwards|Jacob W. Dembosky|Sarah Gaillot
Do Racial/Ethnic Disparities in Quality and Patient Experience within Medicare Plans Generalize across Measures and Racial/Ethnic Groups?
University of Alabama at Birmingham|RAND Corporation|Kaiser Permanente|Carnegie Mellon University|Boston Children's Hospital|RAND Corporation|RAND Corporation|RAND Corporation|Centers for Medicare and Medicaid Services
objective examine similar racialethnic disparities clinical quality healthcare effectiveness data information set hedis patient experience consumer assessment healthcare providers systems cahps measures different measures within medicare advantage plans data sourcesstudy setting 57 million492495 beneficiaries 20082009 hedis cahps data study design binomial hedis linear cahps hierarchical mixed models generated contract estimates hedis cahps measures hispanics blacks asianpacific islanders whites examine correlation withinplan disparities hedis cahps measures across measures principal findings plans disparities given minority group vs whites particular measure moderate tendency similar disparities measures type mean r 05121 5334 percent positive statistically significant cahps hedis pattern holds lesser extent correlations cahps disparities hedis disparities mean r 005014023 445644 percent positive statistically significant blackshispanics api conclusions similarities cahps hedis disparities across measures might reflect common structural factors language services provider incentives affecting several measures simultaneously health plan structural changes might reduce disparities across multiple measures