Marc N. Elliott|Amelia Haviland|Nate Orr|Katrin Hambarsoomian|Paul D. Cleary
How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare?
RAND Corporation|RAND Corporation|RAND Corporation|RAND Corporation|Yale University
examine whether disparities health care experiences medicare beneficiaries differ managed care medicare advantage traditional feeforservice ffs medicare132937 201444 ffs respondents 2007 medicare consumer assessment health care providers systems cahps surveywe defined seven subgroup characteristics lowincome subsidy eligible high school degree poor fair selfrated health age 85 older female hispanic black estimated disparities cahps experience care scores groups beneficiaries without characteristics within ffs 11 cahps measures assessed differences ffs disparities linear modelsthe seven subgroup characteristics significant p05 negative interactions larger disparities 27 77 instances four significant positive interactionsmanaged care may provide less uniform care ffs patients specifically may larger disparities ffs beneficiaries low incomes less healthy older female complete high school compared counterparts may potential quality improvement targeted care provided particular subgroups