Racial/Ethnic Disparities in Medicare Advantage vs. Traditional Medicare: Evidence to Improve Equity in Medicare
医疗保险优势与传统医疗保险的种族/民族差异:改善医疗保险公平性的证据
基本信息
- 批准号:10411700
- 负责人:
- 金额:$ 49.93万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-06-15 至 2027-04-30
- 项目状态:未结题
- 来源:
- 关键词:10 year oldAddressAdultAdvisory CommitteesAffectBlack PopulationsBlack raceCaringCost ControlCost SharingDataDentalDimensionsDiscriminationDiseaseDrug PrescriptionsElderlyEnrollmentEthnic OriginFutureGrowthHealth PersonnelHealth Services AccessibilityHealth systemHealthcareHispanicHispanic PopulationsHospitalizationIncentivesInsurance CarriersLinkMeasuresMedicalMedicareModelingPatientsPerceptionPerformancePoliciesPopulationPrivatizationProcess MeasureProviderPublicationsQuality of CareRaceReportingRiskSamplingServicesSourceSurveysTestingTrustUnited States National Institutes of HealthVariantVisionWorkbeneficiarycare coordinationcognitive interviewcostdesignethnic minorityexperiencehealth care disparityhealth disparityhealth planimprovedpaymentprogramsprovider networksracial and ethnicracial and ethnic disparitiessatisfactiontool
项目摘要
PROJECT SUMMARY / ABSTRACT
The Medicare Advantage (MA) program has experienced substantial growth over the last decade, particularly
among racial/ethnic minorities. MA offers an alternative to traditional Medicare (TM) coverage by allowing
Medicare beneficiaries to receive integrated medical and prescription drug coverage from private insurers.
Although MA serves a growing population of Black and Hispanic beneficiaries, it remains unclear whether MA
mitigates or exacerbates racial/ethnic disparities in care, as well as whether certain MA plans provide higher
quality and more equitable care for Black and Hispanic enrollees than other MA plans. Rigorous evidence is
needed to identify opportunities to reduce health care disparities in the Medicare program and design
incentives for MA plans to improve care for Black and Hispanic enrollees. Thus, the overarching objectives of
this study are to investigate whether enrollment in MA mitigates or exacerbates racial/ethnic disparities (i.e.,
between Black vs. white and Hispanic vs. white beneficiaries) in access, quality, and utilization of care relative
to TM; to identify high-quality and high-equity MA plans; and to develop and validate measures of patient
experiences with trust, discrimination, and equitable care that could be incorporated into future assessments of
MA plan performance. We draw on rich sources of national data, including the Medicare Current Beneficiary
Survey and encounter claims submitted by Medicare Advantage plans, and will also conduct a national survey
of Medicare beneficiaries to assess experiences with trust, discrimination, and equity in care to evaluate
disparities along different dimensions of care (access, quality, and patient experiences). We will go beyond
existing surveys of the Medicare population by explicitly surveying beneficiaries about their experiences with
equity, trust, and discrimination in care, and will provide evidence to guide how these items could be
incorporated into future surveys of patient experiences and assessments of MA plan performance (e.g., plan
star ratings). Thus, this project will illuminate how key features of the MA program overall, and attributes of
particular MA plans, affect care for racial/ethnic minorities. It will also provide new evidence to inform how
policymakers could take equity into account when evaluating the quality of MA plans, including assessing
patient experiences with equitable vs. inequitable care. This work addresses NIA’s strategic priorities for 2020-
25 to identify health system factors underlying disparities and policy opportunities to reduce health care
disparities among older adults. To enhance the impact of our work, we will disseminate findings through
scientific publications and to a national network of policy stakeholders, including a Policy Advisory Committee
comprised of experts in Medicare policy, the MA program, and disparities.
项目概要/摘要
医疗保险优势 (MA) 计划在过去十年中经历了大幅增长,特别是
MA 通过允许在少数种族/族裔中提供传统医疗保险 (TM) 保险的替代方案。
医疗保险受益人从私人保险公司获得综合医疗和处方药保险。
尽管 MA 为越来越多的黑人和西班牙裔受益人提供服务,但目前尚不清楚 MA 是否
减轻或加剧护理方面的种族/民族差异,以及某些 MA 计划是否提供更高的
与其他 MA 计划相比,为黑人和西班牙裔参与者提供质量和更公平的照顾。
需要在医疗保险计划和设计中寻找减少医疗保健差异的机会
MA 计划的激励措施旨在改善对黑人和西班牙裔注册者的照顾。
本研究旨在调查 MA 的入学是否会减轻或加剧种族/民族差异(即,
黑人与白人、西班牙裔与白人受益人之间)在护理亲属的获取、质量和利用方面
TM;确定高质量和高公平的 MA 计划并制定和验证患者的措施;
信任、歧视和公平照顾方面的经验可以纳入未来的评估
MA 计划绩效我们利用丰富的国家数据来源,包括医疗保险当前受益人。
调查并遇到 Medicare Advantage 计划提交的索赔,还将进行全国调查
医疗保险受益人评估信任、歧视和公平护理的经历,以评估
我们将超越护理不同维度(获取、质量和患者体验)的差异。
现有的医疗保险人口调查,明确调查受益人的医疗经历
护理方面的公平、信任和歧视,并将提供证据来指导如何实施这些项目
纳入未来的患者体验调查和 MA 计划绩效评估(例如,计划
因此,该项目将阐明硕士项目的总体关键特征以及其属性。
特定的 MA 计划会影响对少数种族/族裔的照顾。 它还将提供新的证据来说明如何影响。
决策者在评估 MA 计划的质量时可以考虑公平性,包括评估
这项工作涉及 NIA 2020 年的战略重点。
25 确定造成差异的卫生系统因素以及减少医疗保健的政策机会
为了增强我们工作的影响力,我们将通过以下方式传播调查结果。
科学出版物和国家政策利益相关者网络,包括政策咨询委员会
由医疗保险政策、硕士项目和差异方面的专家组成。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Eric T Roberts其他文献
Older adults and people with disabilities are at risk for Medicaid disenrollment.
老年人和残疾人面临着退出医疗补助的风险。
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:6.3
- 作者:
Raymond Tjhia;Jeremy Lapedis;Eric T Roberts;Renuka Tipirneni - 通讯作者:
Renuka Tipirneni
Effects of Medicaid managed care on early detection of cancer: Evidence from mandatory Medicaid managed care program in Pennsylvania.
医疗补助管理式医疗对癌症早期检测的影响:来自宾夕法尼亚州强制性医疗补助管理式医疗计划的证据。
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:3.4
- 作者:
Youngmin Kwon;Eric T Roberts;Evan S Cole;Howard B Degenholtz;Bruce L Jacobs;Lindsay M Sabik - 通讯作者:
Lindsay M Sabik
Latent Tuberculosis Screening Among New Users of a Biologic or Targeted Synthetic Disease‐Modifying Antirheumatic Drug: Gaps in Screening Overall and Among Janus Kinase Inhibitors
生物制剂或靶向合成疾病缓解抗风湿药物新使用者中的潜伏性结核病筛查:总体筛查和 Janus 激酶抑制剂之间的差距
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:4.7
- 作者:
Eric T Roberts;G. Schmajuk;Jing Li;Matthew Murrill;J. Yazdany - 通讯作者:
J. Yazdany
Addressing Annual Losses in Medicare Part D Low-Income Subsidy Program.
解决 Medicare D 部分低收入补贴计划的年度损失。
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:0
- 作者:
Eric T Roberts - 通讯作者:
Eric T Roberts
Association of Medicare eligibility with access to and affordability of care among older cancer survivors.
医疗保险资格与老年癌症幸存者获得护理和负担能力的关系。
- DOI:
10.1007/s11764-024-01562-x - 发表时间:
2024-03-23 - 期刊:
- 影响因子:0
- 作者:
Youngmin Kwon;Eric T Roberts;Howard B. Degenholtz;Bruce L Jacobs;Lindsay M Sabik - 通讯作者:
Lindsay M Sabik
Eric T Roberts的其他文献
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{{ truncateString('Eric T Roberts', 18)}}的其他基金
Racial/Ethnic Disparities in Medicare Advantage vs. Traditional Medicare: Evidence to Improve Equity in Medicare
医疗保险优势与传统医疗保险的种族/民族差异:改善医疗保险公平性的证据
- 批准号:
10643836 - 财政年份:2022
- 资助金额:
$ 49.93万 - 项目类别:
Racial/Ethnic Disparities in Medicare Advantage vs. Traditional Medicare: Evidence to Improve Equity in Medicare
医疗保险优势与传统医疗保险的种族/民族差异:改善医疗保险公平性的证据
- 批准号:
10836898 - 财政年份:2022
- 资助金额:
$ 49.93万 - 项目类别:
Financial assistance for low-income Medicare beneficiaries: Using natural experiments to assess effects on care and health outcomes
为低收入医疗保险受益人提供经济援助:利用自然实验评估对护理和健康结果的影响
- 批准号:
10355440 - 财政年份:2019
- 资助金额:
$ 49.93万 - 项目类别:
Financial assistance for low-income Medicare beneficiaries: Using natural experiments to assess effects on care and health outcomes
为低收入医疗保险受益人提供经济援助:利用自然实验评估对护理和健康结果的影响
- 批准号:
9889127 - 财政年份:2019
- 资助金额:
$ 49.93万 - 项目类别:
Financial assistance for low-income Medicare beneficiaries: Using natural experiments to assess effects on care and health outcomes
为低收入医疗保险受益人提供经济援助:利用自然实验评估对护理和健康结果的影响
- 批准号:
10115656 - 财政年份:2019
- 资助金额:
$ 49.93万 - 项目类别:
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