We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Do dual eligible beneficiaries experience better health care in special needs plans?
- Authors
Haviland, Amelia M.; Elliott, Marc N.; Klein, David J.; Orr, Nate; Hambarsoomian, Katrin; Zaslavsky, Alan M.
- Abstract
<bold>Objective: </bold>Dual Eligible Special Needs Plans (D-SNPs) were intended to provide better care for beneficiaries eligible for both Medicare and Medicaid through better coordination of these two programs.<bold>Data Sources: </bold>671 913 dual eligible (DE) respondents to the 2009-2019 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.<bold>Study Design: </bold>We compared the 2015-2019 experiences of DE beneficiaries in D-SNPs relative to fee-for-service Medicare (FFS) and non-SNP Medicare Advantage (MA) using propensity-score weighted linear regression. Comparisons were made to 2009-2014. 12 patient experience measures were considered.<bold>Data Collection Methods: </bold>Annual mail survey with telephone follow-up of non-respondents.<bold>Principal Findings: </bold>More than 65% of DE beneficiaries enrolled in FFS. Of 12 measures, D-SNP performance was higher than non-SNP MA on two (P < .05), lower than non-SNP MA on two (P < .05), and higher than FFS on four (P < .01). DE beneficiaries did not report better coordination of care in D-SNPs. D-SNP performance was often worse than other coverage types in prior periods.<bold>Conclusions: </bold>Relative to FFS Medicare, DE beneficiaries report higher immunization rates in D-SNPs, but slight or no better performance on other dimensions of patient experience. New requirements in 2021 may help D-SNPs attain their goal of better care coordination.
- Subjects
UNITED States; MEDICARE; MEDICAID; MEDICAL personnel; BENEFICIARIES; VOICE mail systems; PATIENTS' attitudes; GOAL (Psychology); MEDICAID statistics; FEE for service (Medical fees); MEDICAL quality control; RESEARCH; KEY performance indicators (Management); RESEARCH methodology; PATIENT satisfaction; HEALTH status indicators; MENTAL health; MEDICAL cooperation; EVALUATION research; SOCIOECONOMIC factors; CONTINUUM of care; COMPARATIVE studies; CLINICAL medicine; PROBABILITY theory
- Publication
Health Services Research, 2021, Vol 56, Issue 3, p517
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.13620