Disenrollment from medicare managed care among beneficiaries with and without a cancer diagnosis

Journal of the National Cancer Institute

Volumn 100, Issue 14, 2008, Pages 1013-1021

  Elkin, Elena B ^a   Ishill, Nicole ^a   Riley, Gerald F ^b   Bach, Peter B ^a   Gonen, Mithat ^a   Begg, Colin B ^a   Schrag, Deborah ^a  

^a MEMORIAL SLOAN KETTERING CANCER CENTER   (United States)

^b CENTERS FOR MEDICARE AND MEDICAID SERVICES   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; AGED; ARTICLE; BREAST CANCER; CANCER DIAGNOSIS; CANCER EPIDEMIOLOGY; CANCER PATIENT; CANCER REGISTRY; CANCER STAGING; COLORECTAL CANCER; CONFIDENCE INTERVAL; DEMOGRAPHY; FEMALE; HAZARD RATIO; HEALTH INSURANCE; HUMAN; LUNG CANCER; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MEDICARE; PRIORITY JOURNAL; PROPORTIONAL HAZARDS MODEL; PROSTATE CANCER; RACE; SEX;

AGED; AGED, 80 AND OVER; BREAST NEOPLASMS; CASE-CONTROL STUDIES; COLORECTAL NEOPLASMS; FEE-FOR-SERVICE PLANS; FEMALE; HUMANS; KAPLAN-MEIERS ESTIMATE; LUNG NEOPLASMS; MALE; MANAGED CARE PROGRAMS; MEDICARE; NEOPLASMS; PROPORTIONAL HAZARDS MODELS; PROSTATIC NEOPLASMS; SEER PROGRAM; UNITED STATES;

EID: 47649104271     PISSN: 00278874     EISSN: 14602105     Source Type: Journal    
DOI: 10.1093/jnci/djn208     Document Type: Article

References (54)

1. Zarabozo C. Milestones in Medicare managed care. Health Care Financ Rev. 2000;22:61-67.
2. Hurley RE, Retchin SM. Medicare and Medicaid managed care: a tale of two trajectories. Am J Manag Care. 2006;12:40-44.
3. Trends and Indicators in the Changing Health Care Marketplace, 2002. Menlo Park, CA: Henry J. Kaiser Family Foundation; 2002. Report 3161.
4. U.S. Congressional Budget Office. Medicare Advantage: Private Health Plans in Medicare. Washington, DC: The US Congressinal congressional Budget Office; 2007. http://www.cbo.gov/ftpdocs/82xx/doc8268/06-28-Medicare_Advantage. pdf.
5. Glied S. Managed care. In: Culyer AJ, Newhouse JP, editors. Handbook of Health Economics. Amsterdam, The Netherlands: Elsevier Science; 2000.
6. Call KT, Dowd B, Feldman R, Maciejewski M. Selection experiences in Medicare HMOs: pre-enrollment expenditures. Health Care Financ Rev. 1999;20:197-209.
7. Cox DF, Hogan C. Biased selection and Medicare HMOs: analysis of the 1989-1994 experience. Med Care Res Rev. 1997;54:259-274.
8. Lied TR, Sheingold SH, Landon BE, Shaul JA, Cleary PD. Beneficiary reported experience and voluntary disenrollment in Medicare managed care. Health Care Financ Rev. 2003;25:55-66.
9. Maciejewski M, Dowd B, Call KT, Feldman R. Comparing mortality and time until death for Medicare HMO and FFS beneficiaries. Health Serv Res. 2001;35:1245-1265.
10. Mello MM, Stearns SC, Norton EC, Ricketts TC. Understanding biased selection in Medicare HMOs. Health Serv Res. 2003;38:961-992.
11. Meng Y, Gocka IT, Leung K, Elashoff RM, Legorreta AP. Disenrollment from an HMO and its relationship with the characteristics of Medicare beneficiaries. J Health Care Finance. 1999;26:53-60.
12. Morgan RO, Virnig BA, DeVito CA, Persily NA. The Medicare-HMO revolving door: the healthy go in and the sick go out. N Engl J Med. 1997;337:169-175.
13. Riley G, Rabey E, Kasper J. Biased selection and regression toward the mean in three Medicare HMO demonstrations. Med Care. 1989;27:337-347.
14. Riley G, Tudor C, Chiang YP, Ingber M. Health status of Medicare enrollees in HMOs and fee-for-service in 1994. Health Care Financ Rev. 1996;17:65-76.
15. Riley GF, Ingber MJ, Tudor CG. Disenrollment of Medicare beneficiaries from HMOs. Health Aff (Millwood). 1997;16:117-124.
16. Nelson L, Brown R, Gold M, Ciemnecki A, Docteur E. Acess to care in Medicare HMOs, 1996. Health Aff (Millwood). 1997;16:148-156.
17. Ries LAG, Melbert D, Krapcho M, et al. SEER Cancer Statistics Review, 1975-2004. Bethesda, MD: National Cancer Institute; 2007.
18. Birkmeyer JD, Siewers AE, Finlayson EV, et al. Hospital volume and surgical mortality in the United States. N Engl J Med. 2002;346:1128-1137.
19. Begg CB, Riedel ER, Bach PB, et al. Variations in morbidity after radical prostatectomy. N Engl J Med. 2002;346:1138-1144.
20. Lake T, Gold M, Hurley R. HMO provider networks in Medicare+Choice: comparing Medicare and commercial lines of business. Manag Care Q. 2001;9:16-22.
21. Safran DG, Wilson IB, Rogers WH, Montgomery JE, Chang H. Primary care quality in the Medicare Program: comparing the performance of Medicare health maintenance organizations and traditional fee-for-service medicare. Arch Intern Med. 2002;162:757-765.
22. Kerr EA, Hays RD, Lee ML, Siu AL. Does dissatisfaction with access to specialists affect the desire to leave a managed care plan? Med Care Res Rev. 1998;55:59-77.
23. OIG. Beneficiary Perspectives of Medicare Risk HMOs. Washington, DC: Office of Inspector General, US Department of Health and Human Services; 1995. Report OEI-06-91-00730.
24. Goldman DP, Zissimopoulos JM. High out-of-pocket health care spending by the elderly. Health Aff (Millwood). 2003;22:194-202.
25. Warren JL, Klabunde CN, Schrag D, Bach PB, Riley GF. Overview of the SEER-Medicare data: content, research applications, and generalizability to the United States elderly population. Med Care. 2002;40:IV3-IV18.
26. Area Resource File (ARF). Rockville, MD: US Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions; 2005.
27. Gold M, Achman L. Fast Facts: Monitoring Medicare+Choice. Washington, DC: Mathematica Policy Research, Inc.; 2003. Report No. 8.
28. Riley G, Herboldsheimer C. Including hospice in Medicare capitation payments: would it save money? Health Care Financ Rev. 2001;23:137-47.
29. Hosmer DW, Lemeshow S. Applied Survival Analysis: Regression Modeling of Time to Event Data. New York: John Wiley & Sons; 1999.
30. Wei LJ, Lin DY, Weissfeld L. Regression analysis of multivariate incomplete failure time data by modelling marginal distribution. J Amer Stat Assoc. 1989;84:1065-73.
31. Ng JH, Kasper JD, Forrest CB, Bierman AS. Predictors of voluntary disenrollment from Medicare managed care. Med Care. 2007;45:513-20.
32. SEER. SEER Program: Comparative staging guide for cancer, version 1.1: National Institutes of Health; 1993. Report No. 93-3640.
33. Landon BE, Zaslavsky AM, Bernard SL, Cioffi MJ, Cleary PD. Comparison of performance of traditional Medicare vs Medicare managed care. JAMA. 2004;291:1744-1752.
34. Rice T, Bernstein J. Supplemental Health Insurance for Medicare Beneficiaries Washington, DC: National Academy of Social Insurance; 1999.
35. McLaughlin CG, Chernew M, Taylor EF. Medigap premiums and Medicare HMO enrollment. Health Serv Res. 2002;37:1445-1468.
36. Atherly A, Hebert PL, Maciejewski ML. An analysis of disenrollment from Medicare managed care plans by Medicare beneficiaries with diabetes. Med Care. 2005;43:500-506.
37. Tudor CG, Riley G, Ingber M. Satisfaction with care: do Medicare HMOs make a difference? Health Aff (Millwood). 1998;17:165-176.
38. Center for Medicare and Medicaid Services. Medicare and You. Baltimore, MD: U.S. Department of Health and Human Services; 2008.
39. Madrian BC, Shea D. The power of suggestions: inertia in 401(k) participation and savings behavior. Q J Econ. 2001;116:1149-1187.
40. Kahneman D, Knetsch JL, Thaler RH. The endowment effect, loss aversion, and status quo bias. J Econ Perspectives. 1991;5:193-206.
41. Samuelson W, Zeckhauser RJ. Status quo bias in decision making. J Risk Uncertainty. 1988;1:7-59.
42. Schweitzer M, Hershey JC, Asch DA. Individual choice in spending accounts. Can we rely on employees to choose well? Med Care. 1996;34:583-593.
43. Becker K, Zweifel P. Age and Choice in Health Insurance: Evidence From Switzerland. Zurich, Switzerland: Socioeconomic Institute, University of Zurich; 2004.
44. Hibbard JH, Jewett JJ, Engelmann S, Tusler M. Can Medicare beneficiaries make informed choices? Health Aff (Millwood). 1998;17:181-193.
45. Uhrig JD, Bann CM, McCormack LA, Rudolph N. Beneficiary knowledge of original Medicare and Medicare managed care. Med Care. 2006;44:1020-1029.
46. Riley GF, Feuer EJ, Lubitz JD. Disenrollment of Medicare cancer patients from health maintenance organizations. Med Care. 1996;34:826-836.
47. Gabel J. Ten ways HMOs have changed during the 1990s. Health Aff (Millwood). 1997;16:134-145.
48. Mays GP, Hurley RE, Grossman JM. An empty toolbox? Changes in health plans' approaches for managing costs and care. Health Serv Res. 2003;38:375-393.
49. Field TS, Cernieux J, Buist D, et al. Retention of enrollees following a cancer diagnosis within health maintenance organizations in the Cancer Research Network. J Natl Cancer Inst. 2004;96:148-152.
50. Olin G, Lavis A. Determinants of enrollment and disenrollment in Medicare HMOs. Proceedings of the American Statistical Association, Survey Research Methods Section, Dallas, TX; 1998. http://www.amstat.org/sections/SRMS/ Proceedings/papers/1998_024.pdf.
51. Atherly A, Dowd BE, Feldman R. The effect of benefits, premiums, and health risk on health plan choice in the Medicare program. Health Serv Res. 2004;39:847-864.
52. Laschober M. Estimating Medicare advantage lock-in provisions impact on vulnerable Medicare beneficiaries. Health Care Financ Rev. 2005;26:63-79.
53. Kennedy EM, Thomas B. Dramatic improvement or death spiral - two members of congress assess the Medicare bill. N Engl J Med. 2004;350:747-751.
54. Rockeymoore M, Hawkinson L. Structured Inefficiency: The Impact of Medicare Reform on African Americans (Policy Report No. 1). Washington, DC: Congressional Black Caucus Foundation, Center for Policy Analysis and Research; 2004.