Geographic area variations in the medicare health plan era

Medical Care

Volumn 48, Issue 3, 2010, Pages 260-266

  Keenan, Patricia S ^a   Cleary, Paul D ^a   O'Malley, A James ^b   Landon, Bruce E ^b,c   Zaborski, Lawrence ^b   Zaslavsky, Alan M ^b  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

Health plan; Medicare; Patient experience; Quality

Indexed keywords

AGED; ARTICLE; DOCTOR PATIENT RELATION; GEOGRAPHY; HEALTH CARE PLANNING; HEALTH SERVICE; HEALTH STATUS; HUMAN; IMMUNIZATION; INFLUENZA VACCINATION; MAJOR CLINICAL STUDY; MEDICAL SPECIALIST; MEDICARE; PATIENT CARE; PATIENT COUNSELING; PATIENT REFERRAL; PHYSICIAN; PNEUMONIA; SMOKING CESSATION;

AGED; AGED, 80 AND OVER; FEE-FOR-SERVICE PLANS; FEMALE; HEALTH STATUS; HUMANS; MALE; MEDICARE; MEDICARE PART C; MENTAL HEALTH; PREVENTIVE HEALTH SERVICES; QUALITY INDICATORS, HEALTH CARE; RESIDENCE CHARACTERISTICS; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 77649131478     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181ca410a     Document Type: Article

References (31)

1. MedPAC. A Data Book: Healthcare Spending and the Medicare Program. Washington DC: Medicare Payment Advisory;2009, 149-159.
2. Keenan PS, Elliott MN, Cleary PD, et al. Quality assessments by sick and healthy beneficiaries in traditional Medicare and Medicare managed care. Med Care. 2009;47:882-888.
3. Landon BE, Zaslavsky AM, Bernard SL, et al. Comparison of performance of traditional Medicare versus Medicare managed care. JAMA. 2004;291:1744-1752.
4. Zaslavsky AM. Using hierarchical models to attribute sources of variation in consumer assessments of health care. Stat Med. 2007; 26:1885-1900.
5. Zaslavsky AM, Beaulieu ND, Landon BE, et al. Dimensions of consumer-assessed quality of Medicare managed-care health plans. Med Care. 2000;38:162-174.
6. Zaslavsky AM, Cleary PD. Dimensions of plan performance for sick and healthy members on the Consumer Assessments of Health Plans Study 2.0 survey. Med Care. 2002;40:951-964.
7. Zaslavsky AM, Landon BE, Beaulieu ND, et al. How consumer assessments of managed care vary within and among markets. Inquiry. 2000; 37:146-161.
8. Zaslavsky AM, Zaborski LB, Cleary PD. Plan, geographical, and temporal variation of consumer assessments of ambulatory health care. Health Serv Res. 2004;39:1467-1485.
9. Baker LC. Managed care spillover effects. Ann Rev Public Health. 2003;24:435-456.
10. Chernew ME, Wodchis WP, Scanlon DP, et al. Overlap in HMO physician networks. Health Aff (Millwood). 2004;23:91-101.
11. Schneider EC, Zaslavsky AM, Epstein AM. Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries. Am J Med. 2005;118:1392-1400.
12. Scanlon DP, Swaminathan S, Chernew M, et al. Competition and health plan performance: evidence from health maintenance organization insurance markets. Med Care. 2005;43:338-346.
13. Scanlon DP, Swaminathan S, Chernew M, et al. Market and plan characteristics related to HMO quality and improvement. Med Care Res Rev. 2006;63(suppl 6):56S-89S.
14. Landon BE, Zaslavsky AM, Beaulieu ND, et al. Health plan characteristics and consumers' assessments of quality. Health Aff (Millwood). 2001;20:274-286.
15. Cao Z, McGuire TG. Service-level selection by HMOs in Medicare. J Health Econ. 2003;22:915-931.
16. Cutler DM, McClellan M, Newhouse JP. How does managed care do it? Rand J Econ. 2000;31:526-548.
17. Ellis RP, McGuire TG. Predictability and predictiveness in health care spending. J Health Econ. 2007;26:25-48.
18. Newhouse JP, Buntin MB, Chapman JD. Risk adjustment and Medicare: taking a closer look. Health Aff (Millwood). 1997;16:26-43.
19. Zaslavsky AM, Zaborski L, Cleary PD. Does the effect of respondent characteristics on consumer assessments vary across health plans? Med Care Res Rev. 2000;57:379-394.
20. Goldstein E, Cleary PD, Langwell KM, et al. Medicare managed care CAHPS: a tool for performance improvement. Health Care Financ Rev. 2001;22:101.
21. Crofton C, Lubalin JS, Darby C. Consumer Assessment of Health Plans Study (CAHPS). Foreword. Med Care. 1999;37(suppl 3):MS1-MS9.
22. Schnaier JA, Sweeny SF, Williams VS, et al. Special issues addressed in the CAHPS survey of Medicare managed care beneficiaries. Consumer Assessment of Health Plans Study. Med Care. 1999;37(suppl 3):MS69-MS78.
23. Zaslavsky AM, Shaul JA, Zaborski LB, et al. Combining health plan performance indicators into simpler composite measures. Health Care Financ Rev. 2002;23:101-115.
24. Wennberg JE, Cooper MM. The Dartmouth Atlas of Health Care in the United States. Chicago, IL: American Hospital Association; 1996.
25. Zaslavsky AM, Zaborski LB, Ding L, et al. Adjusting performance measures to ensure equitable plan comparisons. Health Care Financ Rev. 2001;22:109.
26. Rasbash J, Stelle F, Browne W, et al. A User's Guide to MLwiN, Version 2.0. Bristol, United Kingdom: Centre for Multilevel Modelling, University of Bristol; 2004.
27. Fisher ES, Wennberg DE, Stukel TA, et al. The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care. Ann Intern Med. 2003;138:288-298.
28. Fisher ES, Wennberg DE, Stukel TA, et al. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138:273-287.
29. Wennberg J, Gittelsohn. Small area variations in health care delivery. Science. 1973;182:1102-1108.
30. Zaslavsky AM, Zaborski LB, Cleary PD. Factors affecting response rates to the Consumer Assessment of Health Plans Study survey. Med Care. 2002;40:485-499.
31. McCall N, Khatutsky G, Smith K, et al. Estimation of non-response bias in the Medicare FFS HOS. Health Care Financ Rev. 2004;25:27-41.