Association between medicare advantage plan star ratings and enrollment

JAMA

Volumn 309, Issue 3, 2013, Pages 267-274

  Reid, Rachel O ^a   Deb, Partha ^a   Howell, Benjamin L ^a   Shrank, William H ^a  

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

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CONSUMER ATTITUDE; CROSS-SECTIONAL STUDY; DECISION MAKING; FEMALE; HEALTH INSURANCE ELIGIBILITY; HEALTH PROGRAM; HUMAN; INCOME; MALE; MEDICARE; PRIORITY JOURNAL; PUBLIC HEALTH INSURANCE; AGE; GOVERNMENT; HEALTH CARE QUALITY; INTERPERSONAL COMMUNICATION; NEGRO; ORGANIZATION AND MANAGEMENT; STANDARD; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

AFRICAN CONTINENTAL ANCESTRY GROUP; AGE FACTORS; AGED; CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); CROSS-SECTIONAL STUDIES; DECISION MAKING; DISCLOSURE; ELIGIBILITY DETERMINATION; FEMALE; HUMANS; INCOME; MALE; MEDICARE PART C; QUALITY INDICATORS, HEALTH CARE; UNITED STATES;

MLCS; MLOWN;

EID: 84872403280     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2012.173925     Document Type: Article

References (33)

1. Centers for Medicare & Medicaid Services. Choose higher quality for better health care. http://www.Medicare.gov/Publications/Pubs/pdf/11226.pdf. Accessed April 5, 2012.
2. Centers for Medicare & Medicaid Services. Part D performance data. http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/ PerformanceData.html. Accessed April 5, 2012.
3. Cosgrove JC. GAO-12-409R quality bonus payment demonstration. http://www.gao.gov/assets/590/589473.pdf. Accessed April 23, 2012.
4. Diamond F. Funding up for grabs in Medicare Advantage. Manag Care. 2010;19(10):34-37.
5. Carroll J. Some plans may prosper despite Medicare Advantage cuts. Manag Care. 2010;19(4):14-16, 22-23.
6. Weaver C. Chasing the stars: insurers improve quality - and revenue. http://www.kaiserhealthnews.org/Stories/2011/October/12/insurers-improve- qualityrevenue.aspx. Accessed April 5, 2011.
7. Harris Interactive. Medicare star quality rating system study: key findings. http://xnet.kp.org/newscenter/pressreleases/nat/2011/downloads/ 101011medicarerankingsHarrisSurveyInfo.pdf. Accessed April 1, 2012.
8. Grabowski DC, Town RJ. Does information matter? competition, quality, and the impact of nursing home report cards. Health Serv Res. 2011;46(6 pt 1): 1698-1719.
9. Werner RM, Norton EC, Konetzka RT, Polsky D. Do consumers respond to publicly reported quality information? evidence from nursing homes. J Health Econ. 2012;31(1):50-61.
10. Kolstad JT, Chernew ME. Quality and consumer decision making in the market for health insurance and health care services. Med Care Res Rev. 2009;66(1)(suppl):28S-52S.
11. Faber M, Bosch M, Wollersheim H, Leatherman S, Grol R. Public reporting in health care: how do consumers use quality-of-care information? a systematic review. Med Care. 2009;47(1):1-8.
12. Dafny L, Dranove D. Do report cards tell consumers anything they don't know already? the case of Medicare HMOs. Rand J Econ. 2008;39(3):790-821.
13. Gold M. Medicare Advantage - lessons for Medicare's future. N Engl J Med. 2012;366(13):1174-1177.
14. Centers for Medicare & Medicaid Services. CMS Integrated Data Repository (IDR). https://www.cms.gov/Research-Statistics-Data-and-Systems/ Computer-Data-and-Systems/IDR/index.html?redirect=/IDR/. Accessed April 5, 2012.
15. Centers for Medicare & Medicaid Services. Details for system of records: 09-70-0500 Health Plan Management System (HPMS). https://www.cms.gov/ Regulations-and-Guidance/Guidance/PrivacyActSystemofRecords/Systems-of-Records- Items/CMS044932.html. Accessed April 5, 2012.
16. Centers for Medicare & Medicaid Services. Plan crosswalks. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and- Reports/MCRAdvPartDEnrolData/Plan-Crosswalks.html. Accessed April 5, 2012.
17. 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(4 pt 1):847-864.
18. Scanlon DP, Chernew M, Lave JR. Consumer health plan choice: current knowledge and future directions. Annu Rev Public Health. 1997;18:507-528.
19. Edgman-Levitan S, Cleary PD. What information do consumers want and need? Health Aff (Millwood). 1996;15(4):42-56.
20. Sorensen AT. Social learning and health plan choice. Rand J Econ. 2006;37(4):1-29.
21. Mechanic D. Consumer choice among health insurance options. Health Aff (Millwood). 1989;8(1):138-148.
22. Pope GC, Kautter J, Ingber MJ, Freeman S, Sekar R, Newhart C. Evaluation of the CMS-HCC risk adjustment model: final report. https://www.cms.gov/ Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Evaluation-Risk-Adj- Model-2011.pdf. Accessed April 5, 2012.
23. Bundorf MK, Szrek H. Choice set size and decision making: the case of Medicare Part D prescription drug plans. Med Decis Making. 2010;30(5):582-593.
24. Hanoch Y, Wood S, Barnes A, Liu PJ, Rice T. Choosing the right Medicare prescription drug plan: the effect of age, strategy selection, and choice set size. Health Psychol. 2011;30(6):719-727.
25. McWilliams JM, Afendulis CC, McGuire TG, Landon BE. Complex Medicare Advantage choices may overwhelm seniors-especially those with impaired decision making. Health Aff (Millwood). 2011;30(9):1786-1794.
26. Centers for Medicare &Medicaid Services. Managed care marketing. http://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/index.html. Accessed April 5, 2012.
27. Hackbarth GM. MEDPAC comments to CMS on the advance notice of methodological changes for calendar year (CY) 2013 for Medicare Advantage (MA) capitation rates, Part C and Part D payment policies and 2013 call letter. http://www.medpac.gov/documents/ MedPAC%20comments% 20to%20CMS%20on%20Advance%20Notice%202013%20and%20star% 20ratings%20FINAL.pdf. Accessed April 5, 2012.
28. Biles B, Dallek G, Nicholas LH. Medicare Advantage: déjà vu all over again? Health Aff (Millwood). 2004(suppl web exclusives):W4-586-597.
29. Goldstein E, Fyock J. Reporting of CAHPS quality information to Medicare beneficiaries. Health Serv Res. 2001;36(3):477-488.
30. Goldstein E, Teichman L, Crawley B, Gaumer G, Joseph C, Reardon L. Lessons learned from the national Medicare&You education program. Health Care Financ Rev. 2001;23(1):5-20.
31. Shimada SL, Zaslavsky AM, Zaborski LB,O'Malley AJ, Heller A, Cleary PD. Market and beneficiary characteristics associated with enrollment in Medicare managed care plans and fee-for-service. Med Care. 2009;47(5):517-523.
32. Pereira AG, Pearson SD. Patient attitudes toward continuity of care. Arch Intern Med. 2003;163(8):909-912.
33. Eicheldinger C, Bonito A. More accurate racial and ethnic codes for Medicare administrative data. Health Care Financ Rev. 2008;29(3):27-42.