Do experiences with medicare managed care vary according to the proportion of same-race/ethnicity/language individuals enrolled in one's contract?

Health Services Research

Volumn 50, Issue 5, 2015, Pages 1649-1687

  Price, Rebecca Anhang ^a   Haviland, Amelia M ^b   Hambarsoomian, Katrin ^a   Dembosky, Jacob W ^a   Gaillot, Sarah ^c   Weech Maldonado, Robert ^d   Williams, Malcolm V ^a   Elliott, Marc N ^a  

^a RAND CORPORATION   (United States)

^b CARNEGIE MELLON UNIVERSITY   (United States)

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

^d UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

Author keywords

health care disparities; Hispanic Americans; managed care; Medicare; Patient experiences with care; racial and ethnic minorities

Indexed keywords

AGE DISTRIBUTION; ARTICLE; CAUCASIAN; CRITERION VARIABLE; CULTURAL FACTOR; EDUCATION; ETHNICITY; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HEALTH SERVICE; HISPANIC; HUMAN; LANGUAGE; LINEAR REGRESSION ANALYSIS; MEDICARE; OUTCOME ASSESSMENT; PERSONAL EXPERIENCE; RACE; RACE DIFFERENCE; VALIDITY; ADOLESCENT; ADULT; AGED; ANCESTRY GROUP; ETHNIC GROUP; ETHNOLOGY; FEMALE; HEALTH CARE SURVEY; HEALTH STATUS; INTERPERSONAL COMMUNICATION; MALE; MENTAL HEALTH; MIDDLE AGED; PATIENT SATISFACTION; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA; TIME FACTOR; UNITED STATES; VERY ELDERLY; YOUNG ADULT;

PRESCRIPTION DRUG;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; COMMUNICATION; CONTINENTAL POPULATION GROUPS; ETHNIC GROUPS; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HEALTH STATUS; HUMANS; LANGUAGE; MALE; MEDICARE PART C; MENTAL HEALTH; MIDDLE AGED; PATIENT SATISFACTION; PRESCRIPTION DRUGS; QUALITY OF HEALTH CARE; SOCIOECONOMIC FACTORS; TIME FACTORS; UNITED STATES; YOUNG ADULT;

EID: 84942292609     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/1475-6773.12292     Document Type: Article

References (45)

1. Atherly, A., and, K. E. Thorpe,. 2005. Value of Medicare Advantage to Low-Income and Minority Medicare Beneficiaries. Atlanta, GA: Emory University.
2. Brach, C., and, I. Fraser,. 2000. " Can Cultural Competency Reduce Racial and Ethnic Health Disparities? A Review and Conceptual Model." Medical Care Research and Review 57 (Suppl 1): 181-217.
3. Browne, K., D. Roseman, D. Shaller, and, S. Edgman-Levitan,. 2010. " Analysis & Commentary. Measuring Patient Experience as a Strategy for Improving Primary Care." Health Affairs 29 (5): 921-5.
4. Cooper-Patrick, L., J. J. Gallo, J. J. Gonzales, H. T. Vu, N. R. Powe, C. Nelson, and, D. E. Ford,. 1999. " Race, Gender, and Partnership in the Patient-Physician Relationship." Journal of the American Medical Association 282 (6): 583-9.
5. Davies, E., D. Shaller, S. Edgman-Levitan, D. G. Safran, G. Oftedahl, J. Sakowski, and, P. D. Cleary,. 2008. " Evaluating the Use of a Modified CAHPS Survey to Support Improvements in Patient-Centred Care: Lessons from a Quality Improvement Collaborative." Health Expectations: An International Journal of Public Participation in Health Care and Health Policy 11 (2): 160-76.
6. Elliott, M. N., A. M. Haviland, J. W. Dembosky, K. Hambarsoomian, and, R. Weech-Maldonado,. 2012. " Are There Differences in the Medicare Experiences of Beneficiaries in Puerto Rico Compared with Those in the U.S. Mainland? " Medical Care 50 (3): 243-8.
7. Elliott, M. N., A. M. Haviland, D. E. Kanouse, K. Hambarsoomian, and, R. D. Hays,. 2009. " Adjusting for Subgroup Differences in Extreme Response Tendency in Ratings of Health Care: Impact on Disparity Estimates." Health Services Research 44 (2 Pt 1): 542-61.
8. Elliott, M. N., A. M. Haviland, N. Orr, K. Hambarsoomian, and, P. D. Cleary,. 2011. " How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare? " Health Services Research 46 (4): 1039-58.
9. Elliott, M. N., W. G. Lehrman, E. Goldstein, K. Hambarsoomian, M. K. Beckett, and, L. A. Giordano,. 2010. " Do Hospitals Rank Differently on HCAHPS for Different Patient Subgroups? " Medical Care Research and Review 67 (1): 56-73.
10. Fongwa, M. N., W. Cunningham, R. Weech-Maldonado, P. R. Gutierrez, and, R. D. Hays,. 2008. " Reports and Ratings of Care: Black and White Medicare Enrollees." Journal of Health Care for the Poor and Underserved 19 (4): 1136-47.
11. Friedberg, M. W., G. K. SteelFisher, M. Karp, and, E. C. Schneider,. 2011. " Physician Groups' Use of Data from Patient Experience Surveys." Journal of General Internal Medicine 26 (5): 498-504.
12. Goldstein, E., P. D. Cleary, K. M. Langwell, A. M. Zaslavsky, and, A. Heller,. 2001. " Medicare Managed Care CAHPS: A Tool for Performance Improvement." Health Care Financing Review 22 (3): 101-7.
13. Goldstein, E., M. N. Elliott, W. G. Lehrman, K. Hambarsoomian, and, L. A. Giordano,. 2010. " Racial/Ethnic Differences in Patients' Perceptions of Inpatient Care Using the HCAHPS Survey." Medical Care Research and Review 67 (1): 74-92.
14. Hargraves, J. L., R. D. Hays, and, P. D. Cleary,. 2003. " Psychometric Properties of the Consumer Assessment of Health Plans Study (CAHPS) 2.0 Adult Core Survey." Health Services Research 38 (6 Pt 1): 1509-27.
15. Haviland, A. M., M. N. Elliott, K. Hambarsoomian, and, N. Lurie,. 2011. " Immunization Disparities by Hispanic Ethnicity and Language Preference." Archives of Internal Medicine 171 (2): 158-65.
16. Haviland, A. M., M. N. Elliott, R. Weech-Maldonado, K. Hambarsoomian, N. Orr, and, R. D. Hays,. 2012. " Racial/Ethnic Disparities in Medicare Part D Experiences." Medical Care 50 (Suppl): S40-7.
17. Hays, R. D., J. A. Shaul, V. S. Williams, J. S. Lubalin, L. D. Harris-Kojetin, S. F. Sweeny, and, P. D. Cleary,. 1999. " Psychometric Properties of the CAHPS 1.0 Survey Measures. Consumer Assessment of Health Plans Study." Medical Care 37 (3 Suppl): MS22-31.
18. Hebert, P. L., K. D. Frick, R. L. Kane, and, A. M. McBean,. 2005. " The Causes of Racial and Ethnic Differences in Influenza Vaccination Rates among Elderly Medicare Beneficiaries." Health Services Research 40 (2): 517-37.
19. Hibbard, J. H., and, J. J. Jewett,. 1996. " What Type of Quality Information Do Consumers Want in a Health Care Report Card? " Medical Care Research and Review 53 (1): 28-47.
20. Klein, D. J., M. N. Elliott, A. M. Haviland, D. Saliba, Q. Burkhart, C. Edwards, and, A. M. Zaslavsky,. 2011. " Understanding Nonresponse to the 2007 Medicare CAHPS Survey." Gerontologist 51 (6): 843-55.
21. Kolstad, J. T., and, M. E. Chernew,. 2009. " Quality and Consumer Decision Making in the Market for Health Insurance and Health Care Services." Medical Care Research and Review 66 (1 Suppl): 28S-52S.
22. LaVeist, T. A., and, T. Carroll,. 2002. " Race of Physician and Satisfaction with Care among African-American Patients." Journal of the National Medical Association 94 (11): 937-43.
23. Lurie, N., C. Zhan, J. Sangl, A. S. Bierman, and, E. S. Sekscenski,. 2003. " Variation in Racial and Ethnic Differences in Consumer Assessments of Health Care." American Journal of Managed Care 9 (7): 502-9.
24. Martino, S. C., M. N. Elliott, P. D. Cleary, D. E. Kanouse, J. A. Brown, K. L. Spritzer, A. Heller, and, R. D. Hays,. 2009. " Psychometric Properties of an Instrument to Assess Medicare Beneficiaries' Prescription Drug Plan Experiences." Health Care Financing Review 30 (3): 41-53.
25. Martino, S. C., R. M. Weinick, D. E. Kanouse, J. A. Brown, A. M. Haviland, E. Goldstein, J. L. Adams, K. Hambarsoomian, D. J. Klein, and, M. N. Elliott,. 2013. " Reporting CAHPS and HEDIS Data by Race/Ethnicity for Medicare Beneficiaries." Health Services Research 48 (2 Pt 1): 417-34.
26. Mead, H., L. Cartwright-Smith, K. Jones, C. Ramos, and, B. Siegel,. 2008. Racial and Ethnic Disparities in U.S. Health Care: A Chartbook. New York: The Commonwealth Fund.
27. Morales, L. S., W. E. Cunningham, J. A. Brown, H. Liu, and, R. D. Hays,. 1999. " Are Latinos Less Satisfied with Communication by Health Care Providers? " Journal of General Internal Medicine 14 (7): 409-17.
28. Morales, L. S., M. N. Elliott, R. Weech-Maldonado, K. L. Spritzer, and, R. D. Hays,. 2001. " Differences in CAHPS Adult Survey Reports and Ratings by Race and Ethnicity: An Analysis of the National CAHPS Benchmarking Data 1.0." Health Services Research 36 (3): 595-617.
29. Office of Minority Health and Services. 2013. National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care: A Blueprint for Advancing and Sustaining CLAS Policy and Practice. Washington, DC: Office of Minority Health, U.S. Department of Health and Human Services.
30. O'Malley, A. S., and, C. B. Forrest,. 2006. " Immunization Disparities in Older Americans: Determinants and Future Research Needs." American Journal of Preventive Medicine 31 (2): 150-8.
31. Orr, N., M. N. Elliott, Q. Burkhart, A. Haviland, and, R. M. Weinick,. 2013. " Racial/Ethnic Differences in Medicare Experiences and Immunization: The Role of Disease Burden." Medical Care 51 (9): 823-31.
32. Rodriguez, H. P., T. von Glahn, D. E. Grembowski, W. H. Rogers, and, D. G. Safran,. 2008. " Physician Effects on Racial and Ethnic Disparities in Patients' Experiences of Primary Care." Journal of General Internal Medicine 23 (10): 1666-72.
33. Saha, S., M. Komaromy, T. D. Koepsell, and, A. B. Bindman,. 1999. " Patient-Physician Racial Concordance and the Perceived Quality and Use of Health Care." Archives of Internal Medicine 159 (9): 997-1004.
34. Schneider, E. C., A. M. Zaslavsky, and, A. M. Epstein,. 2002. " Racial Disparities in the Quality of Care for Enrollees in Medicare Managed Care." Journal of the American Medical Association 287 (10): 1288-94.
35. Spranca, M., D. E. Kanouse, M. Elliott, P. F. Short, D. O. Farley, and, R. D. Hays,. 2000. " Do Consumer Reports of Health Plan Quality Affect Health Plan Selection? " Health Services Research 35 (5 Pt 1): 933-47.
36. Weech-Maldonado, R., L. S. Morales, K. Spritzer, M. Elliott, and, R. D. Hays,. 2001. " Racial and Ethnic Differences in Parents' Assessments of Pediatric Care in Medicaid Managed Care." Health Services Research 36 (3): 575-94.
37. Weech-Maldonado, R., L. S. Morales, M. Elliott, K. Spritzer, G. Marshall, and, R. D. Hays,. 2003. " Race/Ethnicity, Language, and Patients' Assessments of Care in Medicaid Managed Care." Health Services Research 38 (3): 789-808.
38. Weech-Maldonado, R., M. N. Elliott, L. S. Morales, K. Spritzer, G. N. Marshall, and, R. D. Hays,. 2004. " Health Plan Effects on Patient Assessments of Medicaid Managed Care among Racial/Ethnic Minorities." Journal of General Internal Medicine 19 (2): 136-45.
39. Weech-Maldonado, R., M. N. Elliott, A. Oluwole, K. C. Schiller, and, R. D. Hays,. 2008a. " Survey Response Style and Differential Use of CAHPS Rating Scales by Hispanics." Medical Care 46 (9): 963-8.
40. Weech-Maldonado, R., M. N. Fongwa, P. Gutierrez, and, R. D. Hays,. 2008b. " Language and Regional Differences in Evaluations of Medicare Managed Care by Hispanics." Health Services Research 43 (2): 552-68.
41. Weech-Maldonado, R., A. Carle, B. Weidmer, M. Hurtado, Q. Ngo-Metzger, and, R. D. Hays,. 2012a. " The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Cultural Competence (CC) Item Set." Medical Care 50 (9 Suppl 2): S22-31.
42. Weech-Maldonado, R., M. Elliott, R. Pradhan, C. Schiller, A. Hall, and, R. D. Hays,. 2012b. " Can Hospital Cultural Competency Reduce Disparities in Patient Experiences with Care? " Medical Care 50 (Suppl): S48-55.
43. Weinick, R. M., M. N. Elliott, A. E. Volandes, L. Lopez, Q. Burkhart, and, M. Schlesinger,. 2011. " Using Standardized Encounters to Understand Reported Racial/Ethnic Disparities in Patient Experiences with Care." Health Services Research 46 (2): 491-509.
44. Weinick, R., A. Haviland, K. Hambarsoomian, and, M. N. Elliott,. 2014. " Does the Racial/Ethnic Composition of Medicare Advantage Plans Reflect Their Areas of Operation? " Health Services Research 49 (2): 526-45.
45. Wennberg, J. E., 1998. The Dartmouth Atlas of Health Care. I. American Hospital Publishing. Hanover, NH: Dartmouth Medical School and Center for the Evaluative Clinical Sciences.