Do dual eligible beneficiaries experience better health care in special needs plans?
Objective 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. Data Sources 671 913 dual eligible (DE) respondents to the 2009‐2019 Medicare Consumer Assessment of...
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| Veröffentlicht in: | Health services research 2021-06, Vol.56 (3), p.517-527 |
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| creator | Haviland, Amelia M. Elliott, Marc N. Klein, David J. Orr, Nate Hambarsoomian, Katrin Zaslavsky, Alan M. |
| description | Objective
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.
Data Sources
671 913 dual eligible (DE) respondents to the 2009‐2019 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.
Study Design
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.
Data Collection Methods
Annual mail survey with telephone follow‐up of non‐respondents.
Principal Findings
More than 65% of DE beneficiaries enrolled in FFS. Of 12 measures, D‐SNP performance was higher than non‐SNP MA on two (P |
| doi_str_mv | 10.1111/1475-6773.13620 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8143688</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A667587908</galeid><sourcerecordid>A667587908</sourcerecordid><originalsourceid>FETCH-LOGICAL-c7440-d8b821a4d0f5a4a72e2d721caa0ab45d53fcf4271bd7b4c1b4764d9166047e143</originalsourceid><addsrcrecordid>eNqFk_Fr1DAUx4so7pz-7G9SEETB3pI2TdJflHHOTTgY6Pw5pOlrLyOX1KbV7b83tee5yk1baEryed_38pJvFD3HaInDc4IJyxPKWLbEGU3Rg2ixn3kYLRDCLClwSo6iJ95fI4R4xsnj6CjLCEk5LRbR1QcXV4M0MRjd6NJAXIKFWistOw0-hpsWwo9V40LfQxdvQJp-EyvZQaxt7FsIrIktQOXj1kjr3z-NHtXSeHi2G4-jrx_PrlYXyfry_NPqdJ0oRghKKl7yFEtSoTqXRLIU0oqlWEmJZEnyKs9qVZOU4bJiJVG4JIySqsCUIsIAk-w4ejfptkO5hUqB7TtpRNvprexuhZNazFes3ojGfRc8BFPOg8DrnUDnvg3ge7HVXoEJuwA3eJESxlHGcjLmevkXeu2GzobtiTTPcIYLQos_VCMNCG1rF_KqUVScUspyzgo0pk0OUE1ofCjSje0P0zN-eYAPbwVbrQ4GvJoFBKaHm76Rg_diDr65H-Tn639VvWOVMwYaEOFkV5f3FzFdG-_M0Gtn_Rx8ewcsB68t-PDxutn0fqplhp9MuOqc9x3U-wPHSIyuEKMHxOgB8csVIeLF3Xuy53_bIAB0An6ERt7-T09cnH35PCn_BJScEYA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2531319469</pqid></control><display><type>article</type><title>Do dual eligible beneficiaries experience better health care in special needs plans?</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Haviland, Amelia M. ; Elliott, Marc N. ; Klein, David J. ; Orr, Nate ; Hambarsoomian, Katrin ; Zaslavsky, Alan M.</creator><creatorcontrib>Haviland, Amelia M. ; Elliott, Marc N. ; Klein, David J. ; Orr, Nate ; Hambarsoomian, Katrin ; Zaslavsky, Alan M.</creatorcontrib><description>Objective
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.
Data Sources
671 913 dual eligible (DE) respondents to the 2009‐2019 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.
Study Design
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.
Data Collection Methods
Annual mail survey with telephone follow‐up of non‐respondents.
Principal Findings
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.
Conclusions
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.</description><identifier>ISSN: 0017-9124</identifier><identifier>EISSN: 1475-6773</identifier><identifier>DOI: 10.1111/1475-6773.13620</identifier><identifier>PMID: 33442869</identifier><language>eng</language><publisher>United States: Health Research and Educational Trust</publisher><subject>Analysis ; Beneficiaries ; Coordination ; Data collection ; Dual Eligibles ; Government programs ; Health aspects ; Health care ; Health care industry ; Immunization ; Laws, regulations and rules ; Mail surveys ; Medicaid ; Medicare ; patient experience ; Polls & surveys ; special needs plans ; Surveys</subject><ispartof>Health services research, 2021-06, Vol.56 (3), p.517-527</ispartof><rights>2021 Health Research and Educational Trust</rights><rights>2021 Health Research and Educational Trust.</rights><rights>COPYRIGHT 2021 Health Research and Educational Trust</rights><rights>Health Research and Educational Trust</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c7440-d8b821a4d0f5a4a72e2d721caa0ab45d53fcf4271bd7b4c1b4764d9166047e143</citedby><cites>FETCH-LOGICAL-c7440-d8b821a4d0f5a4a72e2d721caa0ab45d53fcf4271bd7b4c1b4764d9166047e143</cites><orcidid>0000-0003-1068-4031 ; 0000-0001-5022-5839 ; 0000-0003-1072-6043 ; 0000-0002-7147-5535</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143688/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143688/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,1411,27901,27902,30976,45550,45551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33442869$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haviland, Amelia M.</creatorcontrib><creatorcontrib>Elliott, Marc N.</creatorcontrib><creatorcontrib>Klein, David J.</creatorcontrib><creatorcontrib>Orr, Nate</creatorcontrib><creatorcontrib>Hambarsoomian, Katrin</creatorcontrib><creatorcontrib>Zaslavsky, Alan M.</creatorcontrib><title>Do dual eligible beneficiaries experience better health care in special needs plans?</title><title>Health services research</title><addtitle>Health Serv Res</addtitle><description>Objective
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.
Data Sources
671 913 dual eligible (DE) respondents to the 2009‐2019 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.
Study Design
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.
Data Collection Methods
Annual mail survey with telephone follow‐up of non‐respondents.
Principal Findings
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.
Conclusions
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.</description><subject>Analysis</subject><subject>Beneficiaries</subject><subject>Coordination</subject><subject>Data collection</subject><subject>Dual Eligibles</subject><subject>Government programs</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Immunization</subject><subject>Laws, regulations and rules</subject><subject>Mail surveys</subject><subject>Medicaid</subject><subject>Medicare</subject><subject>patient experience</subject><subject>Polls & surveys</subject><subject>special needs plans</subject><subject>Surveys</subject><issn>0017-9124</issn><issn>1475-6773</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>N95</sourceid><sourceid>7QJ</sourceid><recordid>eNqFk_Fr1DAUx4so7pz-7G9SEETB3pI2TdJflHHOTTgY6Pw5pOlrLyOX1KbV7b83tee5yk1baEryed_38pJvFD3HaInDc4IJyxPKWLbEGU3Rg2ixn3kYLRDCLClwSo6iJ95fI4R4xsnj6CjLCEk5LRbR1QcXV4M0MRjd6NJAXIKFWistOw0-hpsWwo9V40LfQxdvQJp-EyvZQaxt7FsIrIktQOXj1kjr3z-NHtXSeHi2G4-jrx_PrlYXyfry_NPqdJ0oRghKKl7yFEtSoTqXRLIU0oqlWEmJZEnyKs9qVZOU4bJiJVG4JIySqsCUIsIAk-w4ejfptkO5hUqB7TtpRNvprexuhZNazFes3ojGfRc8BFPOg8DrnUDnvg3ge7HVXoEJuwA3eJESxlHGcjLmevkXeu2GzobtiTTPcIYLQos_VCMNCG1rF_KqUVScUspyzgo0pk0OUE1ofCjSje0P0zN-eYAPbwVbrQ4GvJoFBKaHm76Rg_diDr65H-Tn639VvWOVMwYaEOFkV5f3FzFdG-_M0Gtn_Rx8ewcsB68t-PDxutn0fqplhp9MuOqc9x3U-wPHSIyuEKMHxOgB8csVIeLF3Xuy53_bIAB0An6ERt7-T09cnH35PCn_BJScEYA</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Haviland, Amelia M.</creator><creator>Elliott, Marc N.</creator><creator>Klein, David J.</creator><creator>Orr, Nate</creator><creator>Hambarsoomian, Katrin</creator><creator>Zaslavsky, Alan M.</creator><general>Health Research and Educational Trust</general><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>N95</scope><scope>XI7</scope><scope>8GL</scope><scope>7QJ</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1068-4031</orcidid><orcidid>https://orcid.org/0000-0001-5022-5839</orcidid><orcidid>https://orcid.org/0000-0003-1072-6043</orcidid><orcidid>https://orcid.org/0000-0002-7147-5535</orcidid></search><sort><creationdate>202106</creationdate><title>Do dual eligible beneficiaries experience better health care in special needs plans?</title><author>Haviland, Amelia M. ; Elliott, Marc N. ; Klein, David J. ; Orr, Nate ; Hambarsoomian, Katrin ; Zaslavsky, Alan M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c7440-d8b821a4d0f5a4a72e2d721caa0ab45d53fcf4271bd7b4c1b4764d9166047e143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>Beneficiaries</topic><topic>Coordination</topic><topic>Data collection</topic><topic>Dual Eligibles</topic><topic>Government programs</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Immunization</topic><topic>Laws, regulations and rules</topic><topic>Mail surveys</topic><topic>Medicaid</topic><topic>Medicare</topic><topic>patient experience</topic><topic>Polls & surveys</topic><topic>special needs plans</topic><topic>Surveys</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haviland, Amelia M.</creatorcontrib><creatorcontrib>Elliott, Marc N.</creatorcontrib><creatorcontrib>Klein, David J.</creatorcontrib><creatorcontrib>Orr, Nate</creatorcontrib><creatorcontrib>Hambarsoomian, Katrin</creatorcontrib><creatorcontrib>Zaslavsky, Alan M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Business: Insights</collection><collection>Business Insights: Essentials</collection><collection>Gale In Context: High School</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haviland, Amelia M.</au><au>Elliott, Marc N.</au><au>Klein, David J.</au><au>Orr, Nate</au><au>Hambarsoomian, Katrin</au><au>Zaslavsky, Alan M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do dual eligible beneficiaries experience better health care in special needs plans?</atitle><jtitle>Health services research</jtitle><addtitle>Health Serv Res</addtitle><date>2021-06</date><risdate>2021</risdate><volume>56</volume><issue>3</issue><spage>517</spage><epage>527</epage><pages>517-527</pages><issn>0017-9124</issn><eissn>1475-6773</eissn><abstract>Objective
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.
Data Sources
671 913 dual eligible (DE) respondents to the 2009‐2019 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey.
Study Design
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.
Data Collection Methods
Annual mail survey with telephone follow‐up of non‐respondents.
Principal Findings
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.
Conclusions
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.</abstract><cop>United States</cop><pub>Health Research and Educational Trust</pub><pmid>33442869</pmid><doi>10.1111/1475-6773.13620</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-1068-4031</orcidid><orcidid>https://orcid.org/0000-0001-5022-5839</orcidid><orcidid>https://orcid.org/0000-0003-1072-6043</orcidid><orcidid>https://orcid.org/0000-0002-7147-5535</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Health services research, 2021-06, Vol.56 (3), p.517-527 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Analysis Beneficiaries Coordination Data collection Dual Eligibles Government programs Health aspects Health care Health care industry Immunization Laws, regulations and rules Mail surveys Medicaid Medicare patient experience Polls & surveys special needs plans Surveys |
| title | Do dual eligible beneficiaries experience better health care in special needs plans? |
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