Attributing Racial Differences in Care to Health Plan Performance or Selection.

ABSTRACT:

Importance

There is increased interest in public reporting of, and linking financial incentives to, the performance of organizations on health equity metrics, but variation across organizations could reflect differences in performance or selection bias.

Objective

To assess whether differences across health plans in sex- and age-adjusted racial disparities are associated with performance or selection bias.

Design, setting, and participants

This cross-sectional study leveraged a natural experiment, wherein a southern US state randomly assigned much of its Medicaid population to 1 of 5 plans after shifting to managed care in 2012. Enrollee-level administrative claims and enrollment data from 2011 to 2015 were obtained for self-identified Black and White enrollees. The an

SUBMITTER: Wallace J 

PROVIDER: S-EPMC11589859 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature