Market variations in intensity of Medicare service use and beneficiary experiences with care.

ABSTRACT:

Objective

Examine associations between patient experiences with care and service use across markets.

Data sources/study setting

Medicare fee-for-service (FFS) and managed care (Medicare Advantage [MA]) beneficiaries in 306 markets from the 2003 Consumer Assessments of Healthcare Providers and Systems (CAHPS) surveys. Resource use intensity is measured by the 2003 end-of-life expenditure index.

Study design

We estimated correlations and linear regressions of eight measures of case-mix-adjusted beneficiary experiences with intensity of service use across markets.

Data collection/extraction

We merged CAHPS data with service use data, excluding beneficiaries under 65 years of age or receiving Medicaid.

Principal findings

Overall, higher intensity use was ass

SUBMITTER: Mittler JN 

PROVIDER: S-EPMC2875753 | biostudies-literature | 2010 Jun

REPOSITORIES: biostudies-literature