Implications of Variation in the Relationships between Beneficiary Characteristics and Medicare Advantage CAHPS Measures.

ABSTRACT:

Objective

To study how differences in quality score adjustments across Medicare Advantage contracts change comparisons for individuals and contracts.

Data sources

Responses to the Medicare Advantage implementation of the Consumer Assessments of Healthcare Providers and Systems (CAHPS) survey from 2010 to 2014.

Study design

We fit national-and state-level hierarchical models to predict CAHPS scores for individuals and contracts, adjusted for self-reported education, general health, and mental health. We allow the effects of these variables on quality measures to vary across contracts with a hierarchical model.

Data collection/extraction methods

We perform secondary data analysis.

Principal findings

For average consumers, standard adjustment is sufficient

SUBMITTER: Hatfield LA 

PROVIDER: S-EPMC5517680 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature