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UnknownNarrow Dialysis Networks In Medicare Advantage: Exposure By Race, Ethnicity, And Dual Eligibility.
The 21st Century Cures Act permitted people with end-stage renal disease (ESRD) to enroll in Medicare Advantage (MA) effective January 2021. It is imperative to understand the breadth of dialysis facility networks across MA contracts because most patients with ESRD need thrice-weekly dialysis to sur...
S-EPMC10837791 | biostudies-literature
UnknownRacial And Ethnic Disparities In Patient Experience Of Care Among Nonelderly Medicaid Managed Care Enrollees.
Medicaid managed care enrollees who are members of racial and ethnic minority groups have historically reported worse care experiences than White enrollees. Few recent studies have identified disparities within and between Medicaid managed care plans. Using 2014-18 data on 242,274 nonelderly Medicai...
S-EPMC10076226 | biostudies-literature
UnknownLimited Medigap Consumer Protections Are Associated With Higher Reenrollment In Medicare Advantage Plans.
In all but eight states, Medicare supplemental coverage (or Medigap) plans may deny coverage or charge higher premiums on the basis of preexisting health conditions. This may particularly affect chronically ill or high-need Medicare Advantage enrollees who switch to traditional Medicare and subseque...
S-EPMC6541000 | biostudies-literature
UnknownMedicaid Expansion And Community Health Centers: Care Quality And Service Use Increased For Rural Patients.
Medicaid expansion had great potential to affect community health centers (CHCs), particularly in rural areas, because their patients are predominantly low income and disproportionately uninsured. Using data for 2011-15 on all CHCs, we found that after two years Medicaid expansion was associated wit...
S-EPMC6286055 | biostudies-literature
UnknownLesbian, Gay, And Bisexual Adults Report Continued Problems Affording Care Despite Coverage Gains.
The uninsurance rate among lesbian, gay, and bisexual (LGB) adults has dropped since the Affordable Care Act (ACA) and legalization of same-sex marriage. Less is known about whether disparities in access to care and health outcomes have narrowed in LGB adults compared to their straight peers in the ...
S-EPMC6286121 | biostudies-literature
UnknownMedicare Advantage Members' Expected Out-Of-Pocket Spending For Inpatient And Skilled Nursing Facility Services.
Inpatient and skilled nursing facility (SNF) cost sharing in Medicare Advantage (MA) plans may reduce unnecessary use of these services. However, large out-of-pocket expenses potentially limit access to care and encourage beneficiaries at high risk of needing inpatient and postacute care to avoid or...
S-EPMC4681704 | biostudies-literature
UnknownHigher Medicare Advantage Star Ratings Are Associated With Improvements In Patient Outcomes.
Little is known about how well the Centers for Medicare and Medicaid Services' five-star rating system for the overall quality of Medicare Advantage (MA) contracts captures quality of care. Leveraging contract consolidation as a natural experiment to study the association between outcomes and insure...
S-EPMC7899034 | biostudies-literature
UnknownRacial And Ethnic Disparities In Care Following The New York State Sepsis Initiative.
After 2013, when New York State mandated that hospitals follow protocols to treat sepsis, completion of the protocols increased and mortality declined. Whether these encouraging trends have equitably benefited racial/ethnic minority populations is unknown. Although there were no significant racial/e...
S-EPMC6814952 | biostudies-literature
UnknownRegional Variations: The Use Of Hospitals, Home Health, And Skilled Nursing In Traditional Medicare And Medicare Advantage.
In the traditional Medicare program, the use of health care services-particularly postacute care-varies substantially across geographic regions. Less is known about such variations in Medicare Advantage (MA), which is growing rapidly. Insurers that are paid on a risk basis, as in MA, may have incent...
S-EPMC6286089 | biostudies-literature
UnknownEffects Of Medicaid Expansion On Postpartum Coverage And Outpatient Utilization.
Timely postpartum care is associated with lower maternal morbidity and mortality, yet fewer than half of Medicaid beneficiaries attend a postpartum visit. Medicaid enrollees are at higher risk of postpartum disruptions in insurance because pregnancy-related Medicaid eligibility ends sixty days after...
S-EPMC7926836 | biostudies-literature
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