Dataset Information

Social and Health-Related Factors Associated with Enrollment in Medicare Advantage Plans in Older Adults.

ABSTRACT:

Objectives

We assessed the characteristics of older Mexican American enrollees in traditional fee-for-service (FFS) and Medicare Advantage (MA) plans and the factors associated with disenrollment from FFS and enrollment in MA plans.

Design

Longitudinal study linked with Medicare claims data.

Setting

The Hispanic Established Populations for the Epidemiologic Study of the Elderly.

Participants

Community-dwelling Mexican American older adults (N = 1455).

Measurements

We examined insurance status using the Medicare Beneficiary Summary File and estimated the association of sociodemographic and clinical factors with insurance plan switching.

Results

Among Mexican American older adults, FFS enrollees were more likely to be born in Mexico, speak Spanish, have lower levels of education, and have more disability than MA enrollees. Older adults with a larger number of limitations of instrumental activities of daily living (odds ratio [OR] = .50; 95% confidence interval [CI] = .26-.98) and more social support (OR = .70; 95% CI = .45-.98) were less likely to switch from FFS to MA compared with older adults with no limitations and less social support. Additionally, older adults living in counties with a greater number of MA plans were more likely to switch from FFS to MA (OR = 2.1; 95% CI = 1.45-3.16), compared with counties with a lower number of MA plans. In counties with a higher number of MA plans, older adults with more social support had lower odds of switching from FFS to MA (OR = .48; 95% CI = .28-.82) compared with older adults with less social support.

Conclusion

Compared with those enrolled in MA, older Mexican American adults enrolled in Medicare FFS are more socioeconomically disadvantaged and more likely to demonstrate poor health status. Stronger social support and increased physical limitations were strongly associated with less frequent switching from FFS to MA plans. Additionally, increased availability of MA plans at the county level is a significant driver of enrollment in MA plans. J Am Geriatr Soc 68:313-320, 2020.

SUBMITTER: Kumar A

PROVIDER: S-EPMC7015142 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Social and Health-Related Factors Associated with Enrollment in Medicare Advantage Plans in Older Adults.

Kumar Amit A Rivera-Hernandez Maricruz M Karmarkar Amol M AM Chou Lin-Na LN Kuo Yong-Fang YF Baldwin Julie A JA Panagiotou Orestis A OA Burke Robert E RE Ottenbacher Kenneth J KJ

Journal of the American Geriatrics Society 20191016 2

<h4>Objectives</h4>We assessed the characteristics of older Mexican American enrollees in traditional fee-for-service (FFS) and Medicare Advantage (MA) plans and the factors associated with disenrollment from FFS and enrollment in MA plans.<h4>Design</h4>Longitudinal study linked with Medicare claims data.<h4>Setting</h4>The Hispanic Established Populations for the Epidemiologic Study of the Elderly.<h4>Participants</h4>Community-dwelling Mexican American older adults (N = 1455).<h4>Measurements ...[more]

PMID: 31617948

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Dataset Information

Social and Health-Related Factors Associated with Enrollment in Medicare Advantage Plans in Older Adults.

Objectives

Design

Setting

Participants

Measurements

Results

Conclusion

Publications

Social and Health-Related Factors Associated with Enrollment in Medicare Advantage Plans in Older Adults.

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