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Implications of Variation in the Relationships between Beneficiary Characteristics and Medicare Advantage CAHPS Measures.
- Source :
-
Health Services Research . Aug2017, Vol. 52 Issue 4, p1310-1329. 20p. 1 Chart, 3 Graphs. - Publication Year :
- 2017
-
Abstract
- <bold>Objective: </bold>To study how differences in quality score adjustments across Medicare Advantage contracts change comparisons for individuals and contracts.<bold>Data Sources: </bold>Responses to the Medicare Advantage implementation of the Consumer Assessments of Healthcare Providers and Systems (CAHPS) survey from 2010 to 2014.<bold>Study Design: </bold>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.<bold>Data Collection/extraction Methods: </bold>We perform secondary data analysis.<bold>Principal Findings: </bold>For average consumers, standard adjustment is sufficient to represent variation in contract quality standardized to a common population. For people with characteristics far from average, personalized reporting using their characteristics and contract-specific coefficients can substantially change the expected quality measures across contracts. This effect is stronger when comparing among contracts within a state than across all contracts.<bold>Conclusions: </bold>Customized reporting may help consumers select the best Medicare Advantage plan, but policies should protect against unintended consequences. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00179124
- Volume :
- 52
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Health Services Research
- Publication Type :
- Academic Journal
- Accession number :
- 124203878
- Full Text :
- https://doi.org/10.1111/1475-6773.12544