Back to Search
Start Over
Comparison of the Use of Top-Ranked Cancer Hospitals Between Medicare Advantage and Traditional Medicare.
- Source :
-
American Journal of Managed Care . Oct2021, Vol. 27 Issue 10, pe355-e360. 11p. - Publication Year :
- 2021
-
Abstract
- OBJECTIVES: To compare the use of top-ranked cancer hospitals for complex cancer surgery between Medicare Advantage (MA) and traditional Medicare fee-for-service (FFS) enrollees. STUDY DESIGN: Cross-sectional analysis of Medicare claims and enrollment data. METHODS: The study used Medicare Provider Analysis and Review files to compare differences in use of top-ranked cancer hospitals for complex cancer surgery (lobectomy, esophagectomy, gastrectomy, colectomy, and the Whipple procedure [pancreaticoduodenectomy]) between MA and FFS enrollees 65 years and older who underwent the surgery in 2015 to 2017. RESULTS: After adjusting for demographic characteristics and county fixed effects, MA enrollees were less likely to use top-ranked cancer hospitals than FFS enrollees by 6.0 percentage points (95% CI, 4.7-7.2) overall; the difference varied from 3.5 percentage points (95% CI, 2.5-4.6) for colectomy to 14.3 percentage points (95% CI, 10.9-17.8) for the Whipple procedure. The difference in cancer surgery rate at a top-ranked cancer hospital between MA and FFS enrollees was larger for MA plans without out-of-network (OON) benefits (--7.5 percentage points; 95% CI, --9.1 to --5.9) than for MA plans with OON benefits (--2.3 percentage points; 95% CI, --2.9 to --1.7). CONCLUSIONS: MA enrollees were less likely to use top-ranked cancer hospitals for complex cancer surgery than FFS enrollees. This difference was larger for MA plans with more restrictive OON policies. These findings suggest that MA enrollees, particularly those with lower OON benefits, may have restricted access to top-ranked hospitals for cancer care compared with FFS enrollees. [ABSTRACT FROM AUTHOR]
- Subjects :
- *FEE for service (Medical fees)
*MEDICAL quality control
*SPECIALTY hospitals
*CONFIDENCE intervals
*MANAGED care programs
*CROSS-sectional method
*COLECTOMY
*REGRESSION analysis
*CANCER treatment
*GASTRECTOMY
*DESCRIPTIVE statistics
*ODDS ratio
*MEDICARE
*PANCREATICODUODENECTOMY
TUMOR surgery
Subjects
Details
- Language :
- English
- ISSN :
- 10880224
- Volume :
- 27
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- American Journal of Managed Care
- Publication Type :
- Academic Journal
- Accession number :
- 153205151
- Full Text :
- https://doi.org/10.37765/ajmc.2021.88766