Quality of Care, Health Care Costs, and Utilization among Medicare Part D Enrollees With and Without Low-income Subsidy
| العنوان: | Quality of Care, Health Care Costs, and Utilization among Medicare Part D Enrollees With and Without Low-income Subsidy |
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| المؤلفون: | Julie Priest, Nicole M. Engel-Nitz, Ami Buikema, Christopher L. Cook, C. Ron Cantrell |
| المصدر: | Population Health Management. 15:101-112 |
| بيانات النشر: | Mary Ann Liebert Inc, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Leadership and Management, Cross-sectional study, Medicare Part D, Eligibility Determination, Medicare Advantage, Insurance Claim Review, Health care, Humans, Medicine, Poverty, Aged, Quality of Health Care, Retrospective Studies, Asthma, Aged, 80 and over, COPD, Chi-Square Distribution, business.industry, Health Policy, Public Health, Environmental and Occupational Health, Retrospective cohort study, Health Care Costs, medicine.disease, United States, Cross-Sectional Studies, Emergency medicine, Income, Female, Medical emergency, business, Chi-squared distribution |
| الوصف: | The objective of this cross-sectional, retrospective, claims-based analysis was to evaluate disease-specific quality measures, use of acceptable therapies, and health care cost and utilization among Medicare Advantage Part D (MAPD) enrollees overall and by income/subsidy eligibility status. Individuals aged ≥65 years with evidence of ≥1 of 8 common conditions and continuously enrolled in a MAPD plan throughout 2007 were assigned to low-income/dually eligible (LI/DE) or non-LI/DE cohorts. Quality of care metrics were calculated for asthma, chronic obstructive pulmonary disease (COPD), diabetes, and new episode depression. Persistence (proportion with percentage of days covered ≥80%), compliance (proportion with medication possession ratio ≥80%), health care costs, and utilization metrics were assessed by condition. All measures were evaluated for calendar year 2007. Bivariate comparisons were made between all LI/DE and non-LI/DE subgroups. A total of 183,213 patients were included. Metrics showed deficiencies in quality of care overall but generally favored non-LI/DE patients. The proportion of patients filling acceptable medication was suboptimal for most conditions, ranging from 40% to 96% across conditions and cohorts, with COPD the lowest and heart failure (HF) the highest. LI/DE patients were significantly more likely than non-LI/DE patients to fill acceptable therapy in each disease group (P |
| تدمد: | 1942-7905 1942-7891 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3e1181e7f39f444bd39a52031e6af67cTest https://doi.org/10.1089/pop.2011.0008Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....3e1181e7f39f444bd39a52031e6af67c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19427905 19427891 |
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