Medicare managed care enrollment by disability-eligible and age-eligible veterans.
Journal Article (Journal Article)
OBJECTIVE: To assess factors associated with enrollment in a Medicare advantage (MA) plan versus Medicare fee-for-service plan in 2000-2004 by Medicare-eligible veterans. We also assessed whether these factors differed between disability-eligible veterans and age-eligible veterans. METHODS: Medicare claims data, VA administrative data, and 2000 census data were constructed in a retrospective cohort study of 20,581 age-eligible veterans and 7541 disability-eligible veterans. MA enrollment in 2000-2004 was estimated in a logistic regression in a pooled sample of age-eligible and disability-eligible veterans that controlled for demographic, socioeconomic, and disease risk factors. Separate logistic regressions also were estimated for age-eligible and disability-eligible veterans. RESULTS: Minority veterans and veterans with lower disease risk scores were more likely to be enrolled in an MA plan in 2000-2004 than white veterans or veterans with higher risk scores. Age-eligible veterans were more likely to be enrolled if aged 75 or older, female, able to receive free VA care, or not enrolled in Medicaid. Disability-eligible veterans were more likely to be enrolled if they were married or elderly. CONCLUSIONS: Medicare Advantage plans appeared to benefit from favorable selection of Medicare-eligible veterans.
Full Text
Duke Authors
Cited Authors
- Maciejewski, ML; Birken, S; Perkins, M; Burgess, JF; Sharp, N; Liu, C-F
Published Date
- November 2009
Published In
Volume / Issue
- 47 / 11
Start / End Page
- 1180 - 1185
PubMed ID
- 19786917
Electronic International Standard Serial Number (EISSN)
- 1537-1948
Digital Object Identifier (DOI)
- 10.1097/MLR.0b013e3181b58e17
Language
- eng
Conference Location
- United States