Medicare managed care enrollment by disability-eligible and age-eligible veterans.
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.
Duke Scholars
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- Veterans
- United States
- Socioeconomic Factors
- Sex Factors
- Retrospective Studies
- Middle Aged
- Medicare
- Managed Care Programs
- Male
- Insurance Claim Review
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Veterans
- United States
- Socioeconomic Factors
- Sex Factors
- Retrospective Studies
- Middle Aged
- Medicare
- Managed Care Programs
- Male
- Insurance Claim Review