Journal article
Rural Enrollees In Medicare Advantage Have Substantial Rates Of Switching To Traditional Medicare
Health affairs (Millwood, Va.), v 40(3), pp 469-477
01 Mar 2021
PMID: 33646865
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Medicare beneficiaries in rural areas may face challenges to gaining access to care, particularly if enrolled in Medicare Advantage (MA) plans with limited benefits and restrictive provider networks. These barriers to care may, in turn, increase switching to traditional fee-for-service Medicare among rural MA enrollees. Using 2010-16 Medicare Current Beneficiary Survey data, we found that switching from traditional Medicare to Medicare Advantage was uncommon among enrollees, both rural (1.7 percent) and nonrural (2.2 percent). Switching from Medicare Advantage to traditional Medicare was more common in both settings, especially for rural enrollees (10.5 percent) compared with nonrural enrollees (5.0 percent). The differential was even greater among rural enrollees who were high cost or high need. Of eleven care satisfaction variables we examined, dissatisfaction with care access had the strongest association with switching from Medicare Advantage to traditional Medicare among rural enrollees. Our findings point to the importance of developing policies targeted at improving care access for rural MA enrollees.
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Details
- Title
- Rural Enrollees In Medicare Advantage Have Substantial Rates Of Switching To Traditional Medicare
- Creators
- Sungchul Park - Sungchul Park () is an assistant professor in the Department of Health Management and Policy at the Drexel Dornsife School of Public Health, in Philadelphia, Pennsylvania.David J. Meyers - Brown UniversityBrent A. Langellier - Supreme Council Of Health
- Publication Details
- Health affairs (Millwood, Va.), v 40(3), pp 469-477
- Publisher
- Project Hope
- Number of pages
- 9
- Grant note
- R01 AG049815 / National Institute on Aging, National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Health Management and Policy
- Web of Science ID
- WOS:000624918400014
- Scopus ID
- 2-s2.0-85102327254
- Other Identifier
- 991019167519804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services