Assessing Medicare health care performance in serving beneficiary subpopulations.
Cox, Donald F
Date of Pub
Eckert, Benjamin; Langwell, Kathryn M
In this analysis, the authors examined differences in managed health plan performance ratings between selected subgroups of
the Medicare population who may have exceptional health care needs (EHCNs) or may require special plan efforts to facilitate
effective service use compared with the residual enrolled population. Findings indicated that disabled enrollees have lower
plan ratings across all dimensions of performance than do other enrollees. Aged enrollees in self-reported fair/poor health
and those with limited independence have lower ratings for most dimensions of performance. Finally, although Hispanic persons
and persons other than white were more satisfied with their health plans, overall, they had lower ratings for dimensions of
the process of care and access to services.