Preventive Services among Medicare Beneficiaries with Supplemental Coverage versus HMO Enrollees, Medicaid Recipients, and Elders with No Additional Coverage

Background. Studies conducted when Medicare began to cover preventive services, found that beneficiaries with supplemental insurance were much more likely to have such services than those without additional coverage. Objective. To examine preventive services among Medicare beneficiaries with supplem...

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Bibliographic Details
Published in:Medical care 2001-06, Vol.39 (6), p.616-626
Main Authors: Carrasquillo, Olveen, Lantigua, Rafael A., Shea, Steven
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Beneficiaries
Cancer screening
Cholesterols
Female
Health Care Surveys
Health insurance
Health maintenance organizations
Health Maintenance Organizations - statistics & numerical data
Humans
Influenza vaccines
Insurance Coverage
Interviews as Topic
Male
Mammography
Medicaid
Medicaid - statistics & numerical data
Medicare
Medicare Part B - statistics & numerical data
Medicare Part C - statistics & numerical data
Preventive Health Services - economics
Preventive Health Services - statistics & numerical data
Socioeconomic Factors
United States
Utilization Review
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Summary:Background. Studies conducted when Medicare began to cover preventive services, found that beneficiaries with supplemental insurance were much more likely to have such services than those without additional coverage. Objective. To examine preventive services among Medicare beneficiaries with supplemental insurance, Medicaid, health maintenance organization (HMO) enrollees, and those without additional insurance. Research Design. Analysis of the 1996 Medical Expenditure Panel Survey, a nationally representative multistage survey. Subjects. 2,251 persons aged 65 and older with Medicare coverage. Measures. Self-reported preventive services, specifically, blood pressure measurement, cholesterol testing, influenza vaccination, mammography, Papanicolau (Pap) testing, and breast and prostate examinations. Multivariate modeling was used to adjust for age, education, race/ethnicity, and functional status. Results. Elders without additional coverage were approximately 10% points less likely to have influenza vaccination, cholesterol testing, mammography, or Pap smears than those with supplemental coverage (P
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-200106000-00009