Assessing the difference in racial and ethnic disparities in access to and use of care between Traditional Medicare and Medicare Advantage

Objective Test whether racial‐ethnic disparities in the access and use of care differ between Traditional Medicare (TM) and Medicare Advantage (MA). Data Source Secondary data from the 2015–2018 Medicare Current Beneficiary Survey (MCBS). Study Design Measure Black‐White and Hispanic‐White dispariti...

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Bibliographic Details
Published in:Health services research 2023-08, Vol.58 (4), p.914-923
Main Authors: Gangopadhyaya, Anuj, Zuckerman, Stephen, Rao, Nikhil
Format: Article
Language:English
Subjects:
Access
Access control
access to care
Aged
Black or African American - statistics & numerical data
Black People
Comparative analysis
Cultural differences
Data collection
Ethnic differences
Ethnicity
Extraction
Government programs
Health Equity
Healthcare Disparities - ethnology
Healthcare Disparities - statistics & numerical data
Hispanic or Latino - statistics & numerical data
Hispanic people
Humans
Medicare
Medicare - statistics & numerical data
Medicare Advantage
Medicare Part C - statistics & numerical data
Medicine, Preventive
Methods
preventive care
Preventive health services
Preventive Health Services - statistics & numerical data
Preventive medicine
racial and ethnic disparities in health care
Racial Groups
Racial inequality
Surveys
Traditional Medicare
United States - epidemiology
White - statistics & numerical data
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Summary:Objective Test whether racial‐ethnic disparities in the access and use of care differ between Traditional Medicare (TM) and Medicare Advantage (MA). Data Source Secondary data from the 2015–2018 Medicare Current Beneficiary Survey (MCBS). Study Design Measure Black‐White and Hispanic‐White disparities in access to care and use of preventive services within TM, within MA, and assess the difference‐in‐disparities between the two programs with and without controls for factors that could influence enrollment, access, and use. Data Collection/Extraction Pool 2015–2018 MCBS data and restrict to non‐Hispanic Black, non‐Hispanic White, or Hispanic respondents. Principal Findings Black enrollees have worse access to care relative to White enrollees in TM and MA, particularly for cost‐related measures such as not having problems paying medical bills (11–13 pp. lower for Black enrollees; p 
ISSN:0017-9124
1475-6773
1475-6773
DOI:10.1111/1475-6773.14150