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Trends in the health status of medicare risk contract enrollees.

Riley G, Zarabozo C - Health Care Financ Rev (2006)

Bottom Line: Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS).Risk contract enrollees reported better health and functioning, but the differences tended to narrow over time.The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Ser-vices, Baltimore, MD 21244-1850, USA. gerald.riley@cms.hhs.gov

ABSTRACT
Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS). Medicare Current Beneficiary Survey (MCBS) data were used to examine trends in health and functional status measures among risk contract and FFS enrollees from 1991 to 2004. Risk contract enrollees reported better health and functioning, but the differences tended to narrow over time. Most of the differences in trends were observed for functional status measures and institutionalization; differences in trends for perceived health status and prevalence rates of chronic conditions tended to be small or non-existent. The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare.

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Related in: MedlinePlus

Percent of Non-Institutionalized Medicare Beneficiaries Who Reported a History of Emphysema/Asthma/COPD, by Risk Contract and Fee-for-Service (FFS) Sector: 1991-2004
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Related In: Results  -  Collection


getmorefigures.php?uid=PMC4194981&req=5

f5-hcfr-28-2-081: Percent of Non-Institutionalized Medicare Beneficiaries Who Reported a History of Emphysema/Asthma/COPD, by Risk Contract and Fee-for-Service (FFS) Sector: 1991-2004

Mentions: Prevalence rates for five relatively common and costly conditions are summarized in Figures 2-5 and Table 2. Risk contract enrollees reported significantly lower rates of heart disease than beneficiaries in FFS, with no significant difference in trends between the two groups. Cancer was less frequently reported by risk contract enrollees early in the study period, but was more frequently reported than in FFS after 1998; the difference in trends was highly significant. Levels of diabetes were somewhat lower among risk contract enrollees early on, but rates were similar in risk-based plans and FFS after 1996, with both increasing over time. The increase in diabetes prevalence was marginally greater in risk-based plans than in FFS (p = 0.051). Reported rates of emphysema/asthma/chronic obstructive pulmonary disease, and stroke were non-significantly lower among risk contract enrollees and there were no differences in trends between the risk contract and FFS sectors.


Trends in the health status of medicare risk contract enrollees.

Riley G, Zarabozo C - Health Care Financ Rev (2006)

Percent of Non-Institutionalized Medicare Beneficiaries Who Reported a History of Emphysema/Asthma/COPD, by Risk Contract and Fee-for-Service (FFS) Sector: 1991-2004
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194981&req=5

f5-hcfr-28-2-081: Percent of Non-Institutionalized Medicare Beneficiaries Who Reported a History of Emphysema/Asthma/COPD, by Risk Contract and Fee-for-Service (FFS) Sector: 1991-2004
Mentions: Prevalence rates for five relatively common and costly conditions are summarized in Figures 2-5 and Table 2. Risk contract enrollees reported significantly lower rates of heart disease than beneficiaries in FFS, with no significant difference in trends between the two groups. Cancer was less frequently reported by risk contract enrollees early in the study period, but was more frequently reported than in FFS after 1998; the difference in trends was highly significant. Levels of diabetes were somewhat lower among risk contract enrollees early on, but rates were similar in risk-based plans and FFS after 1996, with both increasing over time. The increase in diabetes prevalence was marginally greater in risk-based plans than in FFS (p = 0.051). Reported rates of emphysema/asthma/chronic obstructive pulmonary disease, and stroke were non-significantly lower among risk contract enrollees and there were no differences in trends between the risk contract and FFS sectors.

Bottom Line: Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS).Risk contract enrollees reported better health and functioning, but the differences tended to narrow over time.The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Ser-vices, Baltimore, MD 21244-1850, USA. gerald.riley@cms.hhs.gov

ABSTRACT
Previous research has found Medicare risk contract enrollees to be healthier than beneficiaries in fee-for-service (FFS). Medicare Current Beneficiary Survey (MCBS) data were used to examine trends in health and functional status measures among risk contract and FFS enrollees from 1991 to 2004. Risk contract enrollees reported better health and functioning, but the differences tended to narrow over time. Most of the differences in trends were observed for functional status measures and institutionalization; differences in trends for perceived health status and prevalence rates of chronic conditions tended to be small or non-existent. The narrowing of functional and health status differences between the risk contract and FFS populations may have implications for payment policy, as well as implications for the role of private health plans in Medicare.

Show MeSH
Related in: MedlinePlus