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한국보건사회연구원 전자도서관

KIHASA 발간물

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  2. KIHASA 발간물
  3. 정기간행물

정기간행물

기사

Medicare Managed Care Enrollment by Disability-Eligible and Age-Eligible Veterans /

개인저자
Maciejewski, Matthew L. et al
수록페이지
1180-1185 p.
발행일자
2009.11.14
출판사
Lippincott
초록
[영문]AB Objective: To assess factors associated with enrollment in a Medicare advantage (MA) plan versus Medicare fee-for-service plan in 2000-2004 by Medicare-eligible veterans. We also assessed whether these factors differed between disability-eligible veterans and age-eligible veterans. Methods: Medicare claims data, VA administrative data, and 2000 census data were constructed in a retrospective cohort study of 20,581 age-eligible veterans and 7541 disability-eligible veterans. MA enrollment in 2000-2004 was estimated in a logistic regression in a pooled sample of age-eligible and disability-eligible veterans that controlled for demographic, socioeconomic, and disease risk factors. Separate logistic regressions also were estimated for age-eligible and disability-eligible veterans. Results: Minority veterans and veterans with lower disease risk scores were more likely to be enrolled in an MA plan in 2000-2004 than white veterans or veterans with higher risk scores. Age-eligible veterans were more likely to be enrolled if aged 75 or older, female, able to receive free VA care, or not enrolled in Medicaid. Disability-eligible veterans were more likely to be enrolled if they were married or elderly. Conclusions: Medicare Advantage plans appeared to benefit from favorable selection of Medicare-eligible veterans