Do Racial/Ethnic Disparities in Quality and Patient Experience within Medicare Plans Generalize across Measures and Racial/Ethnic Groups?

Health Services Research
R Weech-MaldonadoSarah Gaillot

Abstract

To examine how similar racial/ethnic disparities in clinical quality (Healthcare Effectiveness Data and Information Set [HEDIS]) and patient experience (Consumer Assessment of Healthcare Providers and Systems [CAHPS]) measures are for different measures within Medicare Advantage (MA) plans. 5.7 million/492,495 MA beneficiaries with 2008-2009 HEDIS/CAHPS data. Binomial (HEDIS) and linear (CAHPS) hierarchical mixed models generated contract estimates for HEDIS/CAHPS measures for Hispanics, blacks, Asian-Pacific Islanders, and whites. We examine the correlation of within-plan disparities for HEDIS and CAHPS measures across measures. Plans with disparities for a given minority group (vs. whites) for a particular measure have a moderate tendency for similar disparities for other measures of the same type (mean r = 0.51/.21 and 53/34 percent positive and statistically significant for CAHPS/HEDIS). This pattern holds to a lesser extent for correlations of CAHPS disparities and HEDIS disparities (mean r = 0.05/0.14/0.23 and 4.4/5.6/4.4 percent) positive and statistically significant for blacks/Hispanics/API. Similarities in CAHPS and HEDIS disparities across measures might reflect common structural factors, such as language services or...Continue Reading

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Citations

Jun 21, 2019·Journal of Patient Experience·Jeana M Holt
Dec 7, 2018·Health Services Research·Ann HaasAmelia M Haviland
Nov 13, 2019·Journal of General Internal Medicine·Denis AgnielMarc N Elliott
Feb 16, 2021·The Laryngoscope·Grace M WandellJuliana Bonilla-Velez
Jun 8, 2021·Health Affairs·David J MeyersAmal N Trivedi
Sep 30, 2021·Health Services Research·Alistair James O'MalleyJohn Michael McWilliams

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