2019
Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries
Ndumele CD, Elliott MN, Haviland AM, Burkhart Q, Orr N, Gaillot S, Cleary PD. Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries. Medical Care 2019, 57: 8-12. PMID: 30339575, DOI: 10.1097/mlr.0000000000001000.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overFee-for-Service PlansFemaleHealth StatusHospitalizationHumansMaleMedicare Part CRetrospective StudiesUnited StatesConceptsFFS coverageHospitalization ratesMedicare AdvantageMultivariable logistic regression modelMA enrolleesRate of hospitalizationLower hospitalization ratesPatterns of careMedicare Advantage beneficiariesLogistic regression modelsMedicare Consumer AssessmentHospital admissionRetrospective studyHealth characteristicsService useHospitalizationHealth statusHealthcare providersEnrollee demographicsConsumer AssessmentEnrolleesSystem surveySignificant age differencesMA enrollmentMA respondents
2011
How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare?
Elliott MN, Haviland AM, Orr N, Hambarsoomian K, Cleary PD. How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare? Health Services Research 2011, 46: 1039-1058. PMID: 21306370, PMCID: PMC3165177, DOI: 10.1111/j.1475-6773.2011.01245.x.Peer-Reviewed Original ResearchConceptsFair self-rated healthHealth care providersSubgroup characteristicsSelf-rated healthHealth care experiencesLow-income subsidyMedicare Consumer AssessmentUniform careCare scoresAge 85Care providersMedicare beneficiariesService MedicareCare experiencesCAHPS measuresConsumer AssessmentHigh school degreeCareSystem surveyParticular subgroupManaged CareAssessed differencesTraditional feeLow incomeSignificant positive interaction
2010
Market Variations in Intensity of Medicare Service Use and Beneficiary Experiences with Care
Mittler JN, Landon BE, Fisher ES, Cleary PD, Zaslavsky AM. Market Variations in Intensity of Medicare Service Use and Beneficiary Experiences with Care. Health Services Research 2010, 45: 647-669. PMID: 20403055, PMCID: PMC2875753, DOI: 10.1111/j.1475-6773.2010.01108.x.Peer-Reviewed Original ResearchAgedAged, 80 and overClinical CompetenceCommunicationFee-for-Service PlansFemaleHealth Care SurveysHealth Services AccessibilityHumansLinear ModelsMaleManaged Care ProgramsMarketing of Health ServicesMedicarePatient SatisfactionProfessional-Patient RelationsQuality of Health CareReferral and ConsultationRisk AdjustmentSmall-Area AnalysisTerminal CareTime FactorsUnited StatesVaccinationGeographic Area Variations in the Medicare Health Plan Era
Keenan PS, Cleary PD, O'Malley AJ, Landon BE, Zaborski L, Zaslavsky AM. Geographic Area Variations in the Medicare Health Plan Era. Medical Care 2010, 48: 260-266. PMID: 20182269, DOI: 10.1097/mlr.0b013e3181ca410a.Peer-Reviewed Original Research
2009
Market and Beneficiary Characteristics Associated With Enrollment in Medicare Managed Care Plans and Fee-for-Service
Shimada SL, Zaslavsky AM, Zaborski LB, O'Malley AJ, Heller A, Cleary PD. Market and Beneficiary Characteristics Associated With Enrollment in Medicare Managed Care Plans and Fee-for-Service. Medical Care 2009, 47: 517-523. PMID: 19365291, DOI: 10.1097/mlr.0b013e318195f86e.Peer-Reviewed Original Research
2004
Comparison of Performance of Traditional Medicare vs Medicare Managed Care
Landon BE, Zaslavsky AM, Bernard SL, Cioffi MJ, Cleary PD. Comparison of Performance of Traditional Medicare vs Medicare Managed Care. JAMA 2004, 291: 1744-1752. PMID: 15082702, DOI: 10.1001/jama.291.14.1744.Peer-Reviewed Original ResearchConceptsPreventive servicesHealth Plans Study (CAHPS) surveyRatings of careAspects of careModel of careBeneficiaries' experiencesFFS Medicare beneficiariesReports of receiptTraditional MedicareCare enrolleesFFS plansMedicare populationMedicare beneficiariesMedicare Managed CareCAHPS surveyCase mixMMC plansService MedicareMMC enrollmentSample of beneficiariesMedicaid ServicesConsumer AssessmentCareHealth careManaged Care
2003
Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care
Dickey B, Normand SL, Hermann RC, Eisen SV, Cortes DE, Cleary PD, Ware N. Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care. JAMA Psychiatry 2003, 60: 340-348. PMID: 12695310, DOI: 10.1001/archpsyc.60.4.340.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude to HealthFee-for-Service PlansFemaleFollow-Up StudiesGuideline AdherenceHealth Services ResearchHospitalizationHumansMaleManaged Care ProgramsMedicaidMedicareMiddle AgedOutcome Assessment, Health CarePersonal SatisfactionPractice Guidelines as TopicProspective StudiesQuality of LifeSchizophreniaConceptsTreatment of schizophreniaTreatment guidelinesMedicaid beneficiariesSchizophrenia Patient Outcomes Research Team (PORT) treatment recommendationsOutpatient mental health facilitiesDisabled Medicaid beneficiariesProspective observational studyHealth-related qualityHigh-risk adultsAdult Medicaid beneficiariesOutpatient medical recordsMain outcome measuresSchizophrenia treatment guidelinesClinician-reported outcomesWay mental health careMental health careSelf-reported qualityBehavioral health care organizationsMental health facilitiesDelivery of treatmentMental health benefitsClinical outcomesGuideline recommendationsOutpatient treatmentMedical records
2001
Racial Disparity in Influenza Vaccination: Does Managed Care Narrow the Gap Between African Americans and Whites?
Schneider E, Cleary P, Zaslavsky A, Epstein A. Racial Disparity in Influenza Vaccination: Does Managed Care Narrow the Gap Between African Americans and Whites? JAMA 2001, 286: 1455-1460. PMID: 11572737, DOI: 10.1001/jama.286.12.1455.Peer-Reviewed Original ResearchConceptsInfluenza vaccinationRacial disparitiesService insuranceCare enrolleesAfrican AmericansMedicare Current Beneficiary SurveyWhite Medicare beneficiariesSubstantial racial disparitiesUS cohortPreventive servicesMedicare beneficiariesPercentage of respondentsVaccinationHealth servicesBeneficiary SurveyPercentage point differenceCareHigh rateInsurance groupsEnrolleesDisparitiesWhitesInsuranceAmericansPoint differenceQuality of ambulatory care after myocardial infarction among medicare patients by type of insurance and region
Seddon M, Ayanian J, Landrum M, Cleary P, Peterson E, Gahart M, McNeil B. Quality of ambulatory care after myocardial infarction among medicare patients by type of insurance and region. The American Journal Of Medicine 2001, 111: 24-32. PMID: 11448657, DOI: 10.1016/s0002-9343(01)00741-0.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAmbulatory CareAnticholesteremic AgentsAspirinCalcium Channel BlockersCaliforniaComorbidityDrug PrescriptionsEducational StatusEthnicityFee-for-Service PlansFemaleFloridaHealth Maintenance OrganizationsHumansIncomeMaleMedicareMultivariate AnalysisMyocardial InfarctionNew EnglandQuality of Health CareSurveys and QuestionnairesUnited StatesConceptsHealth maintenance organizationCholesterol-lowering agentsService patientsMyocardial infarctionCardiac medicationsCardiac rehabilitationHMO patientsMedicare patientsEffective cardiac medicationsCalcium channel blockersElderly Medicare patientsCardiac careChannel blockersAmbulatory carePatientsType of insuranceEnzyme inhibitorsService careDrug useInfarctionMaintenance organizationSimilar proportionsCareRehabilitationMedications
1998
The Relationship Between Method of Physician Payment and Patient Trust
Kao A, Green D, Zaslavsky A, Koplan J, Cleary P. The Relationship Between Method of Physician Payment and Patient Trust. JAMA 1998, 280: 1708-1714. PMID: 9832007, DOI: 10.1001/jama.280.19.1708.Peer-Reviewed Original ResearchMeSH KeywordsAttitude to HealthBaltimoreCapitation FeeCross-Sectional StudiesDistrict of ColumbiaFee-for-Service PlansFloridaGeorgiaHealth Care SurveysHealth Maintenance OrganizationsHumansMultivariate AnalysisPhysician Incentive PlansPhysician-Patient RelationsRegression AnalysisReimbursement MechanismsRisk Sharing, FinancialSalaries and Fringe BenefitsTrustUrban PopulationConceptsIndemnity patientsCare patientsPatient trustPhysician behaviorPatient reportsCross-sectional telephone interview surveyHealth plan costsTelephone interview surveyPatient-physician relationshipLarge national insurerPatient's best interestMost patientsPatients' perceptionsPhysicians' methodMAIN OUTCOMEPatientsPhysician paymentMultivariate analysisHealth plansPhysiciansInterview SurveyNational insurerHigh levelsRegression analysisPlace physiciansA Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care
Landon B, Wilson I, Cleary P. A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care. JAMA 1998, 279: 1377-1382. PMID: 9582046, DOI: 10.1001/jama.279.17.1377.Peer-Reviewed Original Research