2016
Medicare Prescription Drug Plan Enrollees Report Less Positive Experiences Than Their Medicare Advantage Counterparts
Elliott MN, Landon BE, Zaslavsky AM, Edwards C, Orr N, Beckett MK, Mallett J, Cleary PD. Medicare Prescription Drug Plan Enrollees Report Less Positive Experiences Than Their Medicare Advantage Counterparts. Health Affairs 2016, 35: 456-463. PMID: 26953300, DOI: 10.1377/hlthaff.2015.0816.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overDatabases, FactualDrug PrescriptionsFemaleHealth ExpendituresHumansInsurance CoverageInsurance, Pharmaceutical ServicesMaleManaged Care ProgramsMedicare Part CMedicare Part DPatient SatisfactionRetrospective StudiesSex FactorsSurveys and QuestionnairesUnited StatesConceptsPrescription drug plansPrescription drug coverageDrug plansMedicare beneficiariesDrug coverageCommunity-dwelling Medicare beneficiariesOverall health care costsMedicare Advantage health plansMA plansHealth care costsPercent of beneficiariesAffordable Care ActQuality bonus paymentsPlan enrolleesMedicare prescription drug coverageCare costsHealth plansCare ActPositive experiencesAge sixtyBeneficiary assessmentMedicationsMA counterpartsBeneficiariesEnrollees
2012
Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care
McInnes DK, Brown JA, Hays RD, Gallagher P, Ralston JD, Hugh M, Kanter M, Serrato CA, Cosenza C, Halamka J, Ding L, Cleary PD. Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care. Medical Care 2012, 50: s11-s19. PMID: 23064271, PMCID: PMC3525454, DOI: 10.1097/mlr.0b013e3182610a50.Peer-Reviewed Original ResearchConceptsHealth information technologyPatient experienceProvider websitesInformation technologyItem-scale correlationsDoctors' useE-mailAcademic medical centerIndependent predictorsAmbulatory careMedical CenterHealth plansIntegrated delivery systemsCognitive testingConsumer AssessmentCronbach's αComputerHealth careCarePatientsWebsitesPhysiciansCAHPSFocus groupsOverall rating
2009
Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care
Keenan PS, Elliott MN, Cleary PD, Zaslavsky AM, Landon BE. Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care. Medical Care 2009, 47: 882-888. PMID: 19543123, DOI: 10.1097/mlr.0b013e3181a39415.Peer-Reviewed Original ResearchConceptsPreventive services measuresCare experiencesPreventive servicesMedicaid ServicesPreventive services receiptRates of immunizationCAHPS scoresExperience measuresOffice wait timeQuality of careTraditional MedicareSick groupPhysician ratingsCare plansMedicare Managed CareHealthcare providersService MedicareCAHPS measuresHealth plansService receiptConsumer AssessmentSystem surveyHealthier beneficiariesManaged CareMedicare
2008
Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans
Eselius LL, Cleary PD, Zaslavsky AM, Huskamp HA, Busch SH. Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans. Health Services Research 2008, 43: 2014-2032. PMID: 18783456, PMCID: PMC2613989, DOI: 10.1111/j.1475-6773.2008.00894.x.Peer-Reviewed Original ResearchConceptsCase-mix adjustmentBehavioral health careHealth statusHealth plansPatient reportsSelf-reported general health statusSelf-reported mental health statusAlcohol/drug treatmentGeneral health statusHealth careHealth Outcomes SurveyBehavioral health plansMental health statusCase-mix adjustment modelExperience of careHealth care experiencesRace/ethnicityPatient characteristicsDrug treatmentOutcome SurveyCare experiencesPoor healthPlan rankingsReport scoresGood health
2005
Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances.
Kim M, Zaslavsky AM, Cleary PD. Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances. Medical Care 2005, 43: 44-52. PMID: 15626933.Peer-Reviewed Original ResearchConceptsPrivate health insuranceCasemix modelChild health statusCAHPS surveyPatient characteristicsHealth plansHealth Plans Study (CAHPS) surveyHealth insurancePlan ratingsHealth plan performanceHealth statusCAHPS scoresPlan differencesConsumer AssessmentCommercial plansParents' agePlan performanceAdjustment variablesMedicaidSeparate modelsSubstantial impactStudy surveyMedicaid beneficiariesMedicaid plansSuch models
2004
Plan, Geographical, and Temporal Variation of Consumer Assessments of Ambulatory Health Care
Zaslavsky AM, Zaborski LB, Cleary PD. Plan, Geographical, and Temporal Variation of Consumer Assessments of Ambulatory Health Care. Health Services Research 2004, 39: 1467-1486. PMID: 15333118, PMCID: PMC1361079, DOI: 10.1111/j.1475-6773.2004.00299.x.Peer-Reviewed Original ResearchConceptsHealth plansConsumer AssessmentCare plansHealth Plans Study (CAHPS) surveyGlobal ratingRatings of careHealth plan qualityAspects of careQuality of careAmbulatory health careQuality improvement measuresPrescription drug benefitPrescription accessStudy periodDrug benefitCareHealth carePlan qualityMedicareBenefit designMeaningful changeRepresentative sampleDoctorsYears
2003
Beneficiary reported experience and voluntary disenrollment in Medicare managed care.
Lied TR, Sheingold SH, Landon BE, Shaul JA, Cleary PD. Beneficiary reported experience and voluntary disenrollment in Medicare managed care. Medicare & Medicaid Research Review 2003, 25: 55-66. PMID: 14997693, PMCID: PMC4194833.Peer-Reviewed Original Research
2002
The influence of patient characteristics on ratings of managed behavioral health care
Cleary P, Carlson M, Shaul J, Eisen S. The influence of patient characteristics on ratings of managed behavioral health care. The Journal Of Behavioral Health Services & Research 2002, 29: 481-489. PMID: 12404942, DOI: 10.1007/bf02287354.Peer-Reviewed Original ResearchConceptsBehavioral health carePatient characteristicsHealth careCare ratingsHealth care ratingsHealth care useCost of careRatings of patientsHealthy patientsCare usePatient ratingsPatientsEnrollee characteristicsHealth plansPlan ratingsCareInsurance coverageLess educationCommercial plansFrequent usersPublic plansEvolving dissatisfaction among primary care physicians.
Landon BE, Aseltine R, Shaul JA, Miller Y, Auerbach BA, Cleary PD. Evolving dissatisfaction among primary care physicians. The American Journal Of Managed Care 2002, 8: 890-901. PMID: 12395957.Peer-Reviewed Original ResearchConceptsPrimary care physiciansCare physiciansCurrent practice situationCare plansLarge health planQuality of careCross-sectional surveyOverall satisfactionChoice of hospitalImportant predictorCare dissatisfactionAdequacy of reimbursementOverall dissatisfactionMultivariable modelPhysician ratingsPhysician satisfactionHealth plansPhysiciansPhysician practicesCarePractice situationsWay physiciansPredictorsHospitalSatisfactionSimilarities and Differences in Choosing Health Plans
Short P, McCormack L, Hibbard J, Shaul JA, Harris-Kojetin L, Fox MH, Damiano P, Uhrig JD, Cleary PD. Similarities and Differences in Choosing Health Plans. Medical Care 2002, 40: 289-302. PMID: 12021685, DOI: 10.1097/00005650-200204000-00005.Peer-Reviewed Original ResearchConceptsHealth plansMedicaid recipientsCAHPS reportsHealth Plans StudyEnrollment materialsMedicare health plansType of insuranceEmployer-sponsored insuranceConsumer AssessmentHealth insurance optionsMedicaidSignificant differencesMedicarePercentage of consumersInformation interventionCAHPSRecipientsReportPlan selection processPlan study
2001
National Quality Monitoring of Medicare Health Plans
Schneider E, Zaslavsky A, Landon B, Lied T, Sheingold S, Cleary P. National Quality Monitoring of Medicare Health Plans. Medical Care 2001, 39: 1313-1325. PMID: 11717573, DOI: 10.1097/00005650-200112000-00007.Peer-Reviewed Original ResearchConceptsMedicare health plansHealth plansClinical qualityHEDIS performanceCAHPS surveyHealth Plans Study (CAHPS) surveyHealth Plan Employer DataBeta-blocker useMental health hospitalizationsObservational cohort studyProportion of enrolleesHealth plan qualityGood clinical careRates of mammographyClinical quality measuresComposite measurePlan careCohort studyEye examMultivariable analysisMyocardial infarctionPersonal doctorClinical careEmployer DataConsumer AssessmentToward a national consumer survey: Evaluation of the CABHS and MHSIP instruments
Eisen S, Shaul J, Leff S, Stringfellow V, Clarridge B, Cleary P. Toward a national consumer survey: Evaluation of the CABHS and MHSIP instruments. The Journal Of Behavioral Health Services & Research 2001, 28: 347-369. PMID: 11497028, DOI: 10.1007/bf02287249.Peer-Reviewed Original ResearchConceptsBehavioral health surveyHealth plan performanceBehavioral health plansTreatment outcomesHealth SurveyResponse rateHealth plansConsumer AssessmentNational Consumer SurveyInsurance plansPlan performanceProgram SurveySurvey developmentSurvey itemsConsumer burdenAspects of appropriatenessGreater validityUse of Consumer Ratings for Quality Improvement in Behavioral Health Insurance Plans
Shaul J, Eisen S, Stringfellow V, Clarridge B, Hermann R, Nelson D, Anderson E, Kubrin A, Leff H, Cleary P. Use of Consumer Ratings for Quality Improvement in Behavioral Health Insurance Plans. The Joint Commission Journal On Quality And Patient Safety 2001, 27: 216-229. PMID: 11293838, DOI: 10.1016/s1070-3241(01)27019-9.Peer-Reviewed Original ResearchConceptsBehavioral health plansHealth plansAdult patientsBehavioral health care servicesCommercial health plansAspects of careHealth care servicesHealth plan policiesHealth care plansQuality improvement effortsHealth insurance plansPatient groupPositive responseCare plansAssistance patientsResponse rateCare servicesPatientsLeast positive responsesConsumer AssessmentPublic assistance patientsServices SurveyInsurance plansNational CommitteeTreatmentHealth Plan Characteristics And Consumers’ Assessments Of Quality
Landon B, Zaslavsky A, Beaulieu N, Shaul J, Cleary P. Health Plan Characteristics And Consumers’ Assessments Of Quality. Health Affairs 2001, 20: 274-286. PMID: 11260954, DOI: 10.1377/hlthaff.20.2.274.Peer-Reviewed Original Research
2000
Providing Consumers with Information About the Quality of Health Plans: The Consumer Assessment of Health Plans Demonstration in Washington State
Guadagnoli E, Epstein A, Zaslavsky A, Shaul J, Veroff D, Fowler F, Cleary P. Providing Consumers with Information About the Quality of Health Plans: The Consumer Assessment of Health Plans Demonstration in Washington State. The Joint Commission Journal On Quality And Patient Safety 2000, 26: 410-420. PMID: 10897458, DOI: 10.1016/s1070-3241(00)26034-3.Peer-Reviewed Original ResearchDimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans
Zaslavsky A, Beaulieu N, Landon B, Cleary P. Dimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans. Medical Care 2000, 38: 162-174. PMID: 10659690, DOI: 10.1097/00005650-200002000-00006.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overConsumer BehaviorDiagnosis-Related GroupsFactor Analysis, StatisticalFemaleHealth Care SurveysHealth Services AccessibilityHealth StatusHumansMaleManaged Care ProgramsMedicareMiddle AgedPatient Education as TopicQuality Assurance, Health CareRegression AnalysisSocioeconomic FactorsUnited StatesConceptsManaged care health planHealth plansHealth plan levelDelivery of careHealth-promoting activitiesHealth Plans SurveySpecialist careMedicare beneficiariesOverall ratingDoctor's officeConsumer AssessmentGlobal ratingCareMedical servicesPlans SurveyReport itemsCAHPSReportSurvey itemsPlan variabilityConsumer ReportsCorresponding groupMembers' ratingsDeliveryGroupHow consumer assessments of managed care vary within and among markets.
Zaslavsky A, Landon B, Beaulieu N, Cleary P. How consumer assessments of managed care vary within and among markets. INQUIRY The Journal Of Health Care Organization Provision And Financing 2000, 37: 146-61. PMID: 10985109.Peer-Reviewed Original Research
1999
The Impact of Having Parents Report About Both Their Own and Their Children's Experiences With Health Insurance Plans
Shaul J, Fowler F, Zaslavsky A, Homer C, Gallagher P, Cleary P. The Impact of Having Parents Report About Both Their Own and Their Children's Experiences With Health Insurance Plans. Medical Care 1999, 37: ms59-ms68. PMID: 10098560, DOI: 10.1097/00005650-199903001-00007.Peer-Reviewed Original ResearchMeSH KeywordsAdultChildChild Health ServicesConsumer BehaviorCost-Benefit AnalysisData CollectionFemaleFollow-Up StudiesHealth Benefit Plans, EmployeeHealth Care SurveysHumansMaleParentsPilot ProjectsQuality of Health CareReproducibility of ResultsSurveys and QuestionnairesTime FactorsUnited StatesUnited States Agency for Healthcare Research and QualityWashingtonConceptsHealth care experiencesLow response rateOwn careResponse rateChild health careChildren surveyHealth insurance plansStudy groupCare experiencesPattern of responseHealth plansTelephone interviewsCareHealth careLatter groupInsurance plansAdultsSurvey questionsWeak associationParent reportPositive responseSurvey administrationChildrenAssociationChild carePsychometric Properties of the CAHPS™ 1.0 Survey Measures
Hays R, Shaul J, Williams V, Lubalin J, Harris-Kojetin L, Sweeny S, Cleary P. Psychometric Properties of the CAHPS™ 1.0 Survey Measures. Medical Care 1999, 37: ms22-ms31. PMID: 10098556, DOI: 10.1097/00005650-199903001-00003.Peer-Reviewed Original ResearchConceptsPrivate health insuranceHealth insurancePrivate health insurance coverageHealth plan ratingHealth plansHealth insurance coverageCAHPS global ratingConsumers' willingnessHealth Plans StudyPlan ratingsConsumer surveyInsurance coverageWillingnessHealth plan performanceSurvey measuresInsurancePlan performanceConsumersSample of individualsMedicaidCAHPS measuresHealth plan levelQuality of carePsychometric propertiesExcellent psychometric properties
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 physicians