Enrollment in Supplemental Insurance Coverage Among Medicare Beneficiaries by Race/Ethnicity

被引:11
作者
Park, Sungchul [1 ]
Meyers, David J. [2 ]
Rivera-Hernandez, Maricruz [2 ]
机构
[1] Drexel Univ, Dornsife Sch Publ Hlth, Dept Hlth Management & Policy, Philadelphia, PA 19104 USA
[2] Brown Univ, Sch Publ Hlth, Dept Hlth Serv Policy & Practice, Providence, RI 02912 USA
基金
美国国家卫生研究院;
关键词
Medicare; Supplemental insurance; Medigap; Medicare Advantage; Racial/ethnic disparities; RACIAL/ETHNIC DISPARITIES; SELECTION; BENEFITS; CARE; PART;
D O I
10.1007/s40615-021-01138-w
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives The objective of this study was to examine racial/ethnic differences in enrollment trends for supplemental insurance coverage among traditional Medicare (TM) and Medicare Advantage (MA) beneficiaries. Study Design We employed a retrospective cohort study design using the 2010-2016 Medicare Current Beneficiary Survey. Methods We included two types of outcomes: 1) seven exclusive types of insurance coverage in a given year and 2) changes in insurance coverage in the next year for those with each of the seven exclusive types of insurance coverage. Our primary independent variable was race/ethnicity. We conducted regression while controlling for demographic, socioeconomic, and health characteristics. We calculated the adjusted value of the outcome by race/ethnicity after adjusting for demographic, socioeconomic, and health status characteristics. Results We found substantial racial/ethnic differences in supplemental insurance coverage among TM and MA beneficiaries. Compared to White beneficiaries, racial/ethnic minority beneficiaries had lower adjusted rates of enrollment in Medigap among TM beneficiaries and higher enrollment in Medicaid among both TM and MA beneficiaries. Trends in enrollment differed by supplemental insurance coverage, but an increasing trend in enrollment among MA beneficiaries without supplemental insurance coverage and MA beneficiaries with Medicaid was notable. Overall trends were consistent across all racial/ethnic groups. Finally, most beneficiaries were less likely to change insurance coverage in the next year, but a distinct phenomenon was observed among Black beneficiaries with the lowest rates of remaining in Medigap or MA only. Conclusions Our findings indicate the minority Medicare beneficiaries may not have equitable access to supplemental insurance coverage.
引用
收藏
页码:2001 / 2010
页数:10
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