2017
Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees
Ndumele CD, Cohen MS, Cleary PD. Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees. JAMA Internal Medicine 2017, 177: 1445-1451. PMID: 28806455, PMCID: PMC5710214, DOI: 10.1001/jamainternmed.2017.3766.Peer-Reviewed Original Research
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
2013
Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey
Hays RD, Martino S, Brown JA, Cui M, Cleary P, Gaillot S, Elliott M. Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey. Medical Care Research And Review 2013, 71: 192-202. PMID: 24227813, PMCID: PMC3959996, DOI: 10.1177/1077558713508205.Peer-Reviewed Original ResearchConceptsCare coordinationHealthcare providersConsumer AssessmentCAHPS global ratingCare coordination measuresBetter care coordinationMedicare surveyOverall care qualityMedical recordsPersonal doctorPatient reportsStrong unique associationCare qualityGlobal ratingHealth careFive-item measureComposite scoreCarePlan performanceCoordination measuresUnique associationPatientsProvidersCare Experiences of Managed Care Medicare Enrollees Near the End of Life
Elliott MN, Haviland AM, Cleary PD, Zaslavsky AM, Farley DO, Klein DJ, Edwards CA, Beckett MK, Orr N, Saliba D. Care Experiences of Managed Care Medicare Enrollees Near the End of Life. Journal Of The American Geriatrics Society 2013, 61: 407-412. PMID: 23379270, DOI: 10.1111/jgs.12121.Peer-Reviewed Original ResearchConceptsCare experiencesSocial Security Administration death recordsParticipants' experiencesIndividual experiencesBad experiencesExperienceRepresentative sampleFuture researchEnd of lifeIndividual deathSurvey completionSurveyHealthcare providersGood experienceRaceEthnicityPrescription drug coverageEducationRetrospective reportsGeographic regions
2011
Market characteristics and awareness of managed care options among elderly beneficiaries enrolled in traditional Medicare.
Mittler JN, Landon BE, Zaslavsky AM, Cleary PD. Market characteristics and awareness of managed care options among elderly beneficiaries enrolled in traditional Medicare. Medicare & Medicaid Research Review 2011, 1: e1-19. PMID: 22340776, PMCID: PMC4010617, DOI: 10.5600/mmrr.001.03.a03.Peer-Reviewed Original ResearchConceptsMarket characteristicsBeneficiaries' awarenessTraditional MedicareMedicare risk plansCoverage choicesChoice setsMedicare riskMedicare Current Beneficiary Survey dataCare penetrationSurvey dataBeneficiary knowledgeRisk plansBeneficiariesElderly beneficiariesMore plansTraditional Medicare beneficiariesMedicareCross-sectional analysisRegression modelsChoiceMore accurate knowledgeMedicare beneficiariesMore successConsumersCare optionsHow 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 StatesVaccination
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 ResearchMeSH KeywordsAgedAged, 80 and overFemaleHealth StatusHumansMaleManaged Care ProgramsMedicaidMedicareQuality Assurance, Health CareSocioeconomic FactorsUnited StatesConceptsPreventive 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 CareMedicareMarket 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
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 sampleDoctorsYearsComparison 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
Psychometric Properties of the Consumer Assessment of Health Plans Study (CAHPS®) 2.0 Adult Core Survey
Hargraves JL, Hays RD, Cleary PD. Psychometric Properties of the Consumer Assessment of Health Plans Study (CAHPS®) 2.0 Adult Core Survey. Health Services Research 2003, 38: 1509-1528. PMID: 14727785, PMCID: PMC1360961, DOI: 10.1111/j.1475-6773.2003.00190.x.Peer-Reviewed Original ResearchGuideline 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 recordsBeneficiary 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 plansDimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey
Zaslavsky AM, Cleary PD. Dimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey. Medical Care 2002, 40: 951-964. PMID: 12395028, DOI: 10.1097/00005650-200210000-00012.Peer-Reviewed Original ResearchConceptsHealthy membersReport itemsConsumer AssessmentSmoking cessation adviceGeneral health statusHealth plan qualityMedicare Managed Care Consumer AssessmentHealth Plans SurveyQuality improvement effortsPlan performanceCessation advicePlan careCare beneficiariesHealth statusPatient careSick membersPoor healthMedical servicesPlans SurveyCarePlan qualitySubgroupsPlan scoresReportDoctorsVariation in patient-reported quality among health care organizations.
Solomon LS, Zaslavsky AM, Landon BE, Cleary PD. Variation in patient-reported quality among health care organizations. Medicare & Medicaid Research Review 2002, 23: 85-100. PMID: 12500472, PMCID: PMC4194762.Peer-Reviewed Original ResearchCombining health plan performance indicators into simpler composite measures.
Zaslavsky AM, Shaul JA, Zaborski LB, Cioffi MJ, Cleary PD. Combining health plan performance indicators into simpler composite measures. Medicare & Medicaid Research Review 2002, 23: 101-15. PMID: 12500473, PMCID: PMC4194755.Peer-Reviewed Original ResearchMeSH KeywordsAgedCenters for Medicare and Medicaid Services, U.S.Factor Analysis, StatisticalHealth Benefit Plans, EmployeeHealth Care SurveysHealth Services AccessibilityHumansManaged Care ProgramsMedicare Part BMedicare Part COffice VisitsPatient SatisfactionQuality Indicators, Health CareUnited StatesVaccination
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 AssessmentRacial 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 difference