Correction to: Enrollment in Supplemental Insurance Coverage Among Medicare Beneficiaries by Race/Ethnicity.
Correction to: Enrollment in Supplemental Insurance Coverage Among Medicare Beneficiaries by Race/Ethnicity.
复制标题
更正：按种族/民族划分的 Medicare 受益人补充保险覆盖范围。
DOI：
10.1007/s40615-021-01192-4
复制
发表时间：
2022
影响因子：
3.9
通讯作者：
Rivera-Hernandez,Maricruz
中科院分区：
文献类型：
--
作者：
Park,Sungchul;Meyers,DavidJ;Rivera-Hernandez,Maricruz
目的本研究的目的是检查在传统医疗保险（TM）和医疗保险优势（MA）受益人中，补充保险的登记趋势的种族/民族差异。研究设计我们采用2010-2016年医疗保险现行受益人调查的回顾性队列研究设计。方法我们包括两类结果：1)某一年的7种专用保险类型；2)每一种专用保险类型下一年的保险范围变化。我们的主要独立变量是种族/民族。在控制人口统计学、社会经济和健康特征的同时，我们进行了回归。在对人口统计学、社会经济和健康状况特征进行调整后，我们按种族/民族计算结果的调整值。结果我们发现补充保险覆盖在TM和MA受益人之间存在显著的种族/民族差异。与白人受益人相比，少数种族/族裔受益人在TM受益人中有较低的Medigap调整入学率，而在TM和MA受益人中有较高的Medicaid入学率。注册趋势因补充保险范围的不同而不同，但没有补充保险的MA受益人和有医疗补助的MA受益人的注册趋势明显增加。所有种族/族裔群体的总体趋势是一致的。最后，大多数受益人在下一年不太可能改变保险范围，但在黑人受益人中观察到一个明显的现象，他们只保留Medigap或MA的比例最低。结论研究结果表明，少数医疗保险受益人可能无法公平获得补充保险。
ObjectivesThe 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 DesignWe employed a retrospective cohort study design using the 2010–2016 Medicare Current Beneficiary Survey.MethodsWe 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.ResultsWe 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.ConclusionsOur findings indicate the minority Medicare beneficiaries may not have equitable access to supplemental insurance coverage.