NDLI: Supplemental Insurance and Racial Health Disparities under Medicare Part B

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Supplemental Insurance and Racial Health Disparities under Medicare Part B

Content Provider	Scilit
Author	Brunt, Christopher S.
Copyright Year	2016
Description	Journal: Health Services Research To assess the impact of preferences, socioeconomic status (SES), and supplemental insurance (SI) on racial/ethnic disparities in the probability and use of services at physicians' offices, hospitals, and emergency departments among Medicare beneficiaries enrolled in Part B. This study includes black and white beneficiaries from the 2009-2011 panel of the Medicare Current Beneficiary Survey who were enrolled in Medicare Part B. Logit and negative binomial multivariate regression analysis were used in conjunction with rank-and-replace methods to determine factors influencing utilization and black-white utilization disparities. Among Part B beneficiaries, significant disparities exist for each studied service. Examining contributing factors, 12-19 percent of the black-white health-adjusted difference in the probability of use is explained by differences in SES, whereas differences in the distribution of SI accounts for 20 percent or more. For volume, SES is found to account for 2-11 percent of differences with SI making up another 9-10 percent. A substantial portion of the difference in black-white beneficiary use of outpatient services is due to SI. Policies aimed at increasing coverage are likely to increase the probability of visits with modest increases in volume.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682138/pdf
Ending Page	2218
Page Count	22
Starting Page	2197
e-ISSN	14756773
DOI	10.1111/1475-6773.12599
Journal	Health Services Research
Issue Number	6
Volume Number	52
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2016-11-10
Access Restriction	Open
Subject Keyword	Journal: Health Services Research Public Health and Health Services Racial/ethnic Differences in Health and Health Care Access/demand/utilization of Services Health Economics
Content Type	Text
Resource Type	Article

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