title: Voluntary disenrollment from Medicare managed care: market factors and disabled beneficiaries.
abstract: Disenrollment rates from Medicare managed care plans have been reported to the public as an indicator of health plan quality. Previous studies have shown that voluntary disenrollment rates differ among vulnerable subgroups, and that these rates can reflect patient care experiences. We hypothesized that disabled beneficiaries may be affected differently than other beneficiaries by competitive market factors, due to higher expected expenditures and impaired mobility. Findings suggest that disabled beneficiaries are more likely to experience multiple problems with managed care.
authors.affiliation: RTI International, Research Triangle Park, NC 27709-2194, USA. lmobley@rti.org
authors.forename: Lee
authors.initials: L
authors.lastname: Mobley
authors.forename: Lauren
authors.initials: L
authors.lastname: McCormack
authors.forename: Bridget
authors.initials: B
authors.lastname: Booske
authors.forename: Jiantong
authors.initials: J
authors.lastname: Wang
authors.forename: G Gordon
authors.initials: GG
authors.lastname: Brown
authors.forename: Nathan
authors.initials: N
authors.lastname: West
authors.forename: Judith
authors.initials: J
authors.lastname: Lynch
authors.forename: Claudia
authors.initials: C
authors.lastname: Squire
authors.forename: Amy
authors.initials: A
authors.lastname: Heller
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003625:Data Collection; D006233:Persons with Disabilities; D004465:Economic Competition; D005260:Female; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration / Q000706:statistics & numerical data*; D006278:Medicare / Q000458:organization & administration / Q000706:statistics & numerical data*; D008875:Middle Aged; D014481:United States