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Which medicare advantage enrollees are at highest one-year mortality risk?
Ernecoff, Natalie C; Anhang Price, Rebecca; Klein, David J; Haviland, Amelia M; Saliba, Debra; Orr, Nate; Gildner, Jennifer; Gaillot, Sarah; Elliott, Marc N.
Afiliación
  • Ernecoff NC; RAND Corporation, 4570 Fifth Avenue Suite 600, Pittsburgh, PA 15213, United States.
  • Anhang Price R; RAND Corporation, 1200 S Hayes Street, Arlington, VA 22202, United States.
  • Klein DJ; RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
  • Haviland AM; RAND Corporation and Carnegie Mellon University, 4800 Forbes Avenue, Hamburg Hall 2214, Pittsburgh, PA 15213, United States.
  • Saliba D; RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States; University of California Los Angeles Borun Center, 10945 Le Conte Ave, Suite 2339, Los Angeles, CA 90095, United States; Los Angeles Veterans Administration GRECC, Los Angeles, CA, United States.
  • Orr N; RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
  • Gildner J; RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
  • Gaillot S; Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, United States.
  • Elliott MN; RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States. Electronic address: elliott@rand.org.
Arch Gerontol Geriatr ; 124: 105454, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38703702
ABSTRACT

BACKGROUND:

While a number of tools exist to predict mortality among older adults, less research has described the characteristics of Medicare Advantage (MA) enrollees at higher risk for 1 year mortality.

OBJECTIVES:

To describe the characteristics of MA enrollees at higher mortality risk using patient survey data. RESEARCH

DESIGN:

Retrospective cohort.

SUBJECTS:

MA enrollees completing the 2019 MA Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey.

MEASURES:

Linked demographic, health, and mortality data from a sample of MA enrollees were used to predict 1-year mortality risk and describe enrollee characteristics across levels of predicted mortality risk.

RESULTS:

The mortality model had a 0.80 c-statistic. Mortality risks were skewed 6 % of enrollees had a ≥ 10 % 1-year mortality risk, while 45 % of enrollees had 1 % to < 5 % 1-year mortality risk. Among the high-risk (≥10 %) group, 47 % were age 85+ versus 12 % among those with mortality risk <5 %. 79 % were in fair or poor self-rated health versus 29 % among those with mortality risk of <5 %. 71 % reported needing urgent care in the prior 6 months versus 40 % among those with a mortality risk of 1 to<5 %.

CONCLUSIONS:

Relatively few older adults enrolled in MA are at high 1-year mortality risk. Nonetheless, MA enrollees over age 85, in fair or poor health, or with recent urgent care needs are far more likely to be in a high mortality risk group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mortalidad / Medicare Part C Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mortalidad / Medicare Part C Límite: Aged / Aged80 / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Arch Gerontol Geriatr Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos