Psychometric Properties of an Instrument to Assess Medicare Beneficiaries' Prescription Drug Plan Experiences
نویسندگان
چکیده
Using data from 335,249 Medicare beneficiaries who responded to the 2007 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, along with data from 22 cognitive interviews, we investigated the reliability and validity of an instrument designed to assess beneficiaries' experiences with their prescription drug plans. Composite measures derived from the instrument had acceptable internal consistency and sufficient plan-level reliability to inform consumer choice, quality improvement, and payor oversight. These measures were positively associated with members' overall rating of the plan and their willingness to recommend the plan. Moreover, each was independently useful in predicting beneficiaries' global ratings of their plan. This instrument can be an important tool for helping beneficiaries to choose a plan that best meets their needs.
منابع مشابه
Medicare Part D: how do vulnerable beneficiaries fare?
Health insurance coverage for Medicare beneficiaries has been broadened by the addition of a prescription drug benefit--Medicare Part D. For some beneficiaries, however, particularly those who must make the transition from Medicaid to Medicare prescription coverage, the new program can be confusing or disruptive and result in delays in getting drugs or in adverse health outcomes. In the fall of...
متن کاملMedicare Part D roulette: potential implications of random assignment and plan restrictions.
BACKGROUND Dual-eligible (Medicare/Medicaid) beneficiaries are randomly assigned to a benchmark plan, which provides prescription drug coverage under the Part D benefit without consideration of their prescription drug profile. To date, the potential for beneficiary assignment to a plan with poor formulary coverage has been minimally studied and the resultant financial impact to beneficiaries un...
متن کاملUnderstanding the effects of Medicare Part D from key stakeholders' perspectives: Important progress, but abundant research opportunities remain.
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 added prescription drug coverage to Medicare beginning in January 2006. The prescription drug coverage is voluntary, although beneficiaries face a significant penalty for delaying enrollment. The drug coverage is provided through private drug plans; beneficiaries have a choice of staying in the original Medicare program ...
متن کاملDo Medicare Beneficiaries Living With HIV/AIDS Choose Prescription Drug Plans That Minimize Their Total Spending?
This article examines whether California Medicare beneficiaries with HIV/AIDS choose Part D prescription drug plans that minimize their expenses. Among beneficiaries without low-income supplementation, we estimate the excess cost, and the insurance policy and beneficiary characteristics responsible, when the lowest cost plan is not chosen. We use a cost calculator developed for this study, and ...
متن کاملMedicare Part D: early findings on enrollment and choices for rural beneficiaries.
On January 1, 2006, the Medicare program began offering prescription drug coverage (Medicare Part D) to over 42 million Medicare beneficiaries. This policy brief provides a first snapshot of enrollment in rural and urban areas across the United States and outlines the early findings from an analysis of plans available to rural persons under Medicare's Part D program. The data in this brief will...
متن کامل