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Understanding the coverage decisions of Medicare beneficiaries: An analysis of enrollment and beneficiary knowledge.

机译：了解Medicare受益人的承保范围决定：对入学和受益人知识的分析。

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摘要

Objectives. To examine individual and market characteristics in relation to Medicare beneficiaries' prescription drug enrollment decisions and understanding of the Part D Program in early 2006.;Methodology. Data sources included the 2005 Medicare Current Beneficiary Survey and linked files describing sources of creditable prescription drug coverage, Part D enrollment, and features of Part D plan markets. The study sample consisted of approximately 12,000 (estimated 31.5 million) self-responding, community-dwelling beneficiaries who were continuously enrolled throughout 2005.;Primary outcomes were beneficiary Part D plan enrollment at the 2006 enrollment deadline (Aim 1; Chapter 4) and beneficiary knowledge of the Part D Program (Aim 2; Chapter 5). Frequency tabulations, stratified analyses, and multivariate regression models were used to assess whether and to what extent beneficiary and market characteristics were associated with these outcomes.;Results. An estimated 4.9 million (15.7%) beneficiaries remained without a known source of creditable drug coverage after the Part D enrollment deadline, 12.2 million (39.0%) self-enrolled into a Part D plan, 3.9 million (12.5%) were auto-enrolled in a Part D plan, and 10.3 million (32.8%) retained prescription coverage from other sources. Among beneficiaries with a salient Part D enrollment decision, 28.6% did not enroll. Beneficiaries who were under the age of 65, over the age of 85, with incomes above ;Conclusions. Beneficiaries with strong incentives to gain prescription drug coverage were both more likely to learn more about the Medicare Program and more likely to ultimately enroll in a Part D plan. Educating beneficiaries, especially those who may not yet recognize the need, about the importance of obtaining drug coverage remains a priority.
机译：目标。在2006年初检查与Medicare受益人的处方药注册决定和对D部分计划的理解有关的个人和市场特征。数据来源包括2005年Medicare当前受益人调查以及链接的文件，这些文件描述了可靠的处方药承保范围，D部分注册以及D部分计划市场的特征。该研究样本包括约12,000名（估计为3,150万）自我回答的社区居民受益人，他们在2005年全年不断入学;主要结果是在2006年入学截止日期（目标1;第4章）和受益人的D部分计划受益人。了解D部分程序（目标2；第5章）。频率列表，分层分析和多元回归模型用于评估受益人和市场特征是否以及在何种程度上与这些结果相关。在D部分注册截止日期之后，估计有490万（15.7％）受益人仍然没有已知的可靠药物覆盖来源，D部分计划中自动注册了1,220万（39.0％），自动注册了390万（12.5％）在D部分计划中，还有1,030万（32.8％）保留了其他来源的处方药。在做出明显的D部分注册决定的受益人中，有28.6％没有注册。年龄在65岁以下，85岁以上且收入在上面的受益人；结论。具有强烈动机获得处方药覆盖率的受益人不仅更有可能了解更多有关Medicare计划的知识，而且更有可能最终加入D部分计划。教育受益人，特别是那些尚未意识到需要的人，对于获得药物覆盖的重要性仍然是一个优先事项。

著录项

  • 作者

    Howell, Benjamin L.;

  • 作者单位

    The Johns Hopkins University.;

  • 授予单位 The Johns Hopkins University.;
  • 学科 Economics General.;Sociology Public and Social Welfare.;Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 171 p.
  • 总页数 171
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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