Does the Racial/Ethnic Composition of Medicare Advantage Plans Reflect Their Areas of Operation?

Wiley: 8/28/13

Objective

To assess the extent to which the racial/ethnic composition of Medicare Advantage (MA) plans reflects the composition of their areas of operation, given the potential incentives created by the Centers for Medicare & Medicaid Services’ Quality Bonus Payments for such plans to avoid enrolling racial/ethnic minority beneficiaries.

Data Sources/Study Setting

2009 Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) survey and administrative data from the Medicare Enrollment Database.

Data Collection/Extraction Methods

We defined each plan’s area of operation as all counties in which it had MA enrollees, and we created a matrix of race/ethnicity by plan by county of residence to assess the racial/ethnic distribution of each plan’s enrollees in comparison with the racial/ethnic composition of MA beneficiaries in its operational area. Read more