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Article: Outcomes of managed care of dually eligible older persons

TitleOutcomes of managed care of dually eligible older persons
Authors
Issue Date2003
PublisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.org
Citation
Gerontologist, 2003, v. 43 n. 2, p. 165-174 How to Cite?
AbstractPurpose: To assess changes in various functional and satisfaction measures between older persons enrolled in Minnesota Senior Health Options (MSHO), a managed care program for older persons eligible for both Medicare and Medicaid. Design and Methods: We used two sets of matched controls for MSHO enrollees and their families and matched controls living in the community and in nursing homes: Persons in the same county who were eligible to enroll but did not enroll in MSHO and persons in other metropolitan areas where MSHO is not available. For the community sample, we used questionnaires to measure functional status (activities of daily living), pain, unmet care needs, satisfaction, and caregiver burden. Approximately 2 years after the first survey, we resurveyed respondents who lived in the community at the time of the first survey. For the nursing home residents, we used annual assessments to calculate case mix to compare changes in functional levels over time. Results: There were few significant differences in change over time between the MSHO sample and the two control groups. Out-of-area controls showed greater increases in pain but in-area controls showed less interference from pain. Compared with out-of-area controls, MSHO clients showed greater increase in homemaker use, meals on wheels, and outpatient rehabilitation. Compared with in-area controls, they showed more use of meals on wheels and less help from family with household tasks. There were few differences in satisfaction, but the MSHO families showed significantly lower burden than controls on five items. Implications: The analyses show only modest evidence of benefit from MSHO compared with the two control groups. The model represented by MSHO does not appear to generate substantial differences in outcomes across function, satisfaction, and caregiver burden.
Persistent Identifierhttp://hdl.handle.net/10722/172073
ISSN
2015 Impact Factor: 3.168
2015 SCImago Journal Rankings: 1.584
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorKane, RLen_US
dc.contributor.authorHomyak, Pen_US
dc.contributor.authorBershadsky, Ben_US
dc.contributor.authorLum, YSen_US
dc.contributor.authorSiadaty, MSen_US
dc.date.accessioned2012-10-30T06:19:58Z-
dc.date.available2012-10-30T06:19:58Z-
dc.date.issued2003en_US
dc.identifier.citationGerontologist, 2003, v. 43 n. 2, p. 165-174en_US
dc.identifier.issn0016-9013en_US
dc.identifier.urihttp://hdl.handle.net/10722/172073-
dc.description.abstractPurpose: To assess changes in various functional and satisfaction measures between older persons enrolled in Minnesota Senior Health Options (MSHO), a managed care program for older persons eligible for both Medicare and Medicaid. Design and Methods: We used two sets of matched controls for MSHO enrollees and their families and matched controls living in the community and in nursing homes: Persons in the same county who were eligible to enroll but did not enroll in MSHO and persons in other metropolitan areas where MSHO is not available. For the community sample, we used questionnaires to measure functional status (activities of daily living), pain, unmet care needs, satisfaction, and caregiver burden. Approximately 2 years after the first survey, we resurveyed respondents who lived in the community at the time of the first survey. For the nursing home residents, we used annual assessments to calculate case mix to compare changes in functional levels over time. Results: There were few significant differences in change over time between the MSHO sample and the two control groups. Out-of-area controls showed greater increases in pain but in-area controls showed less interference from pain. Compared with out-of-area controls, MSHO clients showed greater increase in homemaker use, meals on wheels, and outpatient rehabilitation. Compared with in-area controls, they showed more use of meals on wheels and less help from family with household tasks. There were few differences in satisfaction, but the MSHO families showed significantly lower burden than controls on five items. Implications: The analyses show only modest evidence of benefit from MSHO compared with the two control groups. The model represented by MSHO does not appear to generate substantial differences in outcomes across function, satisfaction, and caregiver burden.en_US
dc.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://gerontologist.gerontologyjournals.orgen_US
dc.relation.ispartofGerontologisten_US
dc.subject.meshAgingen_US
dc.subject.meshConsumer Satisfaction - Statistics & Numerical Dataen_US
dc.subject.meshFamily Nursing - Statistics & Numerical Dataen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshManaged Care Programs - Economics - Statistics & Numerical Dataen_US
dc.subject.meshMedicaid - Economicsen_US
dc.subject.meshMedicare - Economicsen_US
dc.subject.meshMinnesotaen_US
dc.subject.meshNursing Homes - Statistics & Numerical Dataen_US
dc.titleOutcomes of managed care of dually eligible older personsen_US
dc.typeArticleen_US
dc.identifier.emailLum, YS: tlum@hku.hken_US
dc.identifier.authorityLum, YS=rp01513en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1093/geront/43.2.165-
dc.identifier.pmid12677074-
dc.identifier.scopuseid_2-s2.0-0037387068en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0037387068&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume43en_US
dc.identifier.issue2en_US
dc.identifier.spage165en_US
dc.identifier.epage174en_US
dc.identifier.isiWOS:000182077500003-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridKane, RL=7402265271en_US
dc.identifier.scopusauthoridHomyak, P=8679284000en_US
dc.identifier.scopusauthoridBershadsky, B=6701611351en_US
dc.identifier.scopusauthoridLum, YS=8615080500en_US
dc.identifier.scopusauthoridSiadaty, MS=6602779019en_US

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