Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries

The objective of this study was to investigate differences in rates of voluntary disenrollment from MA plans by race/ethnicity. Subjects: A total of 116,770,319 beneficiaries enrolled in 736 MA plans in 2015. Methods: Differences in rates of disenrollment across racial/ethnic groups [Asian or Pacific Islander (API), Black, Hispanic, and White] were summarized using 4 types of logistic regression models: adjusted and unadjusted models estimating overall differences and adjusted and unadjusted models estimating within-plan differences. Unadjusted overall models included only racial/ethnic group probabilities as predictors. Adjusted overall models added age, sex, dual eligibility, disability, and state of residence as control variables. Between-plan differences were estimated by subtracting within-plan differences from overall differences. Results: Adjusted rates of disenrollment were significantly (P
Source: Medical Care - Category: Health Management Tags: Original Articles Source Type: research