Table 4. Satisfaction Overall and Differences by Type of Medicare Plan Among Dually Eligible Users of Home and Community-Based Servicesa.
| Outcome | Beneficiaries, mean (SD), % | D-SNPs with EAE vs traditional Medicare | D-SNPs without EAE vs traditional Medicare | D-SNPs with EAE vs D-SNPs without EAE | All D-SNPs vs traditional Medicare | ||||
|---|---|---|---|---|---|---|---|---|---|
| Difference, PPs (95% CI)b | P valuec | Difference, PPs (95% CI)b | P valuec | Difference, PPs (95% CI)b | P valuec | Difference, PPs (95% CI)b | P valuec | ||
| Very satisfiedd | |||||||||
| Care coordinator | 67.5 (46.8) | −2.15 (−8.25 to 3.95) | .49 | 1.19 (−4.42 to 6.80) | .68 | −3.34 (−8.94 to 2.26) | .24 | −0.28 (−5.36 to 4.80) | .92 |
| PCP choice | 60.1 (50.0) | 1.47 (−4.76 to 7.70) | .64 | −0.07 (−5.81 to 5.68) | .98 | 1.54 (−4.09 to 7.17) | .59 | 0.70 (−4.52 to 5.91) | .79 |
| Specialist choice | 56.4 (49.6) | 0.22 (−6.12 to 6.57) | .95 | −3.49 (−9.32 to 2.33) | .24 | 3.72 (−2.06 to 9.49) | .21 | −1.77 (−7.06 to 3.52) | .51 |
| Customer serviced | |||||||||
| Always gives needed information or help | 45.7 (49.8) | 4.49 (−3.51 to 12.49) | .27 | 1.31 (−6.52 to 9.13) | .74 | 3.18 (−4.03 to 10.40) | .39 | 3.54 (−3.39 to 10.47) | .32 |
| Always treats with courtesy and respect | 78.3 (41.2) | 6.88 (0.56 to 13.20) | .03 | 0.11 (−6.36 to 6.58) | .97 | 6.77 (8.81 to 12.66) | .02 | 3.23 (−2.37 to 8.83) | .26 |
| Plan rating, mean (SD)e | 8.68 (1.7) | 0.29 (0.08 to 0.51)f | .01 | 0.12 (−0.08. to 0.32)f | .26 | 0.18 (−0.01 to 0.37)f | .07 | 0.20 (0.02 to 0.38)f | .03 |
| Rated plan a 10d | 45.4 (49.8) | 8.54 (2.49 to 14.58) | .01 | 3.80 (−1.84 to 9.44) | .19 | 4.74 (0.78 to 10.25) | .09 | 5.92 (0.84 to 11.00) | .02 |
| Strongly agree | |||||||||
| Know who to call about health or health care | 46.0 (49.9) | 4.84 (−1.35 to 11.03) | .13 | −0.99 (−6.78 to 4.79) | .74 | 5.83 (0.21 to 11.46) | .04 | 1.34 (−3.88 to 6.56) | .61 |
| Confident in understanding of health care system | 34.0 (47.4) | 5.38 (−0.39 to 11.15) | .07 | 2.79 (−2.61 to 8.20) | .31 | 2.59 (−2.72 to 7.89) | .34 | 3.92 (−0.92 to 8.77) | .11 |
| Caring for health and chronic conditions is manageable | 32.7 (46.9) | 5.29 (−0.52 to 11.10) | .07 | 2.56 (−2.85 to 7.98) | .35 | 2.72 (−2.58 to 8.03) | .31 | 3.76 (−1.14 to 8.65) | .13 |
Abbreviations: D-SNPs, Dual Eligible Special Needs Plans; EAE, exclusively aligned enrollment; PCP, primary care physician; PPs, percentage points.
a
eAppendix 5 in Supplement 1 gives more information on the outcome variable construction, and eAppendix 6 in Supplement 1 gives the full model results.
b
Estimates were adjusted for the covariates in Table 1 and were weighted using propensity score weights.
c
Significance levels based on robust SEs.
d
Question text refers to respondent’s Medicaid health plan.
e
Scale is from 1 to 10.
f
Unit differences.