Table 2.
Unadjusted Mean CAHPS Scores and Case-Mix Adjusted Differences, Medicare Advantage (MA), and Fee-For-Service (FFS) Beneficiaries
| Overall, Unadjusted | MA, Unadjusted | FFS, Unadjusted | Unadjusted Differences (MA−FFS) | Case-Mix Adjusted Coefficients (MA versus FFS)† | ||||
|---|---|---|---|---|---|---|---|---|
| Unweighted N | Weighted Mean | UnweightedN | Weighted Mean | UnweightedN | Weighted Mean | Weighted Mean | Coefficient | |
| 0–10 Global ratings | ||||||||
| Rating of personal doctor | 252,432 | 89.9 | 99,857 | 90.1 | 152,575 | 89.9 | 0.2* | −0.2* |
| Rating of specialist | 160,908 | 88.7 | 63,380 | 88.6 | 97,528 | 88.7 | −0.1 | −0.5*** |
| Rating of MA plan/Medicare (FFS) | 302,352 | 83.8 | 122,372 | 85.6 | 179,980 | 83.5 | 2.1*** | 1.5*** |
| Rating of health care received | 262,075 | 85.9 | 102,346 | 86.4 | 159,729 | 85.8 | 0.6*** | 0 |
| Rating of PDP | 252,547 | 80.8 | 107,996 | 82.8 | 144,551 | 80 | 2.8*** | 2.2*** |
| Composites | ||||||||
| Doctor communication | 258,453 | 89.2 | 103,064 | 89.3 | 155,389 | 89.2 | 0.1 | −0.2 |
| Getting needed care | 228,138 | 85.2 | 89,853 | 84.6 | 138,285 | 85.3 | −0.7*** | −1.3*** |
| Getting care quickly | 262,153 | 82.5 | 100,829 | 82.6 | 161,324 | 82.5 | 0.1 | 0.2 |
| Paperwork | 43,678 | 71.1 | 25,431 | 77.3 | 18,247 | 67.9 | 9.4*** | 7.9*** |
| PDP: getting Rx drugs | 247,192 | 88.8 | 104,354 | 89.7 | 142,838 | 88.4 | 1.3*** | 0.5*** |
| PDP: getting information | 95,866 | 78.2 | 36,418 | 80.2 | 59,448 | 77.6 | 2.6*** | 1.9*** |
Note. The p-values correspond to differences between MA and FFS in bivariate linear regressions.
†
Case mix adjusted for CMS geographic region, educational attainment, age, self-rated general health, self-rated mental health, proxy assistance with survey completion, and eligibility for Low Income Supplement.
*
p<0.05
**p<0.01
***
p<0.001.
CAHPS, Consumer Assessment of Health Care Providers and Systems; CMS, Centers for Medicare and Medicaid Services.