Table 3.
Regression Results of Relative Claims Expenditure for Medicare Beneficiaries Switching In and Switching Out of Medicare Advantage, 1999–2008
Switching-In | Switching-Out | |||||||
---|---|---|---|---|---|---|---|---|
UnWeighted | Weighted | UnWeighted | Weighted | |||||
Means | Model | Means | Model | Means | Model | Means | Model | |
Dependent variable | 0.92 (2.31) | 0.84 (0.76) | 1.27 (2.07) | 1.37 (0.99) | ||||
Base payment | 703.67 (90.30) | −0.0004 (0.0007) | 769.08 (122.63) | −0.001 (0.0007) | 686.43 (97.95) | −0.0004 (0.0008) | 768.83 (123.43) | 0.00086* (0.00048) |
HCC | 0.59 (0.40) | −0.066 (0.233) | 0.41 (0.42) | 0.222 (0.189) | 0.45 (0.42) | 0.106 (0.254) | 0.40 (0.42) | 0.639*** (0.153) |
Part D and lock-in | 0.55 (0.50) | −0.176 (0.105) | 0.36 (0.48) | 0.0004 (0.0600) | 0.41 (0.49) | −0.170 (0.118) | 0.35 (0.48) | −.286*** (0.098) |
Time trend | 6.94 (2.77) | 0.031 (0.030) | 5.71 (3.06) | 0.008 (0.014) | 6.02 (2.98) | 0.039 (0.027) | 5.64 (3.04) | −0.024* (0.014) |
Constant | 1.131** (0.442) | 1.504 (0.486) | 1.272*** (0.455) | 0.694** (0.326) | ||||
Fixed effects | Yes | Yes | Yes | Yes | ||||
Adj. R2 | 0.419 | 0.286 | 0.053 | 0.236 | ||||
N | 13,831 | 13,245 |
Dependent variables: Switching-In: The average claims experience of those who join a Medicare Advantage plan in the 6 months prior to joining divided by the average experience over the same time period of those beneficiaries residing the same county who do not enroll. Switching-Out: The average claims experience of those who disenroll from a Medicare Advantage plan in the 6 months immediately following disenrollment divided by the average experience over the same time period of those beneficiaries residing in the same county who remained in traditional Medicare. Weighted regressions use the number of Medicare Advantage enrollees in the county-year as the weight. Standard deviations are in parentheses below mean values; standard errors are in parentheses below coefficient estimates.
*, **, *** indicate statistical significance at the 90, 95, and 99 percent confidence levels, respectively.