Exhibit 3:

Overall differences in dual eligibles’ access to, use of, and satisfaction with care in Dual Eligible Special Needs Plans, other Medicare Advantage plans, and traditional Medicare

		Adjusted differences b
Outcome	Overall Mean among dual eligibles a	D-SNPs vs. traditional Medicare	D-SNPs vs. other Medicare Advantage
	Estimates (percentage points)
Access to care
Able to get care when needed	87.3	0.5	1.7
Has a primary care provider	83.6	2.9**	−0.7
Able to get dental care when needed c	78.3	3.6*	5.0*
Use of preventive care
Blood pressure check in last 1 year	95.9	1.6**	0.6
Blood cholesterol check in last 1 year	87.7	2.4*	−2.3
Influenza immunization last winter	62.7	5.2**	1.3
Emergency department use
No emergency department visits in last 1 year d	64.8	−1.8	−0.1
Satisfaction with care
Satisfied with overall quality of care	92.9	1.9*	1.0
Satisfied with out-of-pocket health care costs	88.7	4.8****	5.9****
Satisfied with information given about health problems	91.8	0.6	−1.3
Satisfied with ease of getting answers by phone about treatment or medications	88.3	1.8	−1.7
Satisfied with ease and convenience of getting to doctor from home	91.3	3.6****	1.8
Satisfied with availability of care from specialists	91.6	2.6**	4.2***

Statistical significance is denoted as follows:

^*P<0.10,

^**P<0.05,

^***P<0.01,

^****P<0.001.

^aOverall mean among all dual eligibles in our sample over the 2015–2019 period, weighted by survey weights.

^bAdjusted difference in the rate of each outcome between dual eligibles enrolled in D-SNPs vs. traditional Medicare (left column) or in D-SNPs vs. other Medicare Advantage plans not exclusively serving dual eligibles (right column). Estimates adjusted for covariates in Exhibit 1, annual supply of physicians per 1,000 county residents, annual supply of dentists per 1,000 county residents, state fixed effects, and year fixed effects, and weighted by a composite of propensity score weights and survey weights. Adjusted differences reported in this exhibit correspond to the differences in adjusted estimates graphed in Exhibit 2.

^cQuestion not asked in the 2015 MCBS.

^dQuestion was asked only of new survey respondents in the 2015 and 2016 MCBS.