FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2516220453> ?p ?o ?g. }

• W2516220453 abstract "In response to increasing fiscal pressures, the Affordable Care Act (ACA) sought to reduce Medicare Advantage plan expenses by restructuring the bidding and payment processes. The purpose of this study is to assess the effects of the ACA's payment freeze and restructuring of the bidding and payment processes on favorable risk selection in Medicare Advantage plan enrollment (objective 1) and changes in the health status of beneficiaries enrolled in Medicare Advantage plans over time (objective 2).We used the Medicare Health Outcome Survey baseline data (2007→2013) for analyses of the first objective (7 cohorts, 1.7 million beneficiaries) and the linked baseline and follow-up data (2007-2009→2011-2013) for analyses of the second objective (5 cohorts, 0.5 million beneficiaries). To examine favorable risk selection we used the following outcomes: self-rated health, falls, balance problems, falls management, frailty, and morbidity. To examine changes in beneficiary health status over time, we examined changes (over time) in these same outcomes. The focal independent variable is the policy implementation measure, which is time dependent and measures the accumulation of changes to Medicare Advantage payment policies resulting from the ACA. Multiple regression models were developed to examine the relationship between ACA implementation and outcomes of interest.In terms of favorable selection, individuals enrolled in Medicare Advantage plans post-ACA have, on average, better self-rated health (b = 0.003, p < 0.01), lower odds of falls (AOR = 0.981, p < 0.001), higher odds of falls management (AOR = 1.040, p < 0.001), lower frailty risks (IRR = 0.983, p < 0.001), and lower risks of comorbidities (IRR = 0.989, p < 0.001). In terms of health status changes over time, the results indicate that in the post-ACA period, beneficiaries reported better self-rated health (b = 0.028, p < 0.001), lower odds of falls (AOR = 0.965, p < 0.001), lower odds of balance problems (AOR = 0.958, p < 0.001), lower odds of falls management (AOR = 0.981, p < 0.05), lower frailty risks (IRR = 0.944, p < 0.001), and lower risks of comorbidity (IRR = 0.986, p < 0.001) at follow up compared to the same risks at baseline.These findings suggest that as the Medicare Advantage payment policies in the ACA were being implemented, plans may have engaged in favorable selection activities, yet beneficiaries exhibited more favorable health outcomes." @default.
• W2516220453 created "2016-09-16" @default.
• W2516220453 creator A5022568549 @default.
• W2516220453 creator A5027061842 @default.
• W2516220453 creator A5027627100 @default.
• W2516220453 creator A5029878388 @default.
• W2516220453 creator A5055396064 @default.
• W2516220453 date "2016-08-18" @default.
• W2516220453 modified "2023-10-09" @default.
• W2516220453 title "The impact of the affordable care Act (ACA) on favorable risk selection and Beneficiaries’ health status in Medicare advantage: a preliminary assessment" @default.
• W2516220453 cites W1121678479 @default.
• W2516220453 cites W168947732 @default.
• W2516220453 cites W17703900 @default.
• W2516220453 cites W1980755918 @default.
• W2516220453 cites W2015921607 @default.
• W2516220453 cites W2019264913 @default.
• W2516220453 cites W2024905544 @default.
• W2516220453 cites W2081857124 @default.
• W2516220453 cites W2124979180 @default.
• W2516220453 cites W2132057825 @default.
• W2516220453 cites W2149860264 @default.
• W2516220453 cites W2158907262 @default.
• W2516220453 cites W2164821482 @default.
• W2516220453 cites W2174475500 @default.
• W2516220453 cites W2241751268 @default.
• W2516220453 cites W2252362503 @default.
• W2516220453 cites W2312870885 @default.
• W2516220453 cites W2411338758 @default.
• W2516220453 cites W3125798251 @default.
• W2516220453 cites W751462221 @default.
• W2516220453 doi "https://doi.org/10.1186/s12913-016-1663-4" @default.
• W2516220453 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4990876" @default.
• W2516220453 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27539191" @default.
• W2516220453 hasPublicationYear "2016" @default.
• W2516220453 type Work @default.
• W2516220453 sameAs 2516220453 @default.
• W2516220453 citedByCount "0" @default.
• W2516220453 crossrefType "journal-article" @default.
• W2516220453 hasAuthorship W2516220453A5022568549 @default.
• W2516220453 hasAuthorship W2516220453A5027061842 @default.
• W2516220453 hasAuthorship W2516220453A5027627100 @default.
• W2516220453 hasAuthorship W2516220453A5029878388 @default.
• W2516220453 hasAuthorship W2516220453A5055396064 @default.
• W2516220453 hasBestOaLocation W25162204531 @default.
• W2516220453 hasConcept C10138342 @default.
• W2516220453 hasConcept C111368507 @default.
• W2516220453 hasConcept C126322002 @default.
• W2516220453 hasConcept C12725497 @default.
• W2516220453 hasConcept C127313418 @default.
• W2516220453 hasConcept C137992405 @default.
• W2516220453 hasConcept C138816342 @default.
• W2516220453 hasConcept C142724271 @default.
• W2516220453 hasConcept C143095724 @default.
• W2516220453 hasConcept C144133560 @default.
• W2516220453 hasConcept C145642194 @default.
• W2516220453 hasConcept C151956035 @default.
• W2516220453 hasConcept C159110408 @default.
• W2516220453 hasConcept C160735492 @default.
• W2516220453 hasConcept C162118730 @default.
• W2516220453 hasConcept C162324750 @default.
• W2516220453 hasConcept C26869875 @default.
• W2516220453 hasConcept C2776534028 @default.
• W2516220453 hasConcept C2776643233 @default.
• W2516220453 hasConcept C2778829437 @default.
• W2516220453 hasConcept C40423286 @default.
• W2516220453 hasConcept C50522688 @default.
• W2516220453 hasConcept C71924100 @default.
• W2516220453 hasConcept C99454951 @default.
• W2516220453 hasConceptScore W2516220453C10138342 @default.
• W2516220453 hasConceptScore W2516220453C111368507 @default.
• W2516220453 hasConceptScore W2516220453C126322002 @default.
• W2516220453 hasConceptScore W2516220453C12725497 @default.
• W2516220453 hasConceptScore W2516220453C127313418 @default.
• W2516220453 hasConceptScore W2516220453C137992405 @default.
• W2516220453 hasConceptScore W2516220453C138816342 @default.
• W2516220453 hasConceptScore W2516220453C142724271 @default.
• W2516220453 hasConceptScore W2516220453C143095724 @default.
• W2516220453 hasConceptScore W2516220453C144133560 @default.
• W2516220453 hasConceptScore W2516220453C145642194 @default.
• W2516220453 hasConceptScore W2516220453C151956035 @default.
• W2516220453 hasConceptScore W2516220453C159110408 @default.
• W2516220453 hasConceptScore W2516220453C160735492 @default.
• W2516220453 hasConceptScore W2516220453C162118730 @default.
• W2516220453 hasConceptScore W2516220453C162324750 @default.
• W2516220453 hasConceptScore W2516220453C26869875 @default.
• W2516220453 hasConceptScore W2516220453C2776534028 @default.
• W2516220453 hasConceptScore W2516220453C2776643233 @default.
• W2516220453 hasConceptScore W2516220453C2778829437 @default.
• W2516220453 hasConceptScore W2516220453C40423286 @default.
• W2516220453 hasConceptScore W2516220453C50522688 @default.
• W2516220453 hasConceptScore W2516220453C71924100 @default.
• W2516220453 hasConceptScore W2516220453C99454951 @default.
• W2516220453 hasLocation W25162204531 @default.
• W2516220453 hasLocation W25162204532 @default.
• W2516220453 hasLocation W25162204533 @default.
• W2516220453 hasLocation W25162204534 @default.
• W2516220453 hasOpenAccess W2516220453 @default.
• W2516220453 hasPrimaryLocation W25162204531 @default.
• W2516220453 hasRelatedWork W1512033869 @default.
• W2516220453 hasRelatedWork W2012731499 @default.

• next