Medicare Advantage Associated With More Racial Disparity Than Traditional Medicare For Hospital Readmissions.
We compared racial disparities in thirty-day readmissions between traditional Medicare and Medicare Advantage beneficiaries who underwent one of six major surgeries in New York State in 2013. We found that Medicare Advantage was associated with greater racial disparity, compared to traditional Medicare. After controlling for patient, hospital, and geographic characteristics in a propensity score based approach, we found that in traditional Medicare, black patients were 33 percent more likely than white patients to be readmitted, whereas in Medicare Advantage, black patients were 64 percent more likely than white patients to be readmitted. Our findings suggest that the risk-reduction strategies adopted by Medicare Advantage plans have not been successful in lowering the markedly higher rate of readmission among black patients, compared to white patients.
['Li|Yue|Y|', 'Cen|Xi|X|', 'Cai|Xueya|X|', 'Thirukumaran|Caroline P|CP|', 'Zhou|Jie|J|', 'Glance|Laurent G|LG|']
D001741:African Americans D000368:Aged D005260:Female D054624:Health Status Disparities D006801:Humans D008297:Male D006278:Medicare D020398:Medicare Part C D009518:New York D010359:Patient Readmission D044469:Racial Groups D014481:United States D044465:Whites
Medicare Advantage 30-day readmission racial/ethnic disparity surgical outcome