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Chronic Conditions and Self-Reported Health in a Medicare Advantage Plan Population
Barbara Guerard, Vincent K. Omachonu, S. Robert Hernandez, Bisakha Sen. Population Health Management, 2016-07-15
Topic: Risk, prevention and care in population studies
Plain-language summary
Self-reported changes in physical and mental health by members are an important dimension by which the quality of a Medicare Advantage (MA) plan is rated by the Centers for Medicare & Medicaid Services. To better target their interventions, MA plans need a better understanding of what observed characteristics-including clinical health conditions-predict self-reported changes in physical and mental health. This study explored how one MA plan's survey of participants' responses regarding changes in physical and mental health is associated with a set of chronic conditions as well as sociodemographic characteristics. Multinomial logistic regressions were used to examine the influence of 9 chronic conditions and age, sex, race, education, dual eligibility status (Medicare/Medicaid eligible), marital and living status, and assistance with survey completion on changes in patient-reported physical and mental health. Six conditions-dementia (P < 0.001), diabetes (P = 0.003), congestive heart failure (P = 0.002), cerebrovascular disease (P = 0.001), coronary artery disease (CAD) (P < 0.001), and rheumatoid arthritis (P < 0.001)-were associated with self-reported worsening of overall physical health. Four conditions-dementia (P < 0.002), diabetes (P = 0.047), CAD (P = 0.001), and decubitus ulcers (P = 0.033)-were associated with self-reported worsening of overall mental health. Females, married respondents, and those needing assistance with survey completion were more likely to report worsening of their mental health. Enrollees older than age 65 actually were less likely to report worsening of overall mental health. Findings provide insight into which members may be more susceptible to reporting that their physical or mental health is worsening.
What this study adds
Evidence grade: Low
This study found that dementia was associated with self-reported worsening of both overall physical health and overall mental health in a Medicare Advantage plan population. It suggests that Medicare Advantage plans could use chronic condition information to target interventions for members.
Taken from this record’s own fields, not from reading the paper. The grade is assigned from the abstract’s wording; what that means.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Guerard, B., Omachonu, V. K., Hernandez, S. R., & Sen, B. (2016). Chronic Conditions and Self-Reported Health in a Medicare Advantage Plan Population. Population Health Management. https://doi.org/10.1089/pop.2016.0013
Vancouver
Guerard B, Omachonu VK, Hernandez SR, Sen B. Chronic Conditions and Self-Reported Health in a Medicare Advantage Plan Population. Population Health Management. 2016. doi:10.1089/pop.2016.0013. PMID: 27419921.
BibTeX
@article{guerard2016-27419921,
author = {Guerard, Barbara and Omachonu, Vincent K. and Hernandez, S. Robert and Sen, Bisakha},
title = {{Chronic Conditions and Self-Reported Health in a Medicare Advantage Plan Population}},
journal = {Population Health Management},
year = {2016},
doi = {10.1089/pop.2016.0013},
pmid = {27419921},
url = {https://doi.org/10.1089/pop.2016.0013}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- This study explored how one MA plan's survey of participants' responses regarding changes in physical and mental health is associated with a set of chronic conditions as well as sociodemographic characteristics.
- Six conditions-dementia (P < 0.001), diabetes (P = 0.003), congestive heart failure (P = 0.002), cerebrovascular disease (P = 0.001), coronary artery disease (CAD) (P < 0.001), and rheumatoid arthritis (P < 0.001)-were associated with self-reported worsening of overall physical health.
- Four conditions-dementia (P < 0.002), diabetes (P = 0.047), CAD (P = 0.001), and decubitus ulcers (P = 0.033)-were associated with self-reported worsening of overall mental health.
- Enrollees older than age 65 actually were less likely to report worsening of overall mental health.
Why it matters
This study found that dementia was associated with self-reported worsening of both overall physical health and overall mental health in a Medicare Advantage plan population. It suggests that Medicare Advantage plans could use chronic condition information to target interventions for members.
Study details
- Evidence strengthLow
How this study scored 28/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Population Health Management) |
| Journal's citation record | 0 / 4 | Population Health Management: journal h-index 60 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2016 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 5 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.4 citations a year over 12 year(s) since 2016 |
| Impact for its field and year | 1 / 6 | Cited 0.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Bisakha Sen: h-index 31 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | University of Alabama at Birmingham: institution h-index 1,118 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 27419921) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 28 / 100 | — |
What each of these 20 components measures, and what this score is not →
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