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Comparing the care experiences of Medicare Advantage beneficiaries with and without Alzheimer's disease and related dementias
David J. Meyers, Maricruz Rivera‐Hernandez, Daeho Kim, Laura M. Keohane, Vincent Mor, Amal N. Trivedi. Journal of the American Geriatrics Society, 2022-04-29
Topic: Risk, prevention and care in population studies
Among beneficiaries sampled by CAHPS, 22.2% with ADRD completed the survey compared to 38.5% without ADRD. Among proxy responses, beneficiaries with ADRD were 4.2 (95% CI: 0.1-8.4) percentage points less likely to report a high score for receiving needed care, and 3.5 percentage points (95% CI: 0.2-6.9) less likely to report a high score for customer service. Among non-proxy responses, those with ADRD were 9.0 (95% CI: 5.5-12.5) percentage points less likely to report a high score for needed care, and 8.5 (95% CI: 5.4-11.5) percentage points less likely to report a high score for customer service. ADRD respondents to the CAHPS were more likely to be excluded from CAHPS performance measures because they did not meet eligibility requirements and rates of non-response were higher. Among responders with or without a proxy, MA enrollees with an ADRD diagnosis reported worse care experiences in receiving needed care and in customer service than those without an ADRD diagnosis.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Meyers, D. J., Rivera‐Hernandez, M., Kim, D., Keohane, L. M., Mor, V., & Trivedi, A. N. (2022). Comparing the care experiences of Medicare Advantage beneficiaries with and without Alzheimer's disease and related dementias. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.17817
Vancouver
Meyers DJ, Rivera‐Hernandez M, Kim D, Keohane LM, Mor V, Trivedi AN. Comparing the care experiences of Medicare Advantage beneficiaries with and without Alzheimer's disease and related dementias. Journal of the American Geriatrics Society. 2022. doi:10.1111/jgs.17817. PMID: 35484976.
BibTeX
@article{meyers2022-35484976,
author = {Meyers, David J. and Rivera‐Hernandez, Maricruz and Kim, Daeho and Keohane, Laura M. and Mor, Vincent and Trivedi, Amal N.},
title = {{Comparing the care experiences of Medicare Advantage beneficiaries with and without Alzheimer's disease and related dementias}},
journal = {Journal of the American Geriatrics Society},
year = {2022},
doi = {10.1111/jgs.17817},
pmid = {35484976},
url = {https://doi.org/10.1111/jgs.17817}
}
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
- Among beneficiaries sampled by CAHPS, 22.2% with ADRD completed the survey compared to 38.5% without ADRD.
- Among proxy responses, beneficiaries with ADRD were 4.2 (95% CI: 0.1-8.4) percentage points less likely to report a high score for receiving needed care, and 3.5 percentage points (95% CI: 0.2-6.9) less likely to report a high score for customer service.
- Among non-proxy responses, those with ADRD were 9.0 (95% CI: 5.5-12.5) percentage points less likely to report a high score for needed care, and 8.5 (95% CI: 5.4-11.5) percentage points less likely to report a high score for customer service.
- ADRD respondents to the CAHPS were more likely to be excluded from CAHPS performance measures because they did not meet eligibility requirements and rates of non-response were higher.
- Among responders with or without a proxy, MA enrollees with an ADRD diagnosis reported worse care experiences in receiving needed care and in customer service than those without an ADRD diagnosis.
Why it matters
This study found that Medicare Advantage beneficiaries with Alzheimer's disease and related dementias reported worse care experiences in receiving needed care and in customer service than those without dementia, whether responses came from proxies or non-proxies. Beneficiaries with dementia were also more likely to be excluded from survey performance measures and had higher non-response rates.
Study details
- Effect size22.2%; 38.5%
- Evidence strengthLow
How this study scored 43/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, 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 (Journal of the American Geriatrics Society) |
| Journal's citation record | 3 / 4 | Journal of the American Geriatrics Society: journal h-index 344 (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 | 3 / 5 | 2022 — within 6 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 | 2 / 3 | Effect reported as a number, without an interval or test |
| 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 | 3 / 7 | Cited 15 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 2.5 citations a year over 6 year(s) since 2022 |
| Impact for its field and year | 2 / 6 | Cited 2.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 7 other studies in this library |
| Still being cited | 1 / 4 | Cited 10 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Amal N. Trivedi: h-index 42 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Vanderbilt University: institution h-index 1,199 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 35484976) |
| Free to read | 2 / 2 | Free to read |
| Total | 43 / 100 | — |
What each of these 20 components measures, and what this score is not →
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