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Variations in Medicare Advantage Switching Rates Among African American and Hispanic Medicare Beneficiaries With Alzheimer’s Disease and Related Dementias, by Sex and Dual Eligibility
Maricruz Rivera‐Hernandez, David J. Meyers, Daeho Kim, Sungchul Park, Amal N. Trivedi. The Journals of Gerontology Series B, 2022-09-08
Topic: Amyloid, tau and blood-test diagnosis
The study included 2,284,175 FFS Medicare beneficiaries with an ADRD diagnosis in 2017. Among dual-eligible beneficiaries, adjusted rates of switching were higher among African American (1.91 percentage points [p.p.], 95% confidence interval [CI]: 1.68-2.15) and Hispanic beneficiaries (1.36 p.p., 95% CI: 1.07-1.64) compared to non-Hispanic White beneficiaries. Among males, adjusted rates were higher among African American (3.28 p.p., 95% CI: 2.97-3.59) and Hispanic beneficiaries (2.14 p.p., 95% CI: 1.86-2.41) compared to non-Hispanic White beneficiaries. Among persons with ADRD, African American and Hispanic beneficiaries are more likely than White beneficiaries to switch from FFS to MA. This finding underscores the need to monitor the quality and equity of access and care for these populations.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Rivera‐Hernandez, M., Meyers, D. J., Kim, D., Park, S., & Trivedi, A. N. (2022). Variations in Medicare Advantage Switching Rates Among African American and Hispanic Medicare Beneficiaries With Alzheimer’s Disease and Related Dementias, by Sex and Dual Eligibility. The Journals of Gerontology Series B. https://doi.org/10.1093/geronb/gbac132
Vancouver
Rivera‐Hernandez M, Meyers DJ, Kim D, Park S, Trivedi AN. Variations in Medicare Advantage Switching Rates Among African American and Hispanic Medicare Beneficiaries With Alzheimer’s Disease and Related Dementias, by Sex and Dual Eligibility. The Journals of Gerontology Series B. 2022. doi:10.1093/geronb/gbac132. PMID: 36075080.
BibTeX
@article{riverahernandez2022-36075080,
author = {Rivera‐Hernandez, Maricruz and Meyers, David J. and Kim, Daeho and Park, Sungchul and Trivedi, Amal N.},
title = {{Variations in Medicare Advantage Switching Rates Among African American and Hispanic Medicare Beneficiaries With Alzheimer’s Disease and Related Dementias, by Sex and Dual Eligibility}},
journal = {The Journals of Gerontology Series B},
year = {2022},
doi = {10.1093/geronb/gbac132},
pmid = {36075080},
url = {https://doi.org/10.1093/geronb/gbac132}
}
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
- The study included 2,284,175 FFS Medicare beneficiaries with an ADRD diagnosis in 2017.
- Among dual-eligible beneficiaries, adjusted rates of switching were higher among African American (1.91 percentage points [p.p.], 95% confidence interval [CI]: 1.68-2.15) and Hispanic beneficiaries (1.36 p.p., 95% CI: 1.07-1.64) compared to non-Hispanic White beneficiaries.
- Among males, adjusted rates were higher among African American (3.28 p.p., 95% CI: 2.97-3.59) and Hispanic beneficiaries (2.14 p.p., 95% CI: 1.86-2.41) compared to non-Hispanic White beneficiaries.
- Among persons with ADRD, African American and Hispanic beneficiaries are more likely than White beneficiaries to switch from FFS to MA.
- This finding underscores the need to monitor the quality and equity of access and care for these populations.
Why it matters
This study found that African American and Hispanic beneficiaries with Alzheimer's disease and related dementias were more likely than White beneficiaries to switch from fee-for-service to Medicare Advantage. It does not test any treatment, cure, or prevention, and it underscores the need to monitor quality and equity of access and care for these populations.
Study details
- Participants2,284,175
- Evidence strengthLow
How this study scored 45/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (The Journals of Gerontology Series B) |
| Journal's citation record | 2 / 4 | The Journals of Gerontology Series B: journal h-index 225 (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 | 4 / 4 | 2,284,175 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 7 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.2 citations a year over 6 year(s) since 2022 |
| Impact for its field and year | 1 / 6 | Cited 1.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 5 other studies in this library |
| Still being cited | 1 / 4 | Cited 5 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 | Brown University: institution h-index 1,120 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 36075080) |
| Free to read | 2 / 2 | Free to read |
| Total | 45 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1093/geronb/gbac132
- PubMed: 36075080
- Original source →
- Free full text: The Journals of Gerontology Series B →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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