Minority Health Archive

Disparity Implications of Medicare Eligibility Criteria for Medication Therapy Management Services

Wang, Junling and Mullins, C. Daniel and Brown, Lawrence M. and Shih, Ya-Chen Tina and Dagogo-Jack, Samuel and Hong, Song Hee and Cushman, William C. (2010) Disparity Implications of Medicare Eligibility Criteria for Medication Therapy Management Services. Health Services Research, 45 (4). pp. 1061-1082. ISSN 00179124

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Abstract

OBJECTIVE: To determine whether there would be racial and ethnic disparities in meeting eligibility criteria for medication therapy management (MTM) services implemented in 2006 for Medicare beneficiaries. DATA SOURCES/STUDY SETTING: Secondary data analyses of the Medical Expenditure Panel Survey (2004-2005). STUDY DESIGN: Logistic regression and recycled predictions were used to test the disparities in meeting eligibility criteria across racial and ethnic groups. The eligibility thresholds used by health plans in 2006 and new thresholds recommended for 2010 were examined. Racial and ethnic disparities were examined by comparing non-Hispanic blacks (blacks) with non-Hispanic whites (whites) and comparing Hispanics with whites, respectively. Disparities were also examined among individuals with severe health problems. PRINCIPAL FINDINGS: According to 2006 thresholds, the adjusted odds ratios for meeting eligibility criteria for blacks and Hispanics to whites were 0.36-0.60 (p<.05) and 0.13-0.46 (p<.05), respectively. Blacks and Hispanics would be 21-34 and 32-38 percent, respectively, less likely to be eligible than whites according to recycled predictions. Similar patterns were found using the 2010 eligibility thresholds and among individuals with severe health problems. CONCLUSIONS: There would be racial and ethnic disparities in meeting MTM eligibility criteria. Future research is warranted to confirm the findings using data after MTM implementation.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: racial and ethnic disparities, medication therapy management (MTM), Medicare beneficiaries
Subjects: Health > Health Equity > Access To Healthcare
Health > Disparities
Research
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Depositing User: Users 141 not found.
Date Deposited: 26 Jun 2011 17:17
Last Modified: 26 Jun 2011 17:17
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/2636

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