Marc N. Elliott, PhD
Articles
Understanding the Social Risk Factor Adjustment’s Effect on Star Ratings
This article examines how CMS’ adjustment for social risk factors affects the Medicare Advantage Star Ratings and the type of contracts affected by the adjustment.
Development of a Medicare Plan Dashboard to Promote Health Equity
Health plans use data to decide on quality improvement initiatives. Having a dashboard that characterizes how equitably plans are serving their enrollees would promote health equity.
Poor Self-rated Mental Health and Medicare Beneficiaries’ Routine Care-Seeking
Efforts are needed to ensure that Medicare beneficiaries with poor mental health receive regular routine care, which may be facilitated by having a personal doctor.
Sex Differences in Medicare Beneficiaries’ Experiences by Low-Income Status
Only low-income male Medicare beneficiaries had worse patient experience than their female counterparts. The authors discuss opportunities to improve experiences for all patients.
Practices and Changes Associated With Patient-Centered Medical Home Transformation
Practices undertake many care delivery changes and quality improvement practices to become patient-centered medical homes (PCMHs), and these differ by years of PCMH recognition.
The Development of a Patient-Reported Functional Limitations Index
We describe an easy-to-interpret, patient-reported Functional Limitations Index that can be used to monitor care of patients along the disability continuum.
Adjusting Medicare Advantage Star Ratings for Socioeconomic Status and Disability
CMS implemented the Categorical Adjustment Index as part of the Medicare Advantage and Part D Star Rating Program in 2017. These analyses informed its development. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
Patient-Reported Denials, Appeals, and Complaints: Associations With Overall Plan Ratings
Patient ratings of plans and care were lower among beneficiaries filing complaints or reporting denied care. Appeals did not further predict ratings, but successful complaint resolution did.
Beyond Black and White: Race/Ethnicity and Health Status Among Older Adults
This study examines disparities in important patient-reported functional outcomes not routinely assessed among diverse racial/ethnic groups in Medicare managed care.
