Nate Orr
Biographic Data
| ID | 5534325 |
|---|---|
| NAME | Nate Orr |
| GIVEN NAMES | Nate |
| FAMILY NAME | Orr |
| SIGNATURE | ORR N |
| AFFILIATIONS | RAND Corporation, Santa Monica, CA |
| VERIFIED | No |
| TOTAL WORKS | 11 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 11 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 0 |
Measuring Equity in the Hospital Setting
BACKGROUND: Health care quality varies by patient factors, including race-and-ethnicity and preferred language. Addressing inequities requires identifying them and incentivizing equity. OBJECTIVES: We apply an approach first implemented in the Medicare Advantage setting to measure equity in patient experiences by race-and-ethnicity [Asian American and Native Hawaiian or Pacific Islander (AA and NHPI), Black, Hispanic, vs. White] and language pref…
Measuring Inconsistency in Quality Across Patient Groups to Target Quality Improvement
BACKGROUND: Quality improvement (QI) may be aimed at improving care for all patients, or it may be targeted at only certain patient groups. Health care providers have little guidance when determining when targeted QI may be preferred. OBJECTIVES: The aim was to develop a method for quantifying performance inconsistency and guidelines for when inconsistency indicates targeted QI, which we apply to the performance of health plans for different pati…
Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries
BACKGROUND: Each year, about 10% of Medicare Advantage (MA) enrollees voluntarily switch to another MA contract, while another 2% voluntarily switch from MA to fee-for-service Medicare. Voluntary disenrollment from MA plans is related to beneficiaries' negative experiences with their plan, disrupts the continuity of care, and conflicts with goals to reduce Medicare costs. Little is known about racial/ethnic disparities in voluntary disenrollment …
Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries
BACKGROUND: Previous studies found lower hospitalization rates for enrollees in Medicare Advantage (MA) plans than for beneficiaries with fee-for-service (FFS) coverage. MA enrollment is increasing, especially for those newly eligible for Medicare, but little is known about how service use in FFS or MA differs for new beneficiaries. OBJECTIVE: To compare differences in rates of hospitalization between MA and FFS. RESEARCH DESIGN: A retrospective …
Medicare Beneficiaries With a Specialist as Their Personal Doctor Report Better Experiences With Care
BACKGROUND: Health plans often require that patients have a personal doctor. Older adults rely on specialists for much of their care and may use a specialist in this role, but little is known about how many or which Medicare beneficiaries use specialists as their personal doctor and how their care experiences differ from others'. OBJECTIVE: To examine the prevalence and characteristics of Medicare beneficiaries with a specialist as a personal doc…
A Comparison of Methods for Classifying and Modeling Respondents Who Endorse Multiple Racial/Ethnic Categories
BACKGROUND: Race/ethnicity information is vital for measuring disparities across groups, and self-report is the gold standard. Many surveys assign simplified race/ethnicity based on responses to separate questions about Hispanic ethnicity and race and instruct respondents to "check all that apply." When multiple races are endorsed, standard classification methods either create a single heterogenous multiracial group, or attempt to impute the sing…
Using Ancillary Sociodemographic Data to Identify Sexual Minority Adults Among Those Responding “Something Else” or “Don’t Know” to Sexual Orientation Questions
BACKGROUND: General population surveys are increasingly offering broader response options for questions on sexual orientation-for example, not only gay or lesbian, but also "something else" (SE) and "don't know" (DK). However, these additional response options are potentially confusing for those who may not know what the terms mean. Researchers studying sexual orientation-based disparities face difficult methodological trade-offs regarding how be…
Care Experiences Among Medicare Beneficiaries With and Without a Personal Physician
BACKGROUND: Having a "personal" physician is a critical element to care continuity. Little is known about which older adults are more likely to lack personal physicians and if their care experiences differ from those with a personal physician. OBJECTIVE: The objective of this study was to describe care experiences and characteristics associated with not having a personal physician. RESEARCH DESIGN: We compare rates of lacking a personal physician…
Speaking Up and Walking Out
BACKGROUND: Disparities in clinical process-of-care and patient experiences are well documented for Medicare beneficiaries with ≥1 social risk factors. If such patients are less willing to express disagreement with their doctors or change doctors when dissatisfied, these behaviors may play a role in observed disparities. OBJECTIVE: To investigate the association between social risk factors and self-reported likelihood of disagreeing with or chang…
Racial/Ethnic Differences in Medicare Experiences and Immunization
Background: Although Medicare provides beneficiaries with primary access to the health care system, racial/ethnic disparities in health care experiences and preventive care are well documented in the Medicare population. Objective: To investigate disease burden and its possible impact on racial/ethnic health disparities for measures of secondary and tertiary access to health care, such as access to health plan information, obtaining recommended c…
Racial/Ethnic Disparities in Medicare Part D Experiences
OBJECTIVE: To examine racial/ethnic differences in Medicare beneficiary experiences with Medicare Part D prescription drug (PD) coverage. DATA SOURCES/STUDY SETTING: 2008 Consumer Assessment of Health Care Providers and Systems survey of U.S. Medicare beneficiaries. STUDY DESIGN: Surveys were administered by mail with phone follow-up to a nationally representative sample (61% response rate). This study examines 201,496 beneficiaries of age 65 and…
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Racial/Ethnic Disparities in Medicare Part D Experiences
OBJECTIVE: To examine racial/ethnic differences in Medicare beneficiary experiences with Medicare Part D prescription drug (PD) coverage. DATA SOURCES/STUDY SETTING: 2008 Consumer Assessment of Health Care Providers and Systems survey of U.S. Medicare beneficiaries. STUDY DESIGN: Surveys were administered by mail with phone follow-up to a nationally representative sample (61% response rate). This study examines 201,496 beneficiaries of age 65 and…
Racial/Ethnic Differences in Medicare Experiences and Immunization
Background: Although Medicare provides beneficiaries with primary access to the health care system, racial/ethnic disparities in health care experiences and preventive care are well documented in the Medicare population. Objective: To investigate disease burden and its possible impact on racial/ethnic health disparities for measures of secondary and tertiary access to health care, such as access to health plan information, obtaining recommended c…
Care Experiences Among Medicare Beneficiaries With and Without a Personal Physician
BACKGROUND: Having a "personal" physician is a critical element to care continuity. Little is known about which older adults are more likely to lack personal physicians and if their care experiences differ from those with a personal physician. OBJECTIVE: The objective of this study was to describe care experiences and characteristics associated with not having a personal physician. RESEARCH DESIGN: We compare rates of lacking a personal physician…
Speaking Up and Walking Out
BACKGROUND: Disparities in clinical process-of-care and patient experiences are well documented for Medicare beneficiaries with ≥1 social risk factors. If such patients are less willing to express disagreement with their doctors or change doctors when dissatisfied, these behaviors may play a role in observed disparities. OBJECTIVE: To investigate the association between social risk factors and self-reported likelihood of disagreeing with or chang…
Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries
BACKGROUND: Previous studies found lower hospitalization rates for enrollees in Medicare Advantage (MA) plans than for beneficiaries with fee-for-service (FFS) coverage. MA enrollment is increasing, especially for those newly eligible for Medicare, but little is known about how service use in FFS or MA differs for new beneficiaries. OBJECTIVE: To compare differences in rates of hospitalization between MA and FFS. RESEARCH DESIGN: A retrospective …
Medicare Beneficiaries With a Specialist as Their Personal Doctor Report Better Experiences With Care
BACKGROUND: Health plans often require that patients have a personal doctor. Older adults rely on specialists for much of their care and may use a specialist in this role, but little is known about how many or which Medicare beneficiaries use specialists as their personal doctor and how their care experiences differ from others'. OBJECTIVE: To examine the prevalence and characteristics of Medicare beneficiaries with a specialist as a personal doc…
A Comparison of Methods for Classifying and Modeling Respondents Who Endorse Multiple Racial/Ethnic Categories
BACKGROUND: Race/ethnicity information is vital for measuring disparities across groups, and self-report is the gold standard. Many surveys assign simplified race/ethnicity based on responses to separate questions about Hispanic ethnicity and race and instruct respondents to "check all that apply." When multiple races are endorsed, standard classification methods either create a single heterogenous multiracial group, or attempt to impute the sing…
Using Ancillary Sociodemographic Data to Identify Sexual Minority Adults Among Those Responding “Something Else” or “Don’t Know” to Sexual Orientation Questions
BACKGROUND: General population surveys are increasingly offering broader response options for questions on sexual orientation-for example, not only gay or lesbian, but also "something else" (SE) and "don't know" (DK). However, these additional response options are potentially confusing for those who may not know what the terms mean. Researchers studying sexual orientation-based disparities face difficult methodological trade-offs regarding how be…
Rates of Disenrollment From Medicare Advantage Plans Are Higher for Racial/Ethnic Minority Beneficiaries
BACKGROUND: Each year, about 10% of Medicare Advantage (MA) enrollees voluntarily switch to another MA contract, while another 2% voluntarily switch from MA to fee-for-service Medicare. Voluntary disenrollment from MA plans is related to beneficiaries' negative experiences with their plan, disrupts the continuity of care, and conflicts with goals to reduce Medicare costs. Little is known about racial/ethnic disparities in voluntary disenrollment …
Measuring Inconsistency in Quality Across Patient Groups to Target Quality Improvement
BACKGROUND: Quality improvement (QI) may be aimed at improving care for all patients, or it may be targeted at only certain patient groups. Health care providers have little guidance when determining when targeted QI may be preferred. OBJECTIVES: The aim was to develop a method for quantifying performance inconsistency and guidelines for when inconsistency indicates targeted QI, which we apply to the performance of health plans for different pati…
Measuring Equity in the Hospital Setting
BACKGROUND: Health care quality varies by patient factors, including race-and-ethnicity and preferred language. Addressing inequities requires identifying them and incentivizing equity. OBJECTIVES: We apply an approach first implemented in the Medicare Advantage setting to measure equity in patient experiences by race-and-ethnicity [Asian American and Native Hawaiian or Pacific Islander (AA and NHPI), Black, Hispanic, vs. White] and language pref…
Medicine (10 works) · Demography (8 works) · Ethnic group (8 works) · Health care (7 works) · Healthcare Policy and Management (7 works) · Family medicine (5 works) · Gerontology (5 works) · Gerontology (5 works) · Primary Care and Health Outcomes (5 works) · Patient Satisfaction in Healthcare (4 works)