HMO Enrollment by Medicare Beneficiaries in Heterogeneous Communities

This study examines the effect of ethnicity, race, and other socioeconomic and utilization variables on belonging to a fee-for-service or capitated plan by Medicare beneficiaries. Native-born beneficiaries cite health status, physical access to health care facilities, and income levels as affecting their choice. Immigrants, on the other hand, mention age, a lifestyle of living alone, and income as influencing their decision. Among foreign-born nationals, race appears to play an important role in choosing health care plans. A key factor affecting enrollment among immigrant populations appears to be the availability of ethnic sensitive providers of health care. While the elderly Hispanic immigrant population utilizes participating providers in prepaid plans catering to a Spanish-speaking population, the lack of similar facilities among predominantly black immigrant neighborhoods inhibits participation in HMOs by elderly immigrants from places such as Haiti and the Caribbean Basin. Policy implications are discussed

Business · Economic growth · Economics · Environmental health · Ethnic group · Foreign born · Geography · Health care · Immigration · Political science · Population · Race (biology) · Socioeconomic status · Sociology · Demography · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Patient Satisfaction in Healthcare · Gerontology

• Community characteristics as predictors of perceived HMO quality

  Open Access•Melissa M Ahern, Michael S Hendryx et al.•Health & Place•1998

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• Impact of integrated care models on inpatient costs and health services efficiency

  Open Access•Xuezhu Li, Wensu Zhou et al.•Health Policy and Planning•2026

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• Health insurance coverage among foreign-born US residents

  Mae Thamer, Chelsea Richard et al.•American Journal of Public Health•1997

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• The Importance of Sense of Community on People's Perceptions of Their Health-Care Experiences

  Melissa M Ahern, Michael S Hendryx et al.•Medical Care•1996

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• Age Differences in HMO Receptivity

  Open Access•Russell A Ward•Journal of Aging and Health•1989

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• Employee Premiums, Availability of Alternative Plans, and HMO Disenrollment

  Stephen H Long, Russell F Settle et al.•Medical Care•1988

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• The Importance of Distinguishing Hispanic Subpopulations in the Use of Medical Care

  Claudia L Schur, Amy B Bernstein et al.•Medical Care•1987

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• The Growth of HMOs

  David Mechanic, Norma Weiss et al.•Medical Care•1983

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• Age Differences in the Use of Medical Care in an HMO

  Judith H Hibbard, Clyde R Pope•Medical Care•1986

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• HMO Satisfaction and Understanding Among Recent Medicare Enrollees

  Russell A Ward•Journal of Health and Social…•1987

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