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Insurance Knowledge and Decision-Making Practices Among Medicare Beneficiaries and Their Caregivers

Bibliographic Data

ID9104802
AuthorsCarla Bann (0000-0001-9305-8305, RTI International, corresponding author), Carla M Bann, Nancy D Berkman (0000-0003-3617-1082), Nancy Berkman, Tzy-Mey Kuo, Tzy‐Mey Kuo (0000-0003-0700-5990)
Year2004
Volume42
Issue11
Pages1091-1099
Publication date2004-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200411000-00008
PMID15586836
OpenAlexW2086849292
LanguageEN
Citations received1
References cited5

BACKGROUND: The complexity of health plans and the Medicare program may require some beneficiaries to seek help when making health insurance decisions. However, there has been little research examining the Medicare-related knowledge and information gathering of beneficiaries who receive decision-making help and those who assist them. OBJECTIVES: We sought to compare the Medicare knowledge and information-gathering of beneficiaries who receive help with insurance decisions or their proxy respondents with beneficiaries who make their own decisions. RESEARCH DESIGN: Data were drawn from the 2000 Medicare Current Beneficiary Survey (MCBS), which includes a nationally representative sample of noninstitutionalized Medicare beneficiaries. SUBJECTS: We included a total of 11,978 beneficiaries and 1401 proxies who completed the MCBS. MEASURES: Measures were items and indices from the MCBS measuring the Medicare education campaign goals of access, awareness, and use of information sources, understanding of Medicare, and confidence in decision-making. RESULTS: Beneficiaries who receive help with health insurance decisions have lower knowledge of the Medicare program and are less likely to be aware of and use information sources than beneficiaries who make their own decisions. With few exceptions, proxy respondents had similar levels of access and knowledge as beneficiaries who make their own insurance decisions. CONCLUSIONS: Beneficiaries who receive help with their insurance decisions may be a particularly vulnerable population. They may have limited Medicare knowledge and not be aware of the resources that could help them

Actuarial science · Beneficiary · Business · Data collection · Environmental health · Family medicine · Population · Proxy (statistics) · Finance · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medication Adherence and Compliance · Medicine

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  • Health Literacy Among Medicare Enrollees in a Managed Care Organization

    Julie A Gazmararian•JAMA•1999

Unique citing works1
Citations per year0,05
Citation span2007 - 2007 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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