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Dissertation/Thesis Abstract

Use of CMS Star Ratings Data by Medicare Beneficiaries: A Qualitative Exploratory Case Study
by Oxley, Alicia L., D.H.A., University of Phoenix, 2018, 188; 10839330
Abstract (Summary)

How Medicare beneficiaries utilize CMS star ratings data as part of their Medicare Advantage (MA) health insurance selection criterion was the focus of this qualitative exploratory case. Limited published research exists on how Medicare beneficiaries utilize the CMS star ratings data. Without published research, ascertaining the impact of the CMS star ratings program on the intended end users is difficult. Twenty senior adults from Hillsborough County Florida comprised the sample. Three primary themes emerged from data analysis: change aversion, generalized distress, and hassle-free experiences. Study participants were change averse, preferring to retain their existing MA coverage. Participants experienced generalized distress pertaining to their MA coverage and the process of insurance procurement. Participants desired hassle-free experiences related to MA health coverage. Study participants had very limited awareness of the CMS star ratings program. Of the few participants with program awareness, none utilized the data when selecting MA health coverage. The current study involved theory triangulation to interpret and support the findings. One conceptual framework with three components was triangulated as part of the analysis of these research outcomes. Stakeholders, leaders, policy makers, and the like should consider modifying how CMS star ratings data are shared with seniors. If seniors had a better understanding of the value of these data, they may be more likely to utilize the data as part of their MA plan selection criterion.

Indexing (document details)
Advisor: Heitner, Keri L.
Commitee: Davidson, Phillip, de Charon, Linda
School: University of Phoenix
Department: School of Advanced Studies
School Location: United States -- Arizona
Source: DAI-B 79/12(E), Dissertation Abstracts International
Subjects: Health care management
Keywords: CMS star ratings, Health care decision making, Health insurance procurement, MA plan selection, Quality ratings utilization
Publication Number: 10839330
ISBN: 978-0-438-20433-1
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