Health System Affiliation and Care for Dual-Eligible and Non–Dual-Eligible Medicare Beneficiaries
In this cohort study, health system affiliation by primary care POs was associated with both positive and negative associations with disparities for dual-eligible beneficiaries and did not reduce the largest preaffiliation disparities. Health systems must strengthen their care delivery models to expand access to specialists and avoid exacerbating disparities in follow-up care. Health systems could identify factors associated with improved care at high-percentage dual POs for replication.
Authors
- Maria DeYoreo (ORCID: https://orcid.org/0000-0002-3847-1030)
- Denis Agniel (ORCID: https://orcid.org/0000-0003-1483-2724)
- Shiyuan Zhang (ORCID: https://orcid.org/0000-0003-0615-1347)
- Justin W. Timbie (ORCID: https://orcid.org/0000-0002-9955-5270)
- José J. Escarce (ORCID: https://orcid.org/0000-0001-9371-0068)
Institutions
- RAND Corporation (US)
- University of California, Los Angeles (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-10-23
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.38770
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institutes of Health
- Agency for Healthcare Research and Quality