Healthcare Access, Use, Affordability, and Satisfaction Among Adults With Cardiovascular Conditions After Enrollment in Medicare Advantage Versus Traditional Medicare
Authors' conclusion
For adults with cardiovascular conditions transitioning into Medicare at 65 years, enrollment in MA was associated with greater improvements in affordability and satisfaction compared with TM. These findings may inform coverage decisions for this high-risk population, though generalizability to older beneficiaries or those with more advanced disease remains uncertain.
Study context
- Population
- Adults with cardiovascular conditions (self-reported history of hypertension, diabetes, hyperlipidemia, heart disease, or stroke) newly enrolling in Medicare at 65 yearsadults with cardiovascular conditions newly enrolled in Medicare
- Participants
- 3,312 adults
- Exposure
- Newly enrolling in Medicare Advantage (MA) versus traditional Medicare (TM)
- Outcome
- Health care access or utilization
- Follow-up
- Any point
Methodological detailslongitudinal data from the National Health and Retirement Study (2010-2022)
- Longitudinal data from the National Health and Retirement Study (2010-2022)
Main finding
As reported in the abstract
- No differential changes in health care access or utilization between MA and TM
Observational data: associations, not effects.
Further findings
| Outcome | Difference-in-differences estimate (percentage points) (95% CI) | |
|---|---|---|
| Trouble affording medical care · end of follow-upGreater reductions with MA | −6.6 (−12.0 to −1.3) | |
| −15−10−505Difference, percentage points (linear scale) |
| Outcome | Difference-in-differences estimate (pp) (95% CI) | |
|---|---|---|
| Trouble affording prescription medications · end of follow-upGreater reductions with MA | −4.6 (−9.2 to −0.2) | |
| −10−505Difference, pp (linear scale) |
| Outcome | Difference-in-differences estimate (pp) (95% CI) |
|---|---|
| Satisfaction with care · end of follow-upLarger gains among MA enrollees | +11.3 (5.2–17.4) |
Satisfaction with care · end of follow-up
- Satisfaction with care increased in both groups
Original publication
Healthcare Access, Use, Affordability, and Satisfaction Among Adults With Cardiovascular Conditions After Enrollment in Medicare Advantage Versus Traditional Medicare. Circ Popul Health Outcomes. Published 6 November 2026. doi:10.
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