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Medicare Beats Private Plans for Patient Satisfaction: Survey
Date:7/19/2012

neficiaries improved over the past decade, while access to care and problems with medical costs got worse for adults with other types of health plans.

People with individual or employer-sponsored health plans were much more likely to have high out-of-pocket expenses, the researchers said. Although 29 percent of older adults on Medicare reported spending 10 percent or more of their income on medical costs, 37 percent of those with employer-based insurance and 58 percent with individual insurance did the same.

Paying rent and buying food and other essentials was a problem for 27 percent of adults with employer-sponsored plans and 33 percent of those with individual insurance. On the other hand, 13 percent of Medicare beneficiaries were unable to pay for their basic necessities.

For Medicare patients, however, satisfaction with their coverage depends on whether they were enrolled in traditional Medicare plans or in Medicare Advantage plans that are offered by private insurance companies.

Although 15 percent of people with Medicare Advantage rated their insurance as fair or poor, just 6 percent with traditional Medicare felt the same way about their coverage.

People with Medicare Advantage plans also were more likely to have trouble affording their medical care than those with traditional Medicare. Thirty-two percent of those enrolled in Medicare Advantage had at least one problem with accessing care due to cost, compared with 23 percent of those with traditional Medicare.

"In the policy debates over the federal budget deficit, the affordability of Medicare and the expansion of health insurance through the Affordable Care Act, listening to the experiences of individuals -- whether covered by Medicare or private employer insurance -- is important," the study's authors wrote.

The researchers concluded that state insurance exchanges to be established in 2014 may be a way for states to offer traditional Medicare coverage to workin
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