Evaluation of Medicare managed care in a predominantly minority community

The Foundation's Generalist Physician Faculty Scholars Program was designed to strengthen the presence of generalist physician faculty in the nation's medical schools through career development awards to outstanding junior faculty in medical school departments/divisions of family medicine, general internal medicine, and general pediatrics. This grant supports the study of whether Medicare managed care plans meet the special health care needs of minority elders. It will review a series of studies using well validated measures of health, functional status, access to care, and quality of care in elderly Medicare recipients enrolled in managed care and traditional fee-for-service arrangements in northern Manhattan. An in-depth review of the literature on the impact of managed care in minority communities will be conducted and the following hypotheses will be tested: (1) Elders in the predominantly minority community who are enrolled in managed care are more likely to be healthier, while sicker or more functionally impaired elders are more likely to remain in traditional fee-for-service Medicare. (2) Elders who are enrolled in managed care plans are more likely to report greater difficulty with access to health care and report more problems with quality of care than those in fee-for-service. The main contribution of this research will be to study Medicare managed care in a representative sample of a predominantly minority community by combining detailed functional status data with a well-validated instrument to measure access and quality of care.

Grant Details

Amount Awarded $239,800.00

Awarded on: 5/26/1999

Time frame: 7/1/1999 - 6/30/2004

Grant Number: 36830


Columbia University College of Physicians & Surgeons

630 West 168th Street
New York, 10032-3725


Olveen Carrasquillo
Project Director