JAMA

Releases for January 15, 2013

Embargoed For Release: 3:00PM CST Tuesday, January 15, 2013

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Star Rating System Appears Helpful For Seniors Enrolling In Medicare Advantage Health Plans

INTRO: Seniors eligible for Medicare have choices when it comes to receiving medical services. They can either enroll in a fee for service system or in the Medicare Advantage Plan, where a number of private insurers contract with Medicare to deliver health care. A new study examined whether providing a star rating system for these different plans was associated with beneficiaries decisions about plan enrollment. Catherine Dolf explains in this week’s JAMA Report.

VIDEO
B-ROLL
Older man pumping gas, older man walking to car, older man and women walking down street, woman looking at computer

AUDIO
VO
AS AMERICANS BECOME ELIGIBLE FOR MEDICARE, THE BIGGEST QUESTION BECOMES WHO WILL PROVIDE THAT CARE. MEDICARE RECENTLY BEGAN PUBLICALLY REPORTING THE PERFORMANCE OF PRIVATE INSURERS INVOLVED IN THE MEDICARE ADVANTAGE PROGRAM. PATIENTS CAN SOMETIMES CHOOSE FROM 15 TO 17 DIFFERENT PLANS DEPENDING ON WHERE THEY LIVE.

AUDIO
SOT/FULL Super @:16 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:09
“Each health plan receives anywhere from 1 to 5 stars that captures the quality of care that they deliver to the population of patients that they serve.”

VIDEO
B-ROLL
Graphic:
5 star rating system

Graphic:
QUALITY INDICATORS
Preventive Care
Chronic Disease Management
Health Outcomes
Patient Satisfaction With Care

AUDIO
VO
THIS 5-STAR RATING SYSTEM IS BASED ON SEVERAL QUALITY INDICATORS INCLUDING, PREVENTIVE CARE, CARE DELIVERED FOR CHRONIC DISEASES, HEALTH OUTCOMES, AND PATIENT SATISFACTION WITH CARE.

AUDIO
SOT/FULL Super @:35 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:10
“There had not previously been a study that looked at the relationship between the quality scores that were achieved and the actual enrollment decisions that were made.”

AUDIO
VO
DR. WILLIAM SHRANK AND COLLEAGUES FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES EXAMINED 2011 ENROLLMENT DATA FROM MEDICARE ADVANTAGE PLANS. THEY STUDIED NEW ENROLLEES TO THE PLAN AND THOSE VOLUNTARILY SWITCHING PLANS.

VIDEO
B-ROLL
Dr. Shrank walking down the hallway, Dr. Shrank and colleague, women looking at computer

AUDIO
VO
DR. WILLIAM SHRANK AND COLLEAGUES FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES EXAMINED 2011 ENROLLMENT DATA FROM MEDICARE ADVANTAGE PLANS. THEY STUDIED NEW ENROLLEES TO THE PLAN AND THOSE VOLUNTARILY SWITCHING PLANS.

AUDIO
SOT/FULL Super @1:04 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:15
“If you look at both of these populations, a one star increase that puts a plan either as the best performer in a market or at least as good as the plan the switcher was previously in, is associated with over a 10 percentage point increase in the likelihood of enrollment.”

(Video covering 1st part of bite: woman looking at website)

VIDEO
GXF FULL JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super @1:18 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:13
“When quality ratings were made available it looks like somebody must be using it because patients are in large numbers moving toward the higher quality plans.”

VIDEO
B-ROLL
Star rating graphic, website page

AUDIO
VO
DR. SHRANK ALSO SAYS THE STAR RATINGS GIVE BENEFICIARIES AN ADDITIONAL VOICE AND CHOICE IN THE QUALITY OF CARE THEY RECEIVE.

AUDIO
SOT/FULL Super @1:37 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:11
“It allows Medicare beneficiaries to have a greater voice in identifying the best and the weakest plans and educate their fellow beneficiaries to make better decisions moving forward.”

(Video covering 2nd part of bite: website pages)

VIDEO
B-ROLL
Woman looking at website pages

AUDIO
VO
THE RATING SYSTEM ALSO CHALLENGES PRIVATE INSURERS TO CONTINUE PROVIDING QUALITY CARE THAT SHOULD TRANSLATE INTO GREATER ENROLLMENT AND REVENUES. CATHERINE DOLF, THE JAMA REPORT.

TAG: RESEARCHERS SAY THE CHOICES OF LOW INCOME AND SOME MINIORITY BENEFICIARIES, THOSE LIVING IN RURAL AREAS AND IN THE MIDWEST HAD WEAKER RELATIONSHIPS WITH THE ADVANTAGE PROGRAM STAR RATINGS.

INTRO: Seniors eligible for Medicare have choices when it comes to receiving medical services. They can either enroll in a fee for service system or in the Medicare Advantage Plan, where a number of private insurers contract with Medicare to deliver health care. A new study examined whether providing a star rating system for these different plans was associated with beneficiaries decisions about plan enrollment. Catherine Dolf explains in this week’s JAMA Report.

VIDEO
B-ROLL
Older man pumping gas, older man walking to car, older man and women walking down street, woman looking at computer

AUDIO
VO
AS AMERICANS BECOME ELIGIBLE FOR MEDICARE, THE BIGGEST QUESTION BECOMES WHO WILL PROVIDE THAT CARE. MEDICARE RECENTLY BEGAN PUBLICALLY REPORTING THE PERFORMANCE OF PRIVATE INSURERS INVOLVED IN THE MEDICARE ADVANTAGE PROGRAM. PATIENTS CAN SOMETIMES CHOOSE FROM 15 TO 17 DIFFERENT PLANS DEPENDING ON WHERE THEY LIVE.

AUDIO
SOT/FULL Super @:16 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:09
“Each health plan receives anywhere from 1 to 5 stars that captures the quality of care that they deliver to the population of patients that they serve.”

VIDEO
B-ROLL
Graphic:
5 star rating system

Graphic:
QUALITY INDICATORS
Preventive Care
Chronic Disease Management
Health Outcomes
Patient Satisfaction With Care

AUDIO
VO
THIS 5-STAR RATING SYSTEM IS BASED ON SEVERAL QUALITY INDICATORS INCLUDING, PREVENTIVE CARE, CARE DELIVERED FOR CHRONIC DISEASES, HEALTH OUTCOMES, AND PATIENT SATISFACTION WITH CARE.

AUDIO
SOT/FULL Super @:35 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:10
“There had not previously been a study that looked at the relationship between the quality scores that were achieved and the actual enrollment decisions that were made.”

AUDIO
VO
DR. WILLIAM SHRANK AND COLLEAGUES FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES EXAMINED 2011 ENROLLMENT DATA FROM MEDICARE ADVANTAGE PLANS. THEY STUDIED NEW ENROLLEES TO THE PLAN AND THOSE VOLUNTARILY SWITCHING PLANS.

VIDEO
B-ROLL
Dr. Shrank walking down the hallway, Dr. Shrank and colleague, women looking at computer

AUDIO
VO
DR. WILLIAM SHRANK AND COLLEAGUES FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES EXAMINED 2011 ENROLLMENT DATA FROM MEDICARE ADVANTAGE PLANS. THEY STUDIED NEW ENROLLEES TO THE PLAN AND THOSE VOLUNTARILY SWITCHING PLANS.

AUDIO
SOT/FULL Super @1:04 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:15
“If you look at both of these populations, a one star increase that puts a plan either as the best performer in a market or at least as good as the plan the switcher was previously in, is associated with over a 10 percentage point increase in the likelihood of enrollment.”

(Video covering 1st part of bite: woman looking at website)

VIDEO
GXF FULL JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super @1:18 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:13
“When quality ratings were made available it looks like somebody must be using it because patients are in large numbers moving toward the higher quality plans.”

VIDEO
B-ROLL
Star rating graphic, website page

AUDIO
VO
DR. SHRANK ALSO SAYS THE STAR RATINGS GIVE BENEFICIARIES AN ADDITIONAL VOICE AND CHOICE IN THE QUALITY OF CARE THEY RECEIVE.

AUDIO
SOT/FULL Super @1:37 William H. Shrank, M.D., M.S.H.S – Centers for Medicare & Medicaid Services Runs:11
“It allows Medicare beneficiaries to have a greater voice in identifying the best and the weakest plans and educate their fellow beneficiaries to make better decisions moving forward.”

(Video covering 2nd part of bite: website pages)

VIDEO
B-ROLL
Woman looking at website pages

AUDIO
VO
THE RATING SYSTEM ALSO CHALLENGES PRIVATE INSURERS TO CONTINUE PROVIDING QUALITY CARE THAT SHOULD TRANSLATE INTO GREATER ENROLLMENT AND REVENUES. CATHERINE DOLF, THE JAMA REPORT.

TAG: RESEARCHERS SAY THE CHOICES OF LOW INCOME AND SOME MINIORITY BENEFICIARIES, THOSE LIVING IN RURAL AREAS AND IN THE MIDWEST HAD WEAKER RELATIONSHIPS WITH THE ADVANTAGE PROGRAM STAR RATINGS.

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