Relationship between Patient Experience Scores and Health Insurance

Abstract

(1) Background: the patient experience may be a performance indicator in value-based reimbursement. Accordingly, providers have an incentive to understand factors that affect their patients’ experiences. This study evaluated the relationship between health insurance type and patient experience ratings. (2) Methods: individual-level demographic, health/healthcare, and patient experience data were extracted from the Full-Year Consolidated Data File of the 2019 Medical Expenditure Panel Surveys. A logistic regression was used to evaluate whether how persons—included in this study’s analytic sample (aged 18 and over with complete covariate information)—rated the healthcare they received from all their providers was associated with their health insurance types controlling for covariates. (3) Results: relative to people 18–64 years of age with private health insurance, people 18–64 years of age without health insurance were less likely to rank their healthcare as a 9 or 10—where a 10 indicates the best possible care—(OR: 0.69; p = 0.015) while people aged 65 years or over with Medicare (OR: 1.34; p = 0.002) or with Medicare/private health insurance (OR: 1.48; p < 0.001) were more likely to rank their healthcare as a 9 or 10. (4) Conclusions: Select health insurance types were associated with how patients rate their healthcare. Stakeholders could use this information to create programs aimed to improve patient experience.

Computer-mediated Communication and Healthcare Satisfaction among Middle-aged Men Living with or without HIV

“…Such a correlation has been documented in the existing literature. [24][25][26] The low satisfaction of patients without health care insurance is reflective of the financial burden of these patients to afford expensive health care and decreased odds of having a regular health care provider. [24][25][26] Also, many physicians have reported that they frequently alter their clinical management based on patients' insurance status, which may lead to patient inconvenience as physicians steer away from the most efficient plan of treatment toward lessexpensive options for patients with no insurance.…”