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Publication Date: May 2001
Publisher: UCLA Center for Health Policy Research
Author(s): Steven P. Wallace; Valentine M. Villa; Vilma Enriquez-Haass; Carolyn A. Mendez-Luck
Research Area: Health
Keywords: Latino; HMOs; African Americans
Type: Brief
Coverage: California
Abstract:
This policy reports new findings on access to care of elderly enrollees in Medicare HMOs across four distinct dimensions of access: availability, accessibility, acceptability, and achieved care (Exhibit 1). The analyses compare HMO enrollees with those in traditional fee-for-service programs in California and in the rest of the nation, finding that in both California and in the rest of the country, Medicare HMOs fail to eliminate the access to care gap that Latino and African American elderly persons have with non-Latino white elderly persons. In the case of older Latinos outside of California, Medicare HMOs may even exacerbate the inequalities.