{"id":"https://openalex.org/W7225412347","doi":"https://doi.org/10.1161/circoutcomes.126.013919","title":"Healthcare Access, Use, Affordability, and Satisfaction Among Adults With Cardiovascular Conditions After Enrollment in Medicare Advantage Versus Traditional Medicare","display_name":"Healthcare Access, Use, Affordability, and Satisfaction Among Adults With Cardiovascular Conditions After Enrollment in Medicare Advantage Versus Traditional Medicare","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225412347","doi":"https://doi.org/10.1161/circoutcomes.126.013919","pmid":"https://pubmed.ncbi.nlm.nih.gov/42990097"},"language":"en","primary_location":{"id":"doi:10.1161/circoutcomes.126.013919","doi":"https://doi.org/10.1161/circoutcomes.126.013919","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circoutcomes.126.013919","pdf_url":null,"source":{"id":"https://openalex.org/S5407055548","display_name":"Circulation Population Health and Outcomes","issn_l":"3068-563X","issn":["3068-563X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["medline"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Population Health and Outcomes","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012492337","display_name":"Andrew S. Oseran","orcid":"https://orcid.org/0000-0002-5810-5927","observed_orcids":["https://orcid.org/0000-0002-5810-5927"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew S. Oseran","raw_affiliation_strings":["Division of Cardiology (A.S.O., R.K.W.), Beth Israel Deaconess Medical Center, Boston, MA","Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA (A.S.O., A.T., Y.Q., R.K.W.)"],"raw_orcid":"https://orcid.org/0000-0002-5810-5927","affiliations":[{"raw_affiliation_string":"Division of Cardiology (A.S.O., R.K.W.), Beth Israel Deaconess Medical Center, Boston, MA","institution_ids":["https://openalex.org/I1316535847"]},{"raw_affiliation_string":"Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA (A.S.O., A.T., Y.Q., R.K.W.)","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024425616","display_name":"K Xia","orcid":"https://orcid.org/0000-0002-2997-9043","observed_orcids":["https://orcid.org/0000-0002-2997-9043"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kevin Xia","raw_affiliation_strings":["Department of Medicine (K.X.), Beth Israel Deaconess Medical Center, Boston, MA"],"raw_orcid":"https://orcid.org/0000-0002-2997-9043","affiliations":[{"raw_affiliation_string":"Department of Medicine (K.X.), Beth Israel Deaconess Medical Center, Boston, MA","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053655927","display_name":"Archana Tale","orcid":"https://orcid.org/0000-0002-1751-1187","observed_orcids":["https://orcid.org/0000-0002-1751-1187"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Archana Tale","raw_affiliation_strings":["Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA (A.S.O., A.T., Y.Q., R.K.W.)"],"raw_orcid":"https://orcid.org/0000-0002-1751-1187","affiliations":[{"raw_affiliation_string":"Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA (A.S.O., A.T., Y.Q., R.K.W.)","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101256407","display_name":"Yunzhe Qian","orcid":"https://orcid.org/0000-0002-8404-6924","observed_orcids":["https://orcid.org/0000-0002-8404-6924"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yunzhe Qian","raw_affiliation_strings":["Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA (A.S.O., A.T., Y.Q., R.K.W.)"],"raw_orcid":"https://orcid.org/0000-0002-8404-6924","affiliations":[{"raw_affiliation_string":"Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA (A.S.O., A.T., Y.Q., R.K.W.)","institution_ids":["https://openalex.org/I1316535847"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5013627666","display_name":"Rishi K. Wadhera","orcid":"https://orcid.org/0000-0003-1089-3896","observed_orcids":["https://orcid.org/0000-0003-1089-3896"]},"institutions":[{"id":"https://openalex.org/I1316535847","display_name":"Beth Israel Deaconess Medical Center","ror":"https://ror.org/04drvxt59","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316535847"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rishi K. Wadhera","raw_affiliation_strings":["Division of Cardiology (A.S.O., R.K.W.), Beth Israel Deaconess Medical Center, Boston, MA","Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA (A.S.O., A.T., Y.Q., R.K.W.)"],"raw_orcid":"https://orcid.org/0000-0003-1089-3896","affiliations":[{"raw_affiliation_string":"Division of Cardiology (A.S.O., R.K.W.), Beth Israel Deaconess Medical Center, Boston, MA","institution_ids":["https://openalex.org/I1316535847"]},{"raw_affiliation_string":"Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA (A.S.O., A.T., Y.Q., R.K.W.)","institution_ids":["https://openalex.org/I1316535847"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1316535847"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"e013919","last_page":"e013919"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicare-advantage","display_name":"Medicare Advantage","score":1.0},{"id":"https://openalex.org/keywords/fee-for-service-medicare","display_name":"fee-for-service Medicare","score":0.9909999966621399},{"id":"https://openalex.org/keywords/cardiovascular-disease","display_name":"cardiovascular disease","score":0.9290000200271606},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.8080000281333923},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.9929999709129333},{"id":"https://openalex.org/keywords/healthcare-affordability","display_name":"health care affordability","score":0.8450000286102295},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.7979999780654907},{"id":"https://openalex.org/keywords/managed-care","display_name":"managed care","score":0.7590000033378601},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9089999794960022},{"id":"https://openalex.org/keywords/prescription-drug-costs","display_name":"prescription drug costs","score":0.5699999928474426},{"id":"https://openalex.org/keywords/medicare-enrollment","display_name":"Medicare enrollment","score":0.46799999475479126}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8952000141143799},{"id":"https://openalex.org/C2778829437","wikidata":"https://www.wikidata.org/wiki/Q6806632","display_name":"Medicare Advantage","level":3,"score":0.7346000075340271},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5947999954223633},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.5651999711990356},{"id":"https://openalex.org/C2778858636","wikidata":"https://www.wikidata.org/wiki/Q1643563","display_name":"Prescription drug","level":3,"score":0.5314000248908997},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.42910000681877136},{"id":"https://openalex.org/C2909048080","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Multiple Chronic Conditions","level":3,"score":0.42239999771118164},{"id":"https://openalex.org/C3018838755","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Medical care","level":2,"score":0.4156000018119812},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4108000099658966},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4043000042438507},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4002000093460083},{"id":"https://openalex.org/C2776291444","wikidata":"https://www.wikidata.org/wiki/Q6806635","display_name":"Medicare Part D","level":4,"score":0.38830000162124634},{"id":"https://openalex.org/C2780176501","wikidata":"https://www.wikidata.org/wiki/Q5690755","display_name":"Health and Retirement Study","level":2,"score":0.38359999656677246},{"id":"https://openalex.org/C2780265253","wikidata":"https://www.wikidata.org/wiki/Q1416012","display_name":"Managed care","level":3,"score":0.37599998712539673},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.34380000829696655},{"id":"https://openalex.org/C3020672099","wikidata":"https://www.wikidata.org/wiki/Q857354","display_name":"Longitudinal data","level":2,"score":0.3319000005722046},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.32280001044273376},{"id":"https://openalex.org/C2780670349","wikidata":"https://www.wikidata.org/wiki/Q12061588","display_name":"Medication therapy management","level":4,"score":0.31529998779296875},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.3098999857902527},{"id":"https://openalex.org/C2982889124","wikidata":"https://www.wikidata.org/wiki/Q107439039","display_name":"Disease management","level":4,"score":0.295199990272522},{"id":"https://openalex.org/C2780074459","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Heart disease","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C2780128664","wikidata":"https://www.wikidata.org/wiki/Q6973004","display_name":"National Health Interview Survey","level":3,"score":0.2809999883174896},{"id":"https://openalex.org/C3018284874","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Cardiovascular health","level":3,"score":0.2800999879837036},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2784999907016754},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.27720001339912415},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.27390000224113464},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.27160000801086426},{"id":"https://openalex.org/C2987552334","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic disease","level":2,"score":0.2678000032901764},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.26759999990463257},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.2624000012874603}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1161/circoutcomes.126.013919","doi":"https://doi.org/10.1161/circoutcomes.126.013919","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circoutcomes.126.013919","pdf_url":null,"source":{"id":"https://openalex.org/S5407055548","display_name":"Circulation Population Health and Outcomes","issn_l":"3068-563X","issn":["3068-563X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["medline"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation: Population Health and Outcomes","raw_type":"journal-article"},{"id":"pmid:42990097","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42990097","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation. Population health and outcomes","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7578999996185303}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W2014408125","https://openalex.org/W2117278400","https://openalex.org/W2166114904","https://openalex.org/W2811079436","https://openalex.org/W2916016379","https://openalex.org/W3082247677","https://openalex.org/W3107828245","https://openalex.org/W3113269512","https://openalex.org/W3161163507","https://openalex.org/W3172167892","https://openalex.org/W4200358091","https://openalex.org/W4281914932","https://openalex.org/W4294218739","https://openalex.org/W4311649109","https://openalex.org/W4319045487","https://openalex.org/W4321379217","https://openalex.org/W4384008793","https://openalex.org/W4394763108","https://openalex.org/W4400349012","https://openalex.org/W4406214358","https://openalex.org/W4414978335","https://openalex.org/W4417299234","https://openalex.org/W7122621778","https://openalex.org/W7134264269","https://openalex.org/W7134927948","https://openalex.org/W7140213667"],"related_works":["https://openalex.org/W7202167595","https://openalex.org/W4294218739","https://openalex.org/W4417299234","https://openalex.org/W7171085259","https://openalex.org/W4281914932","https://openalex.org/W3096383471","https://openalex.org/W2990071540","https://openalex.org/W3046325033","https://openalex.org/W4200358091","https://openalex.org/W4405968826"],"abstract_inverted_index":{"BACKGROUND:":[0],"Cardiovascular":[1],"disease":[2,285],"is":[3],"highly":[4],"prevalent":[5],"among":[6,78,223],"older":[7,278],"adults":[8,30,79,94,112,240],"and":[9,16,33,40,55,59,76,129,154,193,260],"remains":[10,286],"a":[11,96],"leading":[12],"cause":[13],"of":[14,70,99,110,210,231],"morbidity":[15],"mortality":[17],"in":[18,67,85,118,121,131,146,168,178,216,251,258],"Medicare.":[19],"Medicare":[20,28,246],"Advantage":[21],"(MA)-the":[22],"managed":[23],"care":[24,32,72,148,182,214],"alternative":[25],"to":[26,64,191,205,277],"traditional":[27],"(TM)-offers":[29],"integrated":[31],"supplemental":[34],"benefits":[35],"that":[36],"may":[37,267],"improve":[38],"outcomes":[39],"satisfaction":[41,77,261],"for":[42,271],"this":[43,272],"high-risk":[44,273],"population.":[45],"METHODS:":[46],"We":[47],"used":[48],"longitudinal":[49],"data":[50],"from":[51],"the":[52,208,229],"National":[53],"Health":[54],"Retirement":[56],"Study":[57],"(2010-2022)":[58],"an":[60],"event-study,":[61],"difference-in-differences":[62],"design":[63],"compare":[65],"changes":[66,145],"self-reported":[68,97],"measures":[69],"health":[71,147],"access,":[73],"utilization,":[74],"affordability,":[75],"with":[80,113,171,213,220,241,255,263,282],"cardiovascular":[81,114,242],"conditions":[82,115,243],"newly":[83,116],"enrolling":[84],"MA":[86,122,153,163,224,252],"versus":[87],"TM":[88,132,155,173],"(exposure)":[89],"at":[90,156,228,247],"65":[91,248],"years.":[92],"Eligible":[93],"had":[95],"history":[98],"hypertension,":[100],"diabetes,":[101],"hyperlipidemia,":[102],"heart":[103],"disease,":[104],"or":[105,150,280],"stroke.":[106],"RESULTS:":[107],"A":[108],"total":[109],"3312":[111],"enrolled":[117],"Medicare,":[119],"34.3%":[120],"(mean":[123,133],"age,":[124,134],"63.6":[125],"years;":[126,136],"60.5%":[127],"female)":[128],"65.7%":[130],"63.5":[135],"56.5%":[137],"female).":[138],"Following":[139],"enrollment,":[140],"there":[141],"were":[142],"no":[143],"differential":[144],"access":[149],"utilization":[151],"between":[152],"any":[157],"follow-up":[158,232],"time":[159],"point.":[160],"However,":[161],"new":[162],"enrollees":[164,225],"experienced":[165],"relative":[166],"improvements":[167,257],"affordability":[169,259],"compared":[170,262],"their":[172],"counterparts,":[174],"including":[175],"greater":[176,256],"reductions":[177],"trouble":[179,194],"affording":[180,195],"medical":[181],"(difference-in-differences":[183,198,226],"estimate":[184,199,227],"-6.6":[185],"percentage":[186],"points":[187],"[95%":[188,202,235],"CI,":[189,203,236],"-12.0":[190],"-1.3])":[192],"prescription":[196],"medications":[197],"-4.6":[200],"pp":[201,234],"-9.2":[204],"-0.2])":[206],"by":[207],"end":[209,230],"follow-up.":[211],"Satisfaction":[212],"increased":[215],"both":[217],"groups":[218],"but":[219],"larger":[221],"gains":[222],"+11.3":[233],"5.2-17.4]).":[237],"CONCLUSIONS:":[238],"For":[239],"transitioning":[244],"into":[245],"years,":[249],"enrollment":[250],"was":[253],"associated":[254],"TM.":[264],"These":[265],"findings":[266],"inform":[268],"coverage":[269],"decisions":[270],"population,":[274],"though":[275],"generalizability":[276],"beneficiaries":[279],"those":[281],"more":[283],"advanced":[284],"uncertain.":[287]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-11-07T00:00:00"}