Health of medicare advantage plan enrollees at 1 year after Hurricane Katrina

Lynda C. Burton, Elizabeth A Skinner, Lori Uscher-Pines, Richard Lieberman, Bruce A Leff, Rebecca Clark, Qilu Yu, Klaus W. Lemke, Jonathan Weiner

Research output: Contribution to journalArticle

Abstract

Objective: To assess the effects of Hurricane Katrina on mortality, morbidity, disease prevalence, and service utilization during 1 year in a cohort of 20,612 older adults who were living in New Orleans, Louisiana, before the disaster and who were enrolled in a managed care organization (MCO). Study Design: Observational study comparing mortality, morbidity, and service use for 1 year before and after Hurricane Katrina, augmented by a stratified random sample of 303 enrollees who participated in a telephone survey after Hurricane Katrina. Methods: Sources of data for health and service use were MCO claims. Mortality was based on reports to the MCO from the Centers for Medicare & Medicaid Services; morbidity was measured using adjusted clinical groups case-mix methods derived from diagnoses in ambulatory and hospital claims data. Results: Mortality in the year following Hurricane Katrina was not significantly elevated (4.3% before vs 4.9% after the hurricane). However, overall morbidity increased by 12.6% (P

Original languageEnglish (US)
Pages (from-to)13-22
Number of pages10
JournalAmerican Journal of Managed Care
Volume15
Issue number1
StatePublished - Jan 2009

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Medicare Part C
Cyclonic Storms
Managed Care Programs
Health
Morbidity
Mortality
Organizations
Information Storage and Retrieval
Diagnosis-Related Groups
Medicaid
Disasters
Medicare
Telephone
Health Services
Observational Studies

ASJC Scopus subject areas

  • Health Policy

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Health of medicare advantage plan enrollees at 1 year after Hurricane Katrina. / Burton, Lynda C.; Skinner, Elizabeth A; Uscher-Pines, Lori; Lieberman, Richard; Leff, Bruce A; Clark, Rebecca; Yu, Qilu; Lemke, Klaus W.; Weiner, Jonathan.

In: American Journal of Managed Care, Vol. 15, No. 1, 01.2009, p. 13-22.

Research output: Contribution to journalArticle

Burton, LC, Skinner, EA, Uscher-Pines, L, Lieberman, R, Leff, BA, Clark, R, Yu, Q, Lemke, KW & Weiner, J 2009, 'Health of medicare advantage plan enrollees at 1 year after Hurricane Katrina', American Journal of Managed Care, vol. 15, no. 1, pp. 13-22.
Burton, Lynda C. ; Skinner, Elizabeth A ; Uscher-Pines, Lori ; Lieberman, Richard ; Leff, Bruce A ; Clark, Rebecca ; Yu, Qilu ; Lemke, Klaus W. ; Weiner, Jonathan. / Health of medicare advantage plan enrollees at 1 year after Hurricane Katrina. In: American Journal of Managed Care. 2009 ; Vol. 15, No. 1. pp. 13-22.
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