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Why some rural enrollees in Medicare Advantage are switching to traditional Medicare

 E-Mail Philadelphia, Pa. More than one out of every 10 seniors (10.5%) enrolled in a Medicare Advantage plan, also known as a Medicare managed care option, and living in a rural area, switched to traditional Medicare during 2010-2016. The switch was driven primarily due to low satisfaction with care access, according to a study published this week in Health Affairs from researchers at Drexel University s Dornsife School of Public Health. By contrast, only 1.7% of rural traditional Medicare enrollees made the switch to Medicare Advantage during this period. The findings, among the first to look at rates of switching between the two options among rural versus nonrural enrollees, found a similar, yet more muted, effect among nonrural enrollees, with 2.2% of traditional Medicare enrollees and 5% of Medicare Advantage enrollees making the switch.

Is the United States Honoring its Melting Pot Identity? – Drexel News Blog

Jessie Kemmick Pintor, PhD, assistant professors in the Dornsife School of Public Health, and colleagues detail the effects of structural racism on the health of immigrants in the U.S. The authors provide evidence that chronic exposure to racism leads to worsening health over time among immigrants, particularly among those who are Black or Latinx. The authors look at allostatic load – a comprehensive measure of the body’s response to stressors during a lifespan – in both immigrants and non-immigrants across racial/ethnic groups to put a spotlight on health disparities among groups.  The authors studied the 2005-2018 National Health and Nutrition Examination survey and found that allostatic load increases with age among all groups, but at much steeper rates among Black immigrants of both genders and Latina immigrants. They argue that these findings should inform new laws to close these gaps and address structural inequities, such as access to safe housing, education, health ca

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