New Medicare analysis study reveals critical gaps and disparities in access to Parkinson'sdisease care
Utilization was calculated for physician services , therapy services , and mental health services . Healthcare utilization was summarized as a function of age, sex, race and ethnicity, and rurality derived from data found in the Master Beneficiary Summary File. Chronic condition flags for anxiety and depression indicators were applied for FFS enrollees; these flags were reconstructed using diagnostic information on encounter data for MA enrollees.
Additionally, therapy utilization and mental health service utilization was analyzed as a function of physician service utilization.Demographic characteristics and prevalence of Parkinson’s disease in the Medicare population were summarized with descriptive statistics. Inferential statistics were used to describe and quantify cohort differences in healthcare services utilization. Outcomes were compared statistically between cohorts using chi-squared tests.
Another limitation is the potential for both under- and over-estimation of the PD services utilization among the population in this study. First, this study likely underestimates utilization of health care services in the population of Medicare beneficiaries living with PD, due to missing provider data, inaccurate and/or incomplete coding, and interruptions or changes to Medicare enrollment and/or coverage.
Finally, the decision to focus on data from 2019 stemmed from a desire to concentrate on health care consumption patterns in a single calendar year prior to the short-term disruption in care seeking and care access patterns brought on by the COVID-19 pandemic in 2020. The year 2019 was chosen because it was the most current year of available Medicare Advantage data at the time the research was conducted.
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