Gender Differences in Patient Experience Across Medicare Advantage Plans.

Abstract Background Medicare beneficiaries annually select fee-for-service Medicare or a private Medicare insurance (managed care) plan; information about plan performance on quality measures can inform their decisions. Although there is drill-down information available regarding quality variation by race and ethnicity, there remains a dearth of evidence regarding the extent to which care varies by other key beneficiary characteristics, such as gender. We measured gender differences for six patient experience measures and how gender gaps differ across Medicare plans. Methods We used data from 300,979 respondents to the 2015–2016 Medicare Advantage Consumer Assessment of Healthcare Providers and Systems surveys. We fit case mix–adjusted linear mixed-effects models to estimate gender differences and evaluate heterogeneity in differences across health plans. Results Nationally, women's experiences were better than men's (p  Conclusions Although the average national differences in patient experience by gender were generally small, gender gaps were larger in some health plans and for specific measures. This finding indicates opportunities for health plans with larger gender gaps to implement quality improvement efforts.