{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:22Z","timestamp":1753876282297,"version":"3.41.2"},"reference-count":67,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005189","name":"Leukemia and Lymphoma Society","doi-asserted-by":"publisher","award":["HSR 9017-23"],"award-info":[{"award-number":["HSR 9017-23"]}],"id":[{"id":"10.13039\/100005189","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["T32 HS026122"],"award-info":[{"award-number":["T32 HS026122"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30 CA046592","P30 CA068485"],"award-info":[{"award-number":["P30 CA046592","P30 CA068485"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Understanding the downstream consequences of initial Medicare plan selection is necessary to ensure access to and affordability of health care services, especially for older adults with serious illness. We used 2008-2020 data from the Health and Retirement Study to estimate financial and health burden by initial Medicare plan selection (traditional Medicare without supplemental coverage, traditional Medicare plus supplemental coverage, or Medicare Advantage) and self-reported history of cancer. Initially choosing benefits with greater financial protections (either traditional Medicare plus supplemental coverage or Medicare Advantage) relative to traditional Medicare without supplemental coverage was associated with lower levels of out-of-pocket spending and a lower likelihood of reporting cost-related medication nonadherence and fair or poor health. Policymakers should consider improving the adequacy of traditional Medicare coverage to ensure the affordability of health care services and reduce the burden of serious illness among older adults, especially those with a history of cancer.<\/jats:p>","DOI":"10.1093\/haschl\/qxaf001","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T08:41:56Z","timestamp":1737448916000},"source":"Crossref","is-referenced-by-count":1,"title":["Estimating financial and health burden by initial Medicare plan choice and history of cancer"],"prefix":"10.1093","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3467-2502","authenticated-orcid":false,"given":"Shelley A","family":"Jazowski","sequence":"first","affiliation":[{"name":"Department of Social Sciences and Health Policy, Wake Forest University School of Medicine , Winston-Salem, NC 27101 ,","place":["United States"]},{"name":"Department of Health Policy, Vanderbilt University School of Medicine , Nashville, TN 37203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2559-6627","authenticated-orcid":false,"given":"Emma M","family":"Achola","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Vanderbilt University School of Medicine , Nashville, TN 37203 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0759-2849","authenticated-orcid":false,"given":"Lauren Hersch","family":"Nicholas","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Geriatrics, University of Colorado Anschutz Medical Campus , Aurora, CO 80045 ,","place":["United States"]},{"name":"University of Colorado Comprehensive Cancer Center , Aurora, CO 80045 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William A","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of North Carolina at Chapel Hill School of Medicine , Chapel Hill, NC 27599 ,","place":["United States"]},{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill , Chapel Hill, NC 27599 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2281-2056","authenticated-orcid":false,"given":"Christopher R","family":"Friese","sequence":"additional","affiliation":[{"name":"University of Michigan School of Nursing , Ann Arbor, MI 48109 ,","place":["United States"]},{"name":"Department of Health Management and Policy, University of Michigan School of Public Health , Ann Arbor, MI 48109 ,","place":["United States"]},{"name":"Rogel Cancer Center, University of Michigan , Ann Arbor, MI 48109 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3907-9196","authenticated-orcid":false,"given":"Stacie B","family":"Dusetzina","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Vanderbilt University School of Medicine , Nashville, TN 37203 ,","place":["United States"]},{"name":"Vanderbilt-Ingram Cancer Center , Nashville, TN 37232 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"volume-title":"Traditional Medicare or Medicare Advantage: How Older Americans Choose and Why","year":"2022","author":"Leonard","key":"2025012108414794100_qxaf001-B1"},{"key":"2025012108414794100_qxaf001-B2"},{"volume-title":"Medigap Enrollment and Consumer Protections Vary Across States","year":"2018","author":"Boccuti","key":"2025012108414794100_qxaf001-B3"},{"volume-title":"Medicare Advantage: How Robust Are 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