[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-422015-105":3,"doc-detail-422015-en":81,"detail-sidebar-cat-0-en-105":98},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","is-limited-english-proficiency-or-speaking-spanish-associated-with-medicare-advantage-enrollment-abstract","IS LIMITED ENGLISH PROFICIENCY OR SPEAKING SPANISH ASSOCIATED WITH MEDICARE - Advantage Enrollment - Abstract","","Medicare beneficiaries increasingly receive benefits through private Medicare Advantage (MA) plans. Previous work suggests higher MA enrollment among Latino, Black, and low-income groups, but patterns for Spanish speakers and limited English proficiency (LEP) have been unclear. Using nationally representative Medicare Current Beneficiary Survey data, linear probability models estimate MA enrollment differences by Spanish language and LEP, adjusted for social, health, local MA market factors, year, and county fixed effects. Results show higher MA enrollment for Spanish speakers, especially Spanish speakers with LEP, yet adjusted models find no independent association. Findings also align with racial/ethnic and socioeconomic enrollment differences, suggesting social factors may guide MA marketing, benefit design, and quality policies.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/is-limited-english-proficiency-or-speaking-spanish-associated-with-medicare-advantage-enrollment-abstract/422015/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/is-limited-english-proficiency-or-speaking-spanish-associated-with-medicare-advantage-enrollment-abstract/422015.png","ImageObject",300,407,{"name":42,"@type":43},"Mabel","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What question does the study address?","Question",{"text":63,"@type":64},"It examines whether speaking Spanish and/or limited English proficiency is associated with Medicare Advantage enrollment.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How was MA enrollment analyzed?",{"text":68,"@type":64},"The study uses nationally representative Medicare Current Beneficiary Survey data and linear probability models, adjusted for social, health, local MA market characteristics, year, and county fixed effects.",{"name":70,"@type":61,"acceptedAnswer":71},"What did the adjusted results show about Spanish and LEP?",{"text":72,"@type":64},"After adjustment, neither speaking Spanish nor LEP status was associated with MA enrollment in the full sample, and LEP was also not associated when analyzed separately among Spanish and non-Spanish speakers.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},422015,1790789979,{"code":4,"msg":82,"data":83},"success",{"doc_id":79,"user_id":84,"nickname":42,"user_avatar":85,"doc_module":4,"category_id":86,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":87,"file_id":88,"file_url":89,"file_type":90,"file_size":91,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":92,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":93,"faqs":94,"seo_title":95,"seo_description":12,"update_tm":96,"read_time":97,"preview_page_count":4},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674",7,"Innovation in Aging, 2025, Vol. 9, No. S2 79  \nAbstract citation ID: igaf122.264  \nIS LIMITED ENGLISH PROFICIENCY OR SPEAKING SPANISH ASSOCIATED WITH MEDICARE  \nADVANTAGE ENROLLMENT?  \nLilly Estenson1, Eric Roberts2, and Mireille Jacobson1,  \n1. University of Southern California, Los Angeles, California, United States, 2. University of Pennsylvania, Philadelphia, Pennsylvania, United States  \nMedicare beneficiaries increasingly choose to receive their Medicare benefits through private Medicare Advantage (MA) plans. While prior research has identified higher MA enrollment rates among Latino, Black, and low-income beneficiaries, trends among beneficiaries who speak Spanish and/or have limited English proficiency (LEP) are less clear. Accordingly, we used nationally representative Medicare Current Beneficiary Survey data and linear probability models to estimate differences in MA enrollment by Spanish language and LEP status. We adjusted for social, health, and local MA market characteristics, year, and county fixed effects. Among approximately 30,000 respondents,  \n80 Innovation in Aging, 2025, Vol. 9, No. S2  \n6.0% spoke Spanish, and separately, 6.1% had LEP.  \nSpanish-speaking beneficiaries had substantially higher rates of MA enrollment (58.9%) compared to non-Spanish-speaking beneficiaries (36.2%) . Among Spanish speakers, beneficiaries with LEP had higher MA enrollment than beneficiaries with English proficiency (60.9% vs 51.1%) . Among non-Spanish speakers, differences in MA enrollment by LEP status were minimal (36.6% vs 36.3%) . In adjusted models, neither speaking Spanish nor LEP status was associated with MA enrollment when examined in the full sample. LEP status was not associated with MA enrollment when examined among Spanish-and non-Spanish speakers separately. Our results highlight higher rates of MA enrollment among Spanish-speaking beneficiaries, especially Spanish speakers with LEP. However, after adjusting for covariates, neither speaking Spanish nor LEP appear to independently account for MA enrollment differences. Additionally, our results support prior evidence of racial/ethnic and socioeconomic MA enrollment differences. Understanding the role of social factors in choosing MA can inform MA marketing, benefit design, and quality improvement policies.","cbCaikKZARV0wtSR","https://ap.wps.com/l/cbCaikKZARV0wtSR","pdf",204099,"English","# Abstract\n## Study objective and data\n## Methods and adjustments\n## Key findings by language and LEP\n## Interpretation and policy implications","[{\"question\":\"What question does the study address?\",\"answer\":\"It examines whether speaking Spanish and/or limited English proficiency is associated with Medicare Advantage enrollment.\"},{\"question\":\"How was MA enrollment analyzed?\",\"answer\":\"The study uses nationally representative Medicare Current Beneficiary Survey data and linear probability models, adjusted for social, health, local MA market characteristics, year, and county fixed effects.\"},{\"question\":\"What did the adjusted results show about Spanish and LEP?\",\"answer\":\"After adjustment, neither speaking Spanish nor LEP status was associated with MA enrollment in the full sample, and LEP was also not associated when analyzed separately among Spanish and non-Spanish speakers.\"}]","IS LIMITED ENGLISH PROFICIENCY OR SPEAKING SPANISH ASSOCIATED WITH MEDICARE - Advantage Enrollment - Abstract | PDF",1790626043,5,{"code":4,"msg":82,"data":99},[100,104,108,112,116,121,124,129,134,137,140],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":109,"show_sort_weight":110,"slug":111},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":113,"show_sort_weight":114,"slug":115},"Comic",60,"comic",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":118,"show_sort_weight":119,"slug":120},6,"Technology",50,"technology",{"id":86,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":122,"slug":123},40,"healthcare",{"id":125,"doc_module":4,"doc_module_name":25,"category_name":126,"show_sort_weight":127,"slug":128},8,"Research & Report",30,"research-report",{"id":130,"doc_module":4,"doc_module_name":25,"category_name":131,"show_sort_weight":132,"slug":133},9,"Religion & Spirituality",20,"religion-spirituality",{"id":132,"doc_module":4,"doc_module_name":25,"category_name":135,"show_sort_weight":132,"slug":136},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":138,"show_sort_weight":55,"slug":139},"Lifestyle","lifestyle",{"id":141,"doc_module":4,"doc_module_name":25,"category_name":142,"show_sort_weight":97,"slug":143},19,"General","general"]