Medicare Decision-making, Understanding, and Satisfaction Among Cancer Survivors.

With increased age as a leading risk factor for cancer, many patients depend on Medicare benefits to manage their disease. As such, this study explores (1) Medicare decision-making, (2) Medicare satisfaction, and (3) understanding of Medicare coverage among cancer patients. This cross-sectional study used focus group and survey methodology to explore patient decision-making regarding Medicare benefit selection and patient understanding and satisfaction of Medicare. Focus group findings informed a subsequent survey which was completed by 172 Medicare beneficiaries between December 2018 and January 2019. Quantitative and qualitative analyses were conducted. Findings suggest that although Medicare beneficiaries believe they understand their coverage and are largely satisfied with benefits, many cannot accurately identify the appropriate components of the program particularly regarding how drug benefits are structured. In-depth qualitative analyses from the focus group indicated not only a lack of understanding but a fear of unexpected out-of-pocket costs or coverage challenges. This study illustrates the ongoing challenges with educating Medicare beneficiaries regarding benefits, coverage, and financial obligations of the program. For cancer patients, in-depth and meaningful educational opportunities are critical as is access to multiple components of the Medicare program that can prove vital to the treatment and management of their disease.