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Record W4390080064 · doi:10.1093/geroni/igad104.2824

UNDERSTANDING THE COMPLEXITY AND USE CHALLENGES OF MEDICARE PLAN FINDER FOR OLDER ADULTS

2023· article· en· W4390080064 on OpenAlexaff
Hye Soo Lee, Maurita T. Harris, Wendy A. Rogers

Bibliographic record

VenueInnovation in Aging · 2023
Typearticle
Languageen
FieldMedicine
TopicChronic Disease Management Strategies
Canadian institutionsWilfrid Laurier University
Fundersnot available
KeywordsPlan (archaeology)Set (abstract data type)Task (project management)Computer scienceHealth planOperations researchHealth careEngineeringGeographySystems engineering

Abstract

fetched live from OpenAlex

Abstract It is critical for older adults to find an affordable health plan that meets their needs. The Medicare.gov site provides a Medicare plan finder (MPF), which is an online tool designed to assist individuals to find a Medicare plan that is most suitable for them. The MPF was updated in 2021 but remains complex and may be especially difficult for older adults to use, given age-related changes in cognitive abilities. To identify potential use challenges for MFP, we documented the complexity of the steps required for accomplishing the goal of finding a plan. We completed a task analysis using two use-case scenarios to illustrate potential paths one could take in using MPF. Both use cases were set to enroll in the same plan to explore how and why their paths could differ, focusing on whether they have prior information and experience with Medicare and MPF. The number of steps taken by these two use cases ranged from 10 steps (experienced user) to 32 steps (novice user), due to the different needs they had for using MPF. The results imply that the one-for-all design of MPF may not be optimal for meeting the different needs of users. We propose two solutions to reduce the number of steps for using MPF. First, users need to be able to access the functions they want from the start (e.g., using quick links from the initial page). Second, users would benefit from learning what they need to know and prepare before they start using MPF.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.903
Threshold uncertainty score0.173

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.321
GPT teacher head0.371
Teacher spread0.050 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2023
Admission routes1
Has abstractyes

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