Research funded by the Centers for Medicare & Medicaid Services evaluated the rural-urban comparisons in quality of health care in the Medicare program, and how quality and outcome varies by race and ethnicity. The analysis found that, overall, people with Medicare living in rural areas had results that were below the national average for the Consumer Assessment of Healthcare Provider and Systems (CAHPS) survey scores for about 20 percent of all clinical care measures examined with rural residents. These scores were consistently below the national average on measures of behavioral health. The analysis also displayed noteworthy variation in racial and ethnic differences when looking separately within rural and urban areas. For example, CAHPS scores for Hispanic people with Medicare living in rural areas were generally below the national average for all people with Medicare living in rural areas, while scores for Hispanic people with Medicare living in urban areas were generally like the national average for all people with Medicare living in urban areas. These patterns applied to people with both Medicare Advantage and Medicare fee-for-service coverage.
