Do Medicare Advantage plans select enrollees in higher margin clinical categories?
نویسندگان
چکیده
منابع مشابه
Hospital readmission rates in Medicare Advantage plans.
OBJECTIVES To compute a benchmark for tracking readmission rates among patients enrolled in Medicare's private comprehensive Medicare Advantage (MA) plans and to develop preliminary comparisons with the fee-for-service (FFS) readmission rates. STUDY DESIGN Descriptive data presentation with analytic discussion. METHODS We computed a benchmark for rehospitalization rates among MA patients us...
متن کاملDuplicate federal payments for dual enrollees in Medicare Advantage plans and the Veterans Affairs health care system.
CONTEXT Some veterans are eligible to enroll simultaneously in a Medicare Advantage (MA) plan and the Veterans Affairs health care system (VA). This scenario produces the potential for redundant federal spending because MA plans would receive payments to insure veterans who receive care from the VA, another taxpayer-funded health plan. OBJECTIVE To quantify the prevalence of dual enrollment i...
متن کاملDoes Health Status Explain Higher Medicare Costs of Medicaid Enrollees?
In this article, the authors present findings on differences in Medicare costs between elderly beneficiaries who are dually eligible for Medicare and Medicaid and other Medicare beneficiaries. Data from the Medicare Current Beneficiary Survey (MCBS) were used in the analysis. After controlling for health and functional-status differences, the higher Medicare costs of dually eligible persons, re...
متن کاملThe Star Rating System and Medicare Advantage Plans.
With nearly 30 percent of Medicare beneficiaries opting to enroll in Medicare Advantage (MA) plans instead of fee-for-service Medicare, it's safe to say the MA program is quite popular. The Centers for Medicare & Medicaid Services (CMS) administers a Star Ratings program for MA plans, which offers measures of quality and service among the plans that are used not only to help beneficiaries choos...
متن کاملMedicare's private plans: a report card on Medicare Advantage.
With higher payments and expanded private-plan authority, Medicare Advantage (MA) has caused the market to grow. One in three Medicare beneficiaries with Part D now gets this coverage through MA. Analysis of the sources of and reasons for enrollment growth suggest a troubling report card. Clearly, the Medicare Modernization Act (MMA) has expanded choice and the private-sector role. But it also ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Journal of Health Economics
سال: 2013
ISSN: 0167-6296
DOI: 10.1016/j.jhealeco.2013.09.003