Medicare Advantage
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New York Times: Medicare Advantage Spends Less on Care, So Why Is It Costing So Much?
Read more: New York Times: Medicare Advantage Spends Less on Care, So Why Is It Costing So Much?By: Austin Frakt The Medicare Advantage program was supposed to save taxpayers money by allowing insurers to offer older Americans private alternatives to Medicare. The plans now cover 19 million people, a third of all those who qualify for Medicare. Enrollee satisfaction is generally high, and studies show that plans offer higher quality than traditional…
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Congressional Budget Office Working Paper Series: An Analysis of Private-Sector Prices for Hospital Admissions
Tags: CBO, Commercially Insured, Geographic Variation, Inpatient Spending, Medicare, Medicare Advantage, Outpatient Spending
Read more: Congressional Budget Office Working Paper Series: An Analysis of Private-Sector Prices for Hospital AdmissionsABSTRACT: Prices for hospital admissions have received considerable attention in recent years, both because they are an important component of health care spending and because they can vary widely. In this paper, we use 2013 claims data from three large insurers to examine the hospital payment rates of those insurers in their commercial plans and…
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Non-Shoppable Health Care Services: Inpatient Hospitalizations
Read more: Non-Shoppable Health Care Services: Inpatient HospitalizationsThis data brief reports on spending and utilization in populations likely unable to shop for a hospital prior to seeking care, comparing spending and length-of-stay for individuals who were admitted through the emergency department (ED) to that of individuals who needed ambulance services the day of their admission through the ED.
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NBER Working Paper: Healthcare Spending and Utilization in Public and Private Medicare
Tags: Geographic Variation, Medicare, Medicare Advantage, NBER, Peer Reviewed Journals, Value Based Care
Read more: NBER Working Paper: Healthcare Spending and Utilization in Public and Private MedicareABSTRACT: We compare healthcare spending in public and private Medicare using newly available claims data from Medicare Advantage (MA) insurers. MA insurer revenues are 30 percent higher than their healthcare spending. Healthcare spending is 25 percent lower for MA enrollees than for enrollees in traditional Medicare (TM) in the same county with the same risk…
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Medicare Advantage Health Care Utilization – Observation Stays
Read more: Medicare Advantage Health Care Utilization – Observation StaysThis data brief reports on outpatient observations stays in the Medicare Advantage population from 2010 through 2014. The results show that the rate of observations stays increased in total as well as following hospitalizations.
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Medicare Advantage Health Care Utilization – Hospital Readmissions
Read more: Medicare Advantage Health Care Utilization – Hospital ReadmissionsThis data brief, reports on five readmission rate measures for the Medicare Advantage (MA) population: 30-day all-cause hospital-wide readmissions and 30-day all-cause readmissions following acute myocardial infarction (AMI), heart failure, chronic obstructive pulmonary disease (COPD), and pneumonia. The results show that MA readmission rates have been declining over the past five years.
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Health Affairs: Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays
Tags: Commercially Insured, Health Affairs, Inpatient Spending, Medicare, Medicare Advantage, Outpatient Spending, Peer Reviewed JournalsRead more: Health Affairs: Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare PaysABSTRACT There is ongoing debate about how prices paid to providers by Medicare Advantage plans compare to prices paid by fee-for-service Medicare. We used data from Medicare and the Health Care Cost Institute to identify the prices paid for hospital services by fee-for-service (FFS) Medicare, Medicare Advantage plans, and commercial insurers in 2009 and 2012….