One claim about Medicare Advantage plans was that they sought only healthy enrollees to keep costs down and raise profits. More expensive beneficiaries typically have multiple chronic illnesses and other needs. This has been false forever, the plans actually wanted sicker beneficiaries because they got paid more for them and had more opportunity to better manage care and lower costs. Another piece of research validates this perspective, finding that persons with chronic diseases were no more likely to disenroll from MA plans than those beneficiaries without chronic illness. This suggests that they felt their needs were well-met by the plans. (JAMA Article)
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About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
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