A flawed Kaiser Foundation analysis suggests that Medicare Advantage enrollees have lower spending and CMS is paying plans more than it should for their care.
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A study in Health Affairs finds that including functional, cognitive and social factors improved cost prediction and risk-adjustment for payments for dual-eligible enrollees.
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A study in Health Affairs examines the nature of provider networks in Medicare Advantage plans, with a focus on prevalence of narrow networks.
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A study in Health Affairs finds that while by one measure patients in Medicare Advantage may start out healthier than in FFS Medicare, their health status soon converges.
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A Mark Farrah Associates analysis of Medicare Advantage membership after the annual open enrollment period suggests that the rich basically got richer.
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Research published in JAMA Internal Medicine looks at reasons for Medicare Advantage disenrollment.
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A Commonwealth Fund report reviews competition among Medicare Advantage plans.
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A New England Journal of Medicine article summarizes the current status of Medicare Advantage.
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A study in the American Journal of Managed Care finds that a high-touch primary care group delivers better outcomes for Medicare beneficiaries.
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Beneficiaries will have more Medicare Advantage plan choices and experience lower premiums in 2019, according to a CMS announcement.
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An analysis in Health Affairs compares hospital, home health and SNF use and variation in Medicare Advantage versus the fee-for-service version.
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McKinsey gives us its perspective on trends in Medicare Advantage star ratings.
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A study from Avalere suggests that Medicare Advantage plans have lower hospital and ER use for patients with chronic conditions.
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A study in Health Services Research compares Medicare Advantage's risk adjustment methodology with other measures of beneficiary health status.
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A recent Gorman Health report describes the state of the Medicare Advantage market following the recent annual enrollment period.
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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 khroche@healthy-skeptic.com.
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