A report from the Office of the Inspector General discusses the submission and use of encounter data for the Medicare Advantage program.
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A brief from the Commonwealth Fund suggests that the current method of reimbursing Medicare Advantage plans results in overpayments.
A Leavitt Partners analysis finds higher premiums in markets with fewer Medicare Advantage plans.
A working paper from the CBO highlights the divergence of risk scores for Medicare fee-for-service and Medicare Advantage beneficiaries.
A Government Accounting Office report examines the characteristics of Medicare Advantage members who disenroll.
A new Kaiser Family Foundation analysis confirms continued growth in Medicare Advantage, but worrisome trends in plan concentration.
Medicare Advantage plans typically attempt to control costs by lowering inpatient use and spending. A new study examines use and cost of hospitalizations in MA.
A Mark Farrah Associates report gives details on current Medicare Advantage enrollment, following the annual enrollment period.
An analysis in Health Affairs concludes that over-coding by Medicare Advantage plans is costing CMS billions of dollars annually.
America’s Health Insurance Plans sponsors a piece by actuarial firm Oliver Wyman regarding the proposed 2018 Medicare Advantage rates.
Several recent papers and reports deal with what data CMS collects for Medicare Advantage risk scores and how it collects that data.
Research published in Health Affairs finds that Medicare Advantage plans provide better post-acute care than that in the Medicare FFS option, at a lower cost.
A Leavitt Partners analysis looks at what MA plans with high Star ratings do with their extra payments from CMS.
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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