A Leavitt Partners analysis looks at what MA plans with high Star ratings do with their extra payments from CMS.
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A Kaiser Family Foundation brief examines the dynamics of Medicare Advantage plan switching.
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A study carried by Health Affairs finds that greater Medicare Advantage enrollment in an area is associated with lower spending for fee-for-service beneficiaries.
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A very surprising result comes from research finding that Medicare Advantage plans pay hospitals less than fee-for-service Medicare does.
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Medicare Advantage plans have lower rates of hospitalization than does the fee-for-service Medicare program, likely suggesting inefficiency in the FFS branch.
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An Avalere analysis confirms that CMS' Medicare Advantage risk adjustment formulas don't accurately pay for seriously ill patients.
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A Statistical Brief from AHRQ compares hospitalizations in fee-for-service Medicare and in Medicare Advantage plans.
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CMS for some period paid some Medicare Advantage plans double bonuses as a quality incentive. A study in Health Services Research finds that these bonuses cost Medicare $3.4 billion but did nothing to improve quality.
http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12409/abstract;jsessionid=C7261126601D8F545A645479848583AB.f01t01A J.D. Powers survey asks Medicare Advantage enrollees about their satisfaction with MA plans.
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A McKinsey analysis looks at Medicare Advantage Plans Star ratings for 2016.
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An analysis published in Health Affairs finds that high-cost patients often appeared to leave Medicare Advantage to return to traditional Medicare, but cost doesn't appear to be what drives the…
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A new study from the Commonwealth Fund finds that there is little real competition in many locales for Medicare Advantage plans, lending further support to criticism of further consolidation. The analysis suggests that almost all counties are highly concentrated by antitrust standards.
http://www.commonwealthfund.org/publications/issue-briefs/2015/aug/competition-medicare-private-plans-does-it-existMedicare Advantage plans are rated on a "star" basis which gathers data on a variety of quality measures. A report from Inovalon explores why dual eligibles can drag those ratings…
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The most recent Mark Farrah Associates report shows continued strong growth in Medicare Advantage enrollment.
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The always eagerly-awaited Medicare Advantage Call Letter, this one for 2016, is now available, promising a meager premium increase for plans.
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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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