Assessment of the Medicare Advantage Risk Adjustment Model for Measuring Veterans Affairs Hospital Performance
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DOI: 10.1001/jamanetworkopen.2018.5993
Abstract: This cohort study of administrative data from the Veterans Affairs Health Care System assesses the applicability of using the Medicare Advantage risk adjustment system version 21 for comparing Veterans Affairs hospitals with nonfederal hospitals. read more here.
Keywords: risk adjustment; medicare advantage; advantage risk; veterans affairs ... See more keywords
Analysis of Medicare Advantage Plans’ Supplemental Benefits and Variation by County
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DOI: 10.1001/jamanetworkopen.2021.14359
Abstract: This cross-sectional study examines the uptake of several newly allowable Medicare Advantage benefits in 2021 as well as geographic differences in benefit offerings between rural and urban areas, plan penetration, and social vulnerability. read more here.
Keywords: analysis medicare; plans supplemental; medicare advantage; advantage plans ... See more keywords
Association of Health Insurance Literacy With Enrollment in Traditional Medicare, Medicare Advantage, and Plan Characteristics Within Medicare Advantage
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DOI: 10.1001/jamanetworkopen.2021.46792
Abstract: Key Points Question How is health insurance literacy associated with coverage choices between traditional Medicare and Medicare Advantage, as well as within Medicare Advantage? Findings In this cross-sectional study of 6627 Medicare beneficiaries, higher health… read more here.
Keywords: medicare; health insurance; medicare advantage;
Comparison of Medicare Advantage vs Traditional Medicare for Health Care Access, Affordability, and Use of Preventive Services Among Adults With Low Income
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DOI: 10.1001/jamanetworkopen.2022.15227
Abstract: Key Points Question How do health care access, preventive care use, and affordability of care compare between adults aged 65 years or older with low income enrolled in Medicare Advantage vs traditional Medicare? Findings In… read more here.
Keywords: medicare; health; low income; medicare advantage ... See more keywords
Evaluation of Spending Differences Between Beneficiaries in Medicare Advantage and the Medicare Shared Savings Program
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DOI: 10.1001/jamanetworkopen.2022.28529
Abstract: Key Points Question How do spending and utilization differ between Medicare Advantage (MA) and Medicare Shared Savings Program (MSSP) beneficiaries after accounting for clinical risk in a health system participating in both programs? Findings In… read more here.
Keywords: medicare advantage; program; mssp beneficiaries; advantage medicare ... See more keywords
Analysis of Value-Based Payment and Acute Care Use Among Medicare Advantage Beneficiaries
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DOI: 10.1001/jamanetworkopen.2022.2916
Abstract: This cohort study examines the association of value-based payment and acute care in a national population of Medicare Advantage beneficiaries. read more here.
Keywords: payment acute; based payment; medicare advantage; advantage beneficiaries ... See more keywords
Evaluation of Supplemental Benefits Across Medicare Advantage Plans and Beneficiary Demographic Characteristics, 2019 to 2022
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DOI: 10.1001/jamanetworkopen.2022.33020
Abstract: This cross-sectional study evaluates how policy changes for Medicare Advantage plans affected supplemental benefit availability across geographic social vulnerability, membership diversity, and rebates from 2019 to 2022. read more here.
Keywords: supplemental benefits; 2019 2022; medicare advantage; advantage plans ... See more keywords
Examination of Differences in Nonmedical Supplemental Benefit Coverage for Dual-Eligible Enrollees in Medicare Advantage Plans in 2021
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DOI: 10.1001/jamanetworkopen.2022.35161
Abstract: This cross-sectional study uses Medicare Advantage benefit package data for 2021 to examine differences in the coverage of nonmedical supplemental benefits—such as transportation services and food and meal assistance—for dual-eligible enrollees with health-related social needs. read more here.
Keywords: dual eligible; eligible enrollees; medicare advantage; benefit ... See more keywords
Variations in Payment for Dialysis-Implications for Policy and Practice.
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DOI: 10.1001/jamanetworkopen.2022.39139
Abstract: The article by League and colleagues1 notes that, in their study, spending for patients with employersponsored health insurance increased by more than $14 000 per month in the year following the initiation of dialysis, and… read more here.
Keywords: medicare advantage; medicare ffs; dialysis; kidney failure ... See more keywords
Assessment of Unmet Health-Related Social Needs Among Patients With Mental Illness Enrolled in Medicare Advantage
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DOI: 10.1001/jamanetworkopen.2022.39855
Abstract: Key Points Question What are the prevalence and risks associated with health-related social needs (HRSNs) among individuals with and without serious and persistent mental illness (SPMI)? Findings In this cohort study of 56 081 Medicare… read more here.
Keywords: social needs; illness; medicare advantage; related social ... See more keywords
Spillover effect of the Patient Drive Payment Model on skilled nursing facility therapy delivery among Medicare Advantage enrollees.
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DOI: 10.1002/hec.4714
Abstract: In a multi-payer health care system, economic theory suggests that different payers can impose spillover effects on one another. This study aimed to evaluate the spillover effect of the Patient Driven Payment Model (PDPM) on… read more here.
Keywords: effect; medicare advantage; therapy; payment model ... See more keywords