Health Payer Intelligence March 22, 2021
Although the Medicare Advantage model is frequently touted as an example for pursuing value-based care, there are multiple areas in which these plans support low-value care spending.
Although many studies have touted Medicare Advantage plans’ successes in diminishing low-value care and pursuing high-value care, there are at least 13 areas of low-value care in which Medicare Advantage and Medicare alike are not reducing healthcare spending, according to a study published on JAMA Network Open.
“Low-value care is defined as a service that provides little to no clinical benefit but incurs health care costs,” the study began.
The study relied on six data sets from the 2006 to 2015 Medical Expenditure Panel Survey, in particular full-year consolidated data, longitudinal data, medical...
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