AJMC March 17, 2022
Medicare advantage beneficiaries who received care from providers in 2-sided risk payment models had lower rates of acute care use, according to new study findings.
New data published in JAMA Network Open Thursday revealed 2-sided risk models were associated with lower rates of acute care use among Medicare Advantage (MA) beneficiaries, especially for potentially avoidable events.
The study was led by a team at Humana and is based on the insurance plan’s MA members, of whom two-thirds are cared for by a provider in a value-based payment model. The authors said to their knowledge, it is the first peer-reviewed study of value-based payment in MA.
In recent years, Medicare has increasingly shifted away from fee-for-service (FFS) reimbursement models and toward...
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