Health Payer Intelligence November 6, 2023
There were fewer hospital readmissions and preventable hospitalizations in Medicare Advantage compared to Medicare fee-for-service.
Medicare Advantage beneficiaries experience higher quality care and better health outcomes than fee-for-service beneficiaries, according to a report from Harvard and Inovalon.
Researchers used Inovalon’s claims data to assess care quality for people enrolled in Medicare Advantage and those with Medicare fee-for-service between 2015 and 2019.
During the year following Medicare enrollment, fee-for-service beneficiaries had 3.6 times higher rates of 30-day hospital readmissions compared to Medicare Advantage beneficiaries. People with fee-for-service also had 1.6 times higher rates of potentially avoidable hospitalizations, with 2.5 times higher rates for acute conditions and 1.3 times higher rates for chronic conditions.
After controlling for patient characteristics, hospital readmissions were...
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