AJMC August 12, 2025
Jeanette Thornton, MPA, Mark Hamelburg, JD, Lynn Nonnemaker, PhD, Sherzod Abdukadirov, PhD, German Veselovskiy, MPP, Sari Siegel, PhD

Medicare Advantage outperformed traditional Medicare on clinical quality measures before and during the COVID-19 pandemic; mid-pandemic, however, traditional Medicare narrowed the gap on some in-person screenings.

ABSTRACT

Objective: To examine the impact on quality of care for individuals enrolled in Medicare Advantage (MA) plans or traditional Medicare (TM) during the COVID-19 pandemic.

Study Design: Retrospective cohort study.

Methods: The study examined beneficiaries enrolled in Medicare from 2017 through 2021. Beneficiaries were divided into 4 cohorts based on their enrollment in TM or MA and the year of enrollment in 2019, the year before the COVID-19 pandemic, or 2021, during the COVID-19 pandemic. For each cohort, 12 clinical quality measures were constructed, including 4 screening measures requiring in-person visits and 8...

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