Hospice News July 30, 2021
Jim Parker

Medicare Advantage beneficiaries in the last year of life transition to fee-for-service coverage at least twice as often as those who are expected to live longer. Health care costs associated with those patients were an estimated $422 million higher in 2016 than they would have been if they had stayed with their Medicare Advantage plans, according to a new report from the Government Accountability Office (GAO). In 2017, the added costs exceeded $490 million.

GAO analyzed Medicare disenrollment and mortality data for 2015 through 2018 and used claims data to estimate the relative costs between MA and fee-for-service. The agency excluded hospice payments from its comparison. Because payment for hospices almost always goes through the dedicated Medicare benefit, disenrollment wouldn’t...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: GAO, Govt Agencies, Insurance, Medicare, Medicare Advantage, Patient / Consumer, Provider, Survey / Study, Trends
Understanding facility, peer data called crucial to better Medicare Advantage negotiations
Medicare Advantage Is Still Going Strong
When it comes to Medicare Advantage, couples stick together
‘Money Out of Our Pockets’: $274.9M in Nursing Home Revenue Lost For Every Percentage MA Plans Grow
How Medicare Advantage Cost Bristol Hospital Its Staff

Share This Article