HMP Global July 21, 2025
Medicare Advantage (MA) plans with 2-sided risk arrangements consistently outperform traditional Medicare (TM) on measures of quality and efficiency, according to a study published in The American Journal of Managed Care.
“A prior study observed that 2-sided MA risk arrangements were associated with higher quality and efficiency in the inpatient setting compared with TM,” explained Kenneth Cohen, MD, and coauthors. “We expand this previous work by including a larger array of quality and efficiency measures across 4 domains of patient care,” they added.
In a comprehensive analysis of more than 6.5 million person-years across 17 physician groups, patients enrolled in at-risk MA plans had better outcomes than their peers in TM on 16 of 20 measures. These included significantly lower...
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