HealthLeaders Media July 23, 2018
Christopher Cheney

The federal program’s financial incentives have encouraged the development of care models that help keep frail patients out of emergency rooms and inpatient wards.

KEY TAKEAWAYS

Capitation and quality bonus payments foster innovation in Medicare Advantage health plans.

Commonalities in care models for the seriously ill include eligibility requirements, health assessments, harnessing of data, and home health.

Medicare Advantage care models for the seriously ill face expansion barriers to new markets.

Medicare Advantage is a hotbed of innovation in efforts to improve care for seriously ill patients, researchers say.

“The financing structure of Medicare Advantage makes it a fertile testing ground for new payment and care delivery approaches, including value-based payment models,” the researchers wrote...

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