Health Payer Intelligence September 14, 2022
The value-based care model that is common throughout Medicare Advantage seemed to be key to producing fewer low-value care services.
Low-value care services were less common for Medicare Advantage (MA) beneficiaries—particularly those in health maintenance organizations (HMOs)—than for traditional Medicare (TM) beneficiaries due to certain characteristics of Medicare Advantage coverage, a study published in the JAMA Health Forum found.
“In this cross-sectional study of Medicare beneficiaries, we found that MA beneficiaries received fewer low-value services than TM beneficiaries, especially among MA beneficiaries enrolled in HMO products and those attributed to primary care organizations reimbursed within advanced value-based payment models,” the researchers explained.
The researchers used Medicare Advantage data from a national payer on over 1.5 million beneficiaries and the...
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