Medicare Advantage members have fewer hospital readmissions than traditional Medicare: Report

Becker's Healthcare November 2, 2023
Rylee Wilson

Medicare Advantage enrollees have 70% lower hospital readmission rates than their counterparts in fee-for-service Medicare, a white paper from researchers at Boston-based Harvard Medical School and software firm Inovalon found.

The report, published Nov. 1, used data from Inovalon, which covers around 30% of commercially-insured individuals in the U.S., to control for outcomes as individuals transition to Medicare coverage at age 65.

Here are five key findings to note:

1. FFS Medicare enrollees in Inovalon’s sample had 3.6 times higher rates of 30-day hospital readmissions than their counterparts in MA.
2. FFS beneficiaries had 1.6 times higher rates of avoidable hospitalizations than MA beneficiaries. This rate was higher for acute conditions, with FFS beneficiaries 2.5 times more...

Today's Sponsors

Today's Sponsor