Health Payer Intelligence August 31, 2022
Medicare Advantage plan quality was generally higher in plans with steeper premiums, but some lower-premium plans were also high-quality.
Premium costs may not always be representative of Medicare Advantage plan quality, as high-quality plans were found at every premium level, a study published in JAMA Health Forum found.
Healthcare costs, including premiums, deductibles, and out-of-pocket expenses, are usually the leading factor Medicare Advantage members consider when choosing a plan.
RAND researchers used data from the 2017 Medicare Advantage Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, 2017 Healthcare Effectiveness Data and Information Set (HEDIS) data, and 2016 administrative data from CMS to determine if premium amounts impacted Medicare Advantage plan quality.
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