Healthcare DIVE December 8, 2021
Rebecca Pifer

Dive Brief:

  • Medicare Advantage’s quality bonus program has had no observable difference in plan quality despite costly federal investments, a new study suggests, bolstering calls from some stakeholders to substantially revise or even eliminate the program altogether.
  • The study published in Health Affairs Monday analyzed nine claims-based measures of quality for MA beneficiaries versus a control group of commercial enrollees. Program participation was associated with significant quality improvements among MA beneficiaries on four measures, significant declines on four other measures and no significant change in overall quality.
  • The findings jibe with past research suggesting the quality bonus program has had little-to-no effect on quality, despite the government awarding MA plans about $30 billion in quality bonus payments through the...

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Topics: Insurance, Medicare Advantage, Provider, Survey / Study, Trends
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