Medicare Advantage Quality of Care Surpasses Traditional Medicare

Health Payer Intelligence December 10, 2020
Kelsey Waddill

While Medicare Advantage quality of care was excellent for high-need, high-cost individuals, the plans were not as strong in cost and utilization for certain beneficiary populations.

Medicare Advantage quality of care exceeded traditional Medicare, particularly in preventive care, a recent Better Medicare Alliance study revealed.

“The hallmark features of Medicare Advantage—risk-adjusted capitated payment, strong value-based performance incentives, and flexibility in benefit design—enable health plans to offer care management interventions that meet complex care needs of vulnerable beneficiaries in ways that produce robust positive outcomes and greater value for high need, high cost beneficiaries,” the report stated.

The researchers analyzed encounter data along with Medicare Part A and Part B claims and Part D drug event data for almost 1.5 million...

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