Skilled Nursing News October 21, 2021
Medicare Advantage delivers $32.5 billion, or $123.36 per member per month, in additional value to beneficiaries, according to a report released Thursday by the Better Medicare Alliance (BMA).
Hospital and physician services are 24% less expensive per month: $709.66 for MA plans per month and $935.67 for Medicare FFS. These statistics exclude administrative expenses and profits, according to the report.
“Even with 5% lower FFS Medicare costs for Medicare-covered services, MA is still less expensive in total program costs than FFS,” the report said, referencing a sensitivity analysis which adjusted FFS comparator population costs +/- 5%.
The 5% margin accounts for unadjusted coding and different eligibility statuses for which data was not available.
MA plan benefits are “at least as...
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