Skilled Nursing News October 21, 2021
Amy Stulick

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...

Today's Sponsors

Venturous
Got healthcare questions? Just ask Transcarent

Today's Sponsor

Venturous

 
Topics: Insurance, Medicare Advantage, Patient / Consumer, Payer, Provider, Survey / Study, Trends
Fastest-growing nonprofit Medicare Advantage plans | 2025
‘Long-Term Harm’: Former CMS Chief Warns HHS Cuts Will Impact Nursing Home Surveys, MA Oversight
Senate report scrutinizes Medicare Advantage marketing spend, broker practices
Nursing Home Relief: Bipartisan Bill Aims to Reform Prior Auth Among Medicare Advantage Plans
Risk Adjustment Reform: Navigating Ideas And Tradeoffs (Part 2)

Share This Article