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

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Insurance, Medicare Advantage, Patient / Consumer, Payer, Provider, Survey / Study, Trends
Understanding facility, peer data called crucial to better Medicare Advantage negotiations
Medicare Advantage Is Still Going Strong
When it comes to Medicare Advantage, couples stick together
‘Money Out of Our Pockets’: $274.9M in Nursing Home Revenue Lost For Every Percentage MA Plans Grow
How Medicare Advantage Cost Bristol Hospital Its Staff

Share This Article