Quality, Health, and Spending in Medicare Advantage and Traditional Medicare

AJMC May 6, 2021
Eva DuGoff, PhD, MPP, Ruth Tabak, MPP, MPH, Tyler Diduch, MS, Viviane Garth, BA

In a review of literature published since the Affordable Care Act’s passage, more than half of analyses find that Medicare Advantage outperforms traditional Medicare on quality, health, and cost outcomes.

ABSTRACT

Objectives: To compare Medicare Advantage (MA) and traditional Medicare (TM) performance on quality, health, and cost outcomes in peer-reviewed literature published since 2010.

Study Design: Systematic review of peer-reviewed papers published between January 1, 2010, and May 1, 2020.

Methods: To identify relevant research papers, we searched MEDLINE, EBSCO, and ProQuest. We excluded any studies that did not meet several inclusion criteria. Titles, abstracts, and full-text articles were independently reviewed by 1 author and several trained research assistants. Disagreements were resolved through discussion. We also reviewed the bibliographies of...

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