HealthExec March 5, 2024
Dave Pearson

Medicare Advantage covers a disproportionate share of disadvantaged senior citizens compared with traditional fee-for-service Medicare, yet the former bests the latter on some key outcomes metrics.

The divergence is particularly pronounced when the relevant data is analyzed with rigorous adjustments for baseline differences between the two subpopulations.

Important among the differences are enrollment patterns and disadvantage indicators common to Advantage enrollees, including pre-existing demographic, clinical and social risk factors.

After adjustments for these factors, Advantage beneficiaries evidence a hospital readmission rate some 70% lower than their fee-for-service peers.

Advantage members also have 35% fewer preventable inpatient admissions, lower rates of inappropriate medication use and comparable rates of medication adherence.

The findings are from research conducted by policy researchers at Harvard...

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