Fierce Healthcare September 20, 2023
Traditional Medicare not only doesn’t measure up to Medicare Advantage (MA) when it comes to cutting back on utilization, it also falls short in many ways compared to commercial insurance for those under 65, according to a new analysis.
A white paper by Harvard Medical School and Inovalon Harvard Medical School and Inovalon, which provides cloud-based healthcare data aggregation services, looks at enrollment data from 2015 through 2019. Researchers found that MA enrollees have more than 50% fewer inpatient hospital stays than fee-for-service Medicare enrollees.
In addition, MA members visited emergency departments 22% fewer times than those enrolled in traditional Medicare.
While people who enrolled in MA plans saw stable utilization in the first two years,...
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Topics: Insurance, Medicare, Medicare Advantage, Patient / Consumer, Payer, Provider, Survey / Study, Trends