AJMC April 25, 2023
Adam Atherly, PhD and Roger Feldman, PhD

Increases in Medicare Advantage market share over the past 10 years are largely caused by an increased preference for managed care among Medicare beneficiaries.

ABSTRACT

Objectives: Private managed care plans in the Medicare Advantage (MA) program have been gaining market share relative to traditional fee-for-service Medicare (TM), yet there are no obvious structural changes to Medicare that would explain this growth. Our goal is to explain the growth in MA market share during a period when it increased dramatically.

Study Design: Data are drawn from a representative sample of the Medicare population from 2007 to 2018.

Methods: We decomposed MA growth into changes in the values of explanatory variables that influence MA enrollment (eg, income and payment rate)...

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