HMP Global September 15, 2022
For Medicare Shared Savings Program (MSSP) and Medicare Advantage (MA) beneficiaries within the same health system, utilization and spending were higher for MSSP members even after adjusting for granular metrics of clinical risk, according to findings published in JAMA Network Open.
The retrospective economic evaluation included propensity score-matched beneficiaries continuously enrolled in MA or MSSP between January 1, 2014, and December 31, 2018, with hypertension, congestive heart failure (CHF), diabetes, or chronic kidney disease (CKD).
Of the 15,763 participants, 12,720 (81%) were enrolled in MA and 3043 (19%) were MSSP beneficiaries. When compared with MSSP beneficiaries, MA beneficiaries were more likely to be older (median [IQR] age, 75.0 [69.9-81.8] years vs 73.1 [68.3-79.8] years), male (5515 [43%] vs 1119 [37%]),...
Today's Sponsors
Today's Sponsor