RevCycle Intelligence August 25, 2022
Healthcare spending was significantly lower among Medicare Advantage (MA) patients compared Medicare ACO patients, suggesting a more difficult journey for health systems in MSSP.
Average spending on Medicare beneficiaries enrolled in Medicare Advantage (MA) plans was much lower compared to the same metric of spending for beneficiaries attributed to a Medicare ACO, according to a recent study in JAMA Network Open.
The study of over 15,700 Medicare beneficiaries treated by a health system in the southern US found that per-member per-year spending was 22 to 26 percent higher for beneficiaries attributed to a Medicare Shared Savings Program (MSSP) ACO compared to beneficiaries enrolled in MA plans even after controlling for clinical risk and other factors.
Practice patterns and quality...
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