Becker's Healthcare March 11, 2024
Selective contracting with primary care physicians may be one factor behind lower per-patient expenses in Medicare Advantage, a study published in the March edition of Health Affairs found.
The study examined 4,456,037 traditional Medicare patients who visited 151,679 primary care physicians. The physicians who participated in Medicare Advantage networks had $433 lower costs per patient than the regional average of physicians.
The quality measures for physicians participating in Medicare Advantage were similar to the regional average, the study found.
Physicians who did not participate in any MA networks cost $1,617 more per patient per year than those participating in MA networks, and they had lower quality measures.
The findings suggest that “managed care tools, particularly selective...
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