As benefciaries look towards Medicare Advantage (MA) open enrollment in the fall (October 15 – December 7), multiple recent reports and data releases show that the popularity of MA continues to grow.
In this Spotlight on Innovation case study, BMA highlights how Medicare Advantage facilitates care coordination at Iora Health, one of the innovative primary care practices in the country. The Iora Primary Care model for seniors over 65 years old is enabled by the value framework provided under Medicare Advantage.
This issue brief highlights the consequences of the CMS proposed policy change to over 3 million beneficiaries in MA retiree coverage.
Greater use of Medicare Advantage (MA) over traditional fee-for-service Medicare (TM) in certain populations, and even across small areas, has been associated with fewer overall hospitalizations and avoidable hospitalizations. We set out to update and advance previous analyses, using the most contemporary multistate hospitalization data and focusing on the impact MA penetration has on avoidable hospitalizations.
From better use of primary care to preventive care and enhanced benefits, Medicare Advantage is improving health care for over 17 million beneficiaries – and the facts show it.
Beneficiaries in Medicare HMOs were consistently more likely than those in traditional Medicare to receive appropriate breast cancer screening, diabetes care, and cholesterol testing for cardiovascular disease.
Ninety-one percent of seniors in Medicare Advantage are satisfied with their coverage, with 69 percent saying they are highly satisfied. Among seniors who switched to Medicare Advantage from fee-for-service Medicare, 58 percent say Medicare Advantage is better, while just two percent say fee-for-service is better.
Seniors love their federal health insurance – but they love some plans more than others. Whether enrolled in traditional Medicare or Medicare Advantage, Morning Consult polling shows Americans aged 65 and older expressing high levels of satisfaction with their federal health benefits.
Medicare Advantage beneficiaries are on average paying more for less as a result of federal payment rate cuts implemented each plan year from 2012-2015. Medicare Advantage enrollees who need the most care have seen their maximum annual out-of-pocket costs increase by up to $761 since 2012. While seniors and people with disabilities in 211 U.S. counties now have no access to Medicare Advantage general enrollment plans.
With the high and growing prevalence of Type 2 diabetes among Medicare beneficiaries, cost effective diabetes prevention, treatment and management are essential to the future of the Medicare program. Approximately one-quarter of the Medicare population has Type 2 diabetes, with estimates ranging
New data from the Medicare Current Beneficiary Survey (MCBS) show that Medicare Advantage plans, Medicare’s private comprehensive health plans, continued to be a vital source of coverage for lowincome beneficiaries and racial/ethnic populations in 2012.
The Medicare Advantage program is committed to promoting the appropriate use of Medicare preventive benefits.
by Joseph P. Newhouse and Thomas G. McGuire
On average, Medicare Advantage (MA) plans appear to offer higher value than Traditional Medicare (TM), and positive spillovers from MA into TM imply that reimbursement should not necessarily be neutral.
by Jayasree Basu and Lee Rivers Mobley
The findings indicate that MA plans have added value to the quality of primary care for the elderly by reducing preventable hospitalizations.