News Report | October 18, 2022
Medicare Advantage Plans Linked To Lower Use Of High Cost Settings For Beneficiaries With Complex Care Needs
Among Medicare beneficiaries with frailty or major and minor complex care needs, those enrolled in a Medicare Advantage plan had fewer claims for high-cost settings compared to traditional Medicare beneficiaries. Those enrolled in Medicare Advantage had lower rates of hospital stays and emergency department visits. The difference in utilization rates of Medicare Advantage and traditional Medicaid beneficiaries was larger among Medicare Advantage beneficiaries attributed to primary care provider organizations reimbursed under a two-sided risk arrangement than among those receiving care from provider organizations under one-sided risk arrangements or under fee-for-service.
An analysis of 1.8 . . .