High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare
Published: | 8:47 pm | Posted in: Medicare
Medicare Advantage payment regulations include risk-adjusted capitated reimbursement, which was implemented to discourage favorable risk selection and encourage the retention of members who incur high costs. However, the extent to which risk-adjusted capitation has succeeded is not clear, especially for members using high-cost services not previously considered in assessments of risk selection. We examined the […]
MACRA: New Opportunities For Medicare Providers Through Innovative Payment Systems
Published: | 8:09 pm | Posted in: Medicare
Today, almost 60 million Americans are covered by Medicare — and 10,000 become eligible for Medicare every day. For many years, Medicare was primarily a pure fee-for-service (FFS) payment system that paid health care providers based on the volume of services they delivered, not the value of those services. Over time, this contributed to increased […]
Medical Spending of the U.S. Elderly
Published: | 2:10 pm | Posted in: Medicare
We use data from the Medicare Current Beneficiary Survey (MCBS) to document the medical spending of Americans aged 65 and older. We find that medical expenses more than double between ages 70 and 90 and that they are very concentrated: the top 10% of all spenders are responsible for 52% of medical spending in a […]