Health Care

Health Affairs Article: At Least Half of New Medicare Advantage Enrollees Had Switched From Traditional Medicare During 2006-11

In an article in Health Affairs, Gretchen A. Jacobson and Patricia Neuman of the Kaiser Family Foundation and independent consultant Anthony Damico examined whether the 2006-2011 growth in private Medicare Advantage plans was due primarily to new beneficiaries choosing Medicare Advantage from the onset of their eligibility, or because beneficiaries enrolled in traditional Medicare were making […]

High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional 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

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 […]