Medicare advantage penetration

International Finance and Macroeconomics. Data envelopment analysis was used to estimate technical efficiency for each intensive care unit. Total Medicare Advantage enrollment grew by about 1. This brief assesses company performance in key states where MA penetration growth exceeded the national rate. Future hospital outcome measures should include MA patients to avoid this issue entirely. Associations among hospital capacity, utilization, and mortality of US Medicare beneficiaries, controlling for sociodemographic factors.
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Get Healthcare Dive in your inbox The free newsletter covering the top industry headlines Email: These findings are consistent with our expectations that areas with higher MA penetration have higher risk FFS populations. Insurance companies are entering or expanding their footprints in the MA market, while simultaneously pulling back or out of the ACA exchanges. Payers can easily convert members from traditional Medicare to MA via marketing campaigns. Marketing individual plans has the greatest upside potential. RSMRs and RSRRs for heart failure, acute myocardial infarction, and pneumonia do not seem to differ systematically with MA penetration, lending support to the widespread use of these measures even in areas of high MA penetration. IT Weekly view sample Select Newsletter:
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Medicare Advantage Enrollment Continues to Rise > Michigan Health & Hospital Association

These models are based on administrative data and the results of the models have been validated by comparison to models based on medical records. Both plans maintained their combined market share over the period adding Hospitals are encouraged to carefully review payments from each MA plan to ensure that the plan has paid the correct rates. The county map was overlaid on the HRR map, splitting each HRR into numerous non-overlapping polygons, where each polygon represents a fractional area possibly the entire area of a distinct county. While these and most other known dynamics suggest a bullish trend, there is one big unknown that could have a chilling effect:
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Aetna Medicare Advantage plans expanded into new counties in , and the insurer is launching a portable option that could win over some holdouts who have stuck with traditional Medicare to ensure stable benefits while traveling. Medicare Advantage has become a larger part of the Medicare program over the past several years. Some error has occurred while processing your request. The Women Working Longer Project. Some of the cookies we use are essential for parts of the website to operate. Medicare Advantage leader eyes 50 percent penetration — but when? He is also the Mitsui Professor of Economics at M.
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