![]() ![]() The distributions of disease within the 3 chronic condition cohorts (hypertension, hyperlipidemia, and diabetes) were similar between the MA and FFS Medicare study populations. “Medicare Advantage plans’ focus on preventive care may help avoid downstream utilization of high-cost services driven by acute-care and emergency needs,” said Christie Teigland, Ph.D., vice president at Avalere. MA beneficiaries received more preventive physician tests and services, while FFS Medicare beneficiaries had more inpatient stays and outpatient/emergency care services. MA beneficiaries in Avalere’s study had 23% fewer inpatient stays and 33% fewer emergency room visits than FFS Medicare beneficiaries. Today, Medicare Advantage covers more than one-third of all Medicare beneficiaries. Medicare beneficiaries have the option to receive their Medicare benefits through private health plans (known as Medicare Advantage plans) or through the federally-administered FFS Medicare program. “Our findings present new evidence for Medicare Advantage’s value proposition, especially for high-need beneficiaries.” “ Medicare Advantage beneficiaries with chronic conditions experienced a better quality of care than similar FFS Medicare beneficiaries,” said Dan Mendelson, founder of Avalere. Among clinically complex and dual-eligible/low-income subsidy beneficiaries, health outcomes and cost savings were significantly better for beneficiaries in MA than those in FFS Medicare. MA beneficiaries also outperformed FFS Medicare on several key quality measures including higher rates of preventive screenings and tests.
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