Results 1 to 10 of about 105,856 (292)

Medicare Advantage Enrollment and Total Medicare Program Spending [PDF]

Inquiry: The Journal of Health Care Organization, Provision, and Financing
Medicare Advantage (MA) enrollment has grown significantly over the last 2 decades while Medicare program spending per capita has moderated over that same period. An open question is how the growth in MA enrollment has impacted Medicare program spending.
Brett Alfrey PhD, Aliza S. Gordon MPH, Michelle Nguyen Locke MPH, Jennifer L. Kowalski MS   +3 more
doaj   +2 more sources

Mortality Differences Between Traditional Medicare and Medicare Advantage: A Risk-Adjusted Assessment Using Claims Data [PDF]

Inquiry: The Journal of Health Care Organization, Provision, and Financing, 2017
Medicare Advantage (MA) has grown rapidly since the Affordable Care Act; nearly one-third of Medicare beneficiaries now choose MA. An assessment of the comparative value of the 2 options is confounded by an apparent selection bias favoring MA, as ...
Roy A. Beveridge MD, Sean M. Mendes BS, Arial Caplan BS, Teresa L. Rogstad MPH, Vanessa Olson BA, Meredith C. Williams MD, Jacquelyn M. McRae PharmD, Stefan Vargas PharmD   +7 more
doaj   +3 more sources

National trends in the prevalence of dementia in Medicare Advantage and Traditional Medicare [PDF]

BMC Health Services Research
Background Little is known about how the prevalence of dementia in Medicare Advantage (MA) and traditional Medicare (TM) has changed over time. We examine prevalence of dementia in MA and TM overall and by race/ethnicity, the characteristics of these ...
Mauricio Lopez-Mendez, David J. Meyers, Victoria Shier, Eric Jutkowitz   +3 more
doaj   +2 more sources

Comparison of Local Medicare Guidance and Medicare Advantage Plans for Stereotactic Radiosurgery for Brain Metastases [PDF]

Advances in Radiation Oncology
Purpose: Medicare Advantage operates under a capitated payment model, where Medicare Advantage Organizations (MAOs) must provide services that meet or exceed Medicare Parts A and B standards, ensuring actuarial equivalence.
Dominic LaBella, MD, Eileen Battershall, Zachary J. Reitman, MD, PhD, Scott R. Floyd, MD, PhD, Eugene J. Vaios, MD, John P. Kirkpatrick, MD, PhD, Paul Sperduto, MD, Trey C. Mullikin, MD   +7 more
doaj   +2 more sources

Plan switching among Medicare Advantage beneficiaries with Alzheimer's disease and other dementias

Alzheimer’s & Dementia: Translational Research & Clinical Interventions, 2021
Introduction Patients with Alzheimer's disease and related dementias (ADRD) face substantial challenges in selecting, and remaining enrolled in, health insurance. Little is known about how patients with ADRD experience the Medicare Advantage (MA) program.
David J. Meyers, Momotazur Rahman, Maricruz Rivera‐Hernandez, Amal N. Trivedi, Vincent Mor   +4 more
doaj   +1 more source

Important Things to Know about Medicare: Chapter Four--Medicare Part C – Medicare Advantage

EDIS, 2014
Important Things to Know about Medicare is a series of 10 publications that will cover the most common Medicare concerns. The series will provide general information about Medicare, including the four major plans, supplemental policies, interactions ...
Amanda Terminello, Martie Gillen
doaj   +5 more sources

Patterns of Comorbidity and Multimorbidity Among Patients With Multiple Sclerosis in a Large US Commercially Insured and Medicare Advantage Population

Journal of Health Economics and Outcomes Research, 2022
# Background Comorbidities are common in patients with multiple sclerosis (MS), thus increasing the complexity of disease management and economic burden and worsening their prognosis and quality of life.
Dingwei Dai, Ajay Sharma, Amy L. Phillips, Carroline Lobo   +3 more
doaj   +1 more source

Estimates of diagnosed dementia prevalence and incidence among diverse beneficiaries in traditional Medicare and Medicare Advantage

Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring, 2023
Approximately half of Medicare beneficiaries are enrolled in Medicare Advantage (MA), a private plan alternative to traditional Medicare (TM). Yet little is known about diagnosed dementia rates among MA enrollees, limiting population estimates. All (100%)
Sidra Haye, Johanna Thunell, Geoffrey Joyce, Patricia Ferido, Bryan Tysinger, Mireille Jacobson, Julie Zissimopoulos   +6 more
doaj   +1 more source

Differences in High‐ and Low‐Value Cardiovascular Testing by Health Insurance Provider

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, 2021
Background Quality of care incentives and reimbursements for cardiovascular testing differ between insurance providers. We hypothesized that there are differences in the use of guideline‐concordant testing between Medicaid versus commercial insurance ...
Vinay Kini, Bridget Mosley, Sridharan Raghavan, Prateeti Khazanie, Steven M. Bradley, David J. Magid, P. Michael Ho, Frederick A. Masoudi   +7 more
doaj   +1 more source

Quality Advantage? Provider Quality and Networks in Medicare Advantage

Journal of Public and Nonprofit Affairs, 2020
Medicare Advantage plans have grown significantly over the past decade and the potential for their future growth seems unabated. Astonishingly, however, we know little about how Medicare beneficiaries access services, particularly whether those services ...
Simon F. Haeder
doaj   +1 more source