Growth of Medicare Advantage After Plan Payment Reductions.

ABSTRACT:

Importance

Various policy proposals would reduce federal payments to Medicare Advantage (MA) plans. However, it is unclear whether payment reductions would compromise beneficiary access to the MA program.

Objective

To quantify the association between MA payment reductions under the Affordable Care Act (ACA) and MA enrollment growth.

Design, setting, and participants

This retrospective cohort study examined the MA market before and after the ACA, which mandated cuts to MA benchmark payment rates. Using 2008 to 2019 county-level enrollment and payment data, a difference-in-differences analysis was conducted comparing MA enrollment changes between counties with larger vs smaller benchmark reductions, before vs after the ACA.

Main outcomes and measures

The primary

SUBMITTER: Schwartz AL 

PROVIDER: S-EPMC10290750 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature