Postacute Care for Medicare Advantage Enrollees Who Switched to Traditional Medicare Compared With Those Who Remained in Medicare Advantage.

ABSTRACT:

Importance

Medicare Advantage (MA) plans receive capitated per enrollee payments that create financial incentives to provide care more efficiently than traditional Medicare (TM); however, incentives could be associated with MA plans reducing use of beneficial services. Postacute care can improve functional status, but it is costly, and thus may be provided differently to Medicare beneficiaries by MA plans compared with TM.

Objective

To estimate the association of MA compared with TM enrollment with postacute care use and postdischarge outcomes.

Design, setting, and participants

This was a cohort study using Medicare data on 4613 hospitalizations among retired Ohio state employees and 2 comparison groups in 2015 and 2016. The study investigated the association of a pol

SUBMITTER: Huckfeldt PJ 

PROVIDER: S-EPMC10873769 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature