Should I stay or should I go again: Multiple switching between fee-for-service Medicare and Medicare advantage among older beneficiaries.

ABSTRACT:

Objective

To evaluate whether having previously disenrolled from Medicare Advantage (MA) is associated with lower hazards of future MA enrollment.

Data sources and study setting

Secondary data from Medicare.

Study design

We examined beneficiaries with baseline FFS enrollment from 2017-2019 using a 20% sample of Medicare claims. Cox proportional hazard models were used to examine the association of prior MA enrollment (in the three years prior to baseline FFS enrollment) with MA re-enrollment, and whether this association is modified by Alzheimer's Disease and Related Dementias (ADRD), prior nursing home use, chronic illness, dual eligible status, and availability of MA plans and quality.

Data collection

Not applicable.

Principal findings

Overall, 3.3% of

SUBMITTER: Hoffman GJ 

PROVIDER: S-EPMC12047697 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature