Perioperative Costs of Elective Surgical Procedures in Medicare Advantage Compared With Traditional Medicare.

ABSTRACT:

Importance

The utilization of elective surgical procedures is lower for patients enrolled in Medicare Advantage (MA) than in traditional Medicare (TM), but it remains unclear whether surgical episode costs differ between MA and TM for comparable patients.

Objective

To compare the estimated costs, markers of resource use (eg, length of stay and location of surgery), and outcomes of surgical episodes for similar patients enrolled in MA and TM.

Design, setting, and participants

In this retrospective cohort study, 2019 Medicare claims and encounters data were analyzed to compare differences in surgical episode costs for beneficiaries with MA vs TM who underwent common elective surgical procedures across 11 categories. Procedures performed in either inpatient or outpatient

SUBMITTER: Politzer E 

PROVIDER: S-EPMC12317349 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature