Impact Of Risk Adjustment For Socioeconomic Status On Medicare Advantage Plan Quality Rankings.

ABSTRACT: Sociodemographically disadvantaged patients have worse outcomes on some quality measures that inform Medicare Advantage plan ratings. Performance measurement that does not adjust for sociodemographic factors may penalize plans that disproportionately serve disadvantaged populations. We assessed the impact of adjusting for socioeconomic and demographic factors (sex, race/ethnicity, dual eligibility, disability, rurality, and neighborhood disadvantage) on Medicare Advantage plan rankings for blood pressure, diabetes, and cholesterol control. After adjustment, 20.3 percent, 19.5 percent, and 11.4 percent of Medicare Advantage plans improved by one or more quintiles in rank on the diabetes, cholesterol, and blood pressure measures, respectively. Plans that improved in ranking after adjustment

SUBMITTER: Durfey SNM 

PROVIDER: S-EPMC6063315 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature