The effects of plan payment rates on the market for Medicare Advantage Dual-Eligible Special Needs Plans.

ABSTRACT:

Objective

To determine the effect of higher potential benchmark payment rates on the market for Medicare Advantage (MA) Dual-Eligible Special Needs Plans (D-SNPs).

Data sources/study setting

Publicly available county-level data from 2009 to 2015 regarding the number of D-SNPs operating within the county, the enrollment in and five-star quality of score of these plans, and the benchmark amounts used to determine capitated plan payments.

Study design

This study exploits the introduction of quality bonus payments to the MA program in 2012, and exogenous geographic variation in the potential size of these bonuses to estimate the effect of benchmark payment increases on the availability, quality, and take-up of D-SNPs. We use a difference-in-difference estimation approach

SUBMITTER: McGarry BE 

PROVIDER: S-EPMC6736914 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature