The Relationship Between Medicare Advantage Star Ratings and Enrollee Experience.

ABSTRACT:

Background

Medicare Advantage plans, private managed care plans that enrolled 34% of Medicare beneficiaries in 2019, received $6 billion in annual bonus payments on the basis of their performance on a 5-star rating system. Little is known, however, as to the extent these ratings adequately capture enrollee experience.

Objectives

To measure the effect of exposure to higher rated Medicare Advantage contracts on enrollee experience.

Design

An instrumental variables analysis using MA contract consolidation as an exogenous shock to the quality of plan enrollees are exposed to.

Participants

A total of 345,897 MA enrollees enrolled in non-consolidated contracts and 21,405 enrollees who were consolidated.

Main measures

The primary exposure was enrollee star rati

SUBMITTER: Meyers DJ 

PROVIDER: S-EPMC8642571 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature