Effects of Medicare advantage on patterns of end-of-life care among Medicare decedents.

ABSTRACT:

Objective

To examine the effects of Medicare Advantage (MA) enrollment on patterns of end-of-life care.

Data sources

We used data from the Master Beneficiary Summary File, the Medicare Provider Analysis and Review, hospice claims, the Minimum Data Set, the Outcome and Assessment Information Set, the Area Health Resources File, and Geographic Variation Public Use File for 2012-2014.

Study design

To address selective enrollment into MA, we exploited a discontinuity in payment rates by county population (urban floor payments) as an instrument.

Data collection/extraction methods

We identified Medicare beneficiaries continuously enrolled in MA or TM during their last year of life between 2012 and 2014 using Medicare administrative data.

Principal findings

We

SUBMITTER: Park S 

PROVIDER: S-EPMC9264456 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature