Comparison of Care Quality Metrics in 2-Sided Risk Medicare Advantage vs Fee-for-Service Medicare Programs.

ABSTRACT:

Importance

Medicare Advantage is associated with improved health outcomes, increased care efficiency, and lower out-of-pocket costs compared with fee-for-service (FFS) Medicare. When engaged in 2-sided risk arrangements, physicians are incented to offer high value for patients; however, no studies have explored the quality and efficiency outcomes in 2-sided risk Medicare Advantage models compared with FFS Medicare.

Objective

To compare quality and efficiency of care between physicians using a Medicare Advantage 2-sided risk model and FFS Medicare.

Design, setting, and participants

This retrospective cohort analysis with exact and propensity score-matched design used claims data from January 1, 2018, to December 31, 2019. Participants included beneficiaries enrolled in

SUBMITTER: Cohen K 

PROVIDER: S-EPMC9856238 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature