Should Medicare Advantage Plans Receive Billions in Additional Risk-based Payments for Potentially Unmanaged Conditions?
UMass Chan AffiliationsDepartment of Population and Quantitative Health Sciences
Health Services Administration
Health Services Research
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AbstractMedicare Advantage (MA) (ie, Medicare Part C), a private alternative to traditional fee-for-service Medicare, was first implemented in 19851 but has seen its most significant growth in the past 15 years. Although MA accounted for 36% of Medicare enrollment in 2020, research examining this program has been limited historically by the low quality of MA encounter data and its lack of availability (until recently) to researchers.
Alcusky M, Mick EO. Should Medicare Advantage Plans Receive Billions in Additional Risk-based Payments for Potentially Unmanaged Conditions? Med Care. 2021 Feb 1;59(2):93-95. doi: 10.1097/MLR.0000000000001484. PMID: 33394895. Link to article on publisher's site