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Medicare Risk Arrangement and Use and Outcomes Among Physician Groups

At-risk Medicare Advantage arrangements show higher quality and efficiency compared to fee-for-service models, impacting care delivery for beneficiaries.

Publisher
APG
Published
Length
82 pages
File
4.2 MB PDF
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This cross-sectional study analyzes the quality and efficiency of care under at-risk Medicare Advantage (MA) arrangements versus fee-for-service (FFS) models.

  • Data from 2016-2019 covering 5,278,717 person-years were examined.
  • At-risk MA arrangements resulted in lower inpatient admissions and emergency department visits.
  • Quality measures favored at-risk MA in 18 of 20 evaluated metrics.
  • Findings suggest improved healthcare delivery for Medicare beneficiaries under at-risk payment models.
  • Study highlights the importance of payment arrangements in influencing care quality.

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