Back to Search
Start Over
Medicare Advantage Enrollees More Likely To Enter Lower-Quality Nursing Homes Compared To Fee-For-Service Enrollees.
- Source :
-
Health Affairs . Jan2018, Vol. 37 Issue 1, p78-85. 8p. - Publication Year :
- 2018
-
Abstract
- Unlike fee-for-service (FFS) Medicare, most Medicare Advantage (MA) plans have a preferred network of care providers that serve most of a plan's enrollees. Little is known about how the quality of care MA enrollees receive differs from that of FFS Medicare enrollees. This article evaluates the differences in the quality of skilled nursing facilities (SNFs) that Medicare Advantage and FFS beneficiaries entered in the period 2012-14. After we controlled for patients' clinical, demographic, and residential neighborhood effects, we found that FFS Medicare patients have substantially higher probabilities of entering higher-quality SNFs (those rated four or five stars by Nursing Home Compare) and those with lower readmission rates, compared to MA enrollees. The difference between MA and FFS Medicare SNF selections was less for enrollees in higher-quality MA plans than those in lower-quality plans, but Medicare Advantage still guided patients to lower-quality facilities. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CLINICAL medicine
*DATABASE management
*LONGITUDINAL method
*MANAGED care programs
*MEDICAL quality control
*MEDICARE
*NURSING care facilities
*PROBABILITY theory
*REGRESSION analysis
*RESEARCH funding
*STATISTICS
*DATA analysis
*EVALUATION research
*KEY performance indicators (Management)
*FEE for service (Medical fees)
*PATIENT readmissions
*PATIENT decision making
*OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 02782715
- Volume :
- 37
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Health Affairs
- Publication Type :
- Academic Journal
- Accession number :
- 127441066
- Full Text :
- https://doi.org/10.1377/hlthaff.2017.0714