Medicare Advantage

79 Results

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Research

Oct 23, 2024

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

We used data from the 2022 MCAHPS survey to update our understanding of patterns in having a personal physician among Medicare enrollees.
Research

Oct 9, 2024

The Curious Case of Hospital Indemnity Insurance for Medicare Beneficiaries

Hospital indemnity insurance (HII) provides cash payouts after a hospital stay or a receipt of certain healthcare services. This article outlines a research agenda on HII in Medicare and identifies four potential data collection strategies.
Commentary

Oct 8, 2024

The Expense of Health Care Explained: What Americans Need to Know

Health care costs in the United States remain a critical concern for policymakers, providers, and patients alike. As voters head to the polls, we asked three experts on the economics of health care to explain some of the financial and public policy forces at work.
Research

Aug 29, 2024

Medicare Advantage Customer Service Is Used Most by Higher-Need Patients

Medicare Advantage (MA) enrollees who are in poorer general and mental health and who have greater medical complexity are more likely to use their plan's customer service.
Research

Jun 27, 2024

Patient-Reported Denials, Appeals, and Complaints: Associations With Overall Plan Ratings

Patients who reported denials of needed care gave low ratings to their care, and especially their plan, regardless of whether they appealed the denial.
Research

May 8, 2024

Which Medicare Advantage Enrollees Are at Highest One-Year Mortality Risk?

Medicare Advantage enrollees over age 85, in fair or poor health or with recent urgent care needs, are far more likely to be in a high mortality risk group.
Research

Mar 22, 2024

Comparing HEDIS Performance of Dual Eligible Special Needs Plans to Other Coverage Types for Dually Eligible People

This study compared individuals dually eligible for Medicaid's three Medicare coverage options on six clinical quality measures and found that both Advantage plan types outperformed FFS for all measures, with D-SNPs having a slight advantage.
Research

Dec 22, 2023

Understanding the Social Risk Factor Adjustment’s Effect on Star Ratings

This article examines how the Center for Medicare & Medicaid Services' adjustment for social risk factors affects the Medicare Advantage Star Ratings and the type of contracts affected by the adjustment.
Research

Oct 13, 2023

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Three Years of Implementation (2020–2022)

RAND researchers are conducting a multiyear evaluation of the VBID Model test using a mixed-methods approach that involves surveys, interviews, and quantitative analyses of the relationship between VBID implementation and a variety of outcomes.
Research

Jun 22, 2023

Rural Disparities in the Quality of Clinical Care Are Notable and Larger for Males

This study extends evidence of pronounced rural-urban differences in clinical care. It shows that quality gaps in clinical care for rural MA enrollees are often larger for males than females.
Research

Jun 2, 2023

Trends in Methadone Dispensing for Opioid Use Disorder After Medicare Payment Policy Changes

A new Medicare policy may have improved access to methadone and buprenorphine treatment for Medicare beneficiaries with a diagnosed opioid use disorder (OUD) during the COVID-19 pandemic, but further research is needed to determine its impact.
Press

May 19, 2023

Treatment for Opioid Use Disorder Rises After Medicare Expands Coverage for Methadone

The use of methadone among Medicare beneficiaries to treat opioid use disorder increased sharply after the program began covering the drug, with evidence suggesting the change created new treatment rather than displacing use of other medications.

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Medicare Advantage

Medicare Advantage

Related Topics

Evaluation of the Medicare Advantage Value-Based Insurance Design Model Test

Treatment for Opioid Use Disorder Rises After Medicare Expands Coverage for Methadone

Explore RAND’s Work on this Topic

Error

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

The Curious Case of Hospital Indemnity Insurance for Medicare Beneficiaries

The Expense of Health Care Explained: What Americans Need to Know

Medicare Advantage Customer Service Is Used Most by Higher-Need Patients

Patient-Reported Denials, Appeals, and Complaints: Associations With Overall Plan Ratings

Which Medicare Advantage Enrollees Are at Highest One-Year Mortality Risk?

Comparing HEDIS Performance of Dual Eligible Special Needs Plans to Other Coverage Types for Dually Eligible People

Understanding the Social Risk Factor Adjustment’s Effect on Star Ratings

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Three Years of Implementation (2020–2022)

Rural Disparities in the Quality of Clinical Care Are Notable and Larger for Males

Trends in Methadone Dispensing for Opioid Use Disorder After Medicare Payment Policy Changes

Treatment for Opioid Use Disorder Rises After Medicare Expands Coverage for Methadone

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Medicare Advantage

Medicare Advantage

Related Topics

Evaluation of the Medicare Advantage Value-Based Insurance Design Model Test

Treatment for Opioid Use Disorder Rises After Medicare Expands Coverage for Methadone

Explore RAND’s Work on this Topic

Error

Personal Physician Access by Preferred Language Among Medicare Advantage and Medicare Fee-for-Service Older Adults

The Curious Case of Hospital Indemnity Insurance for Medicare Beneficiaries

The Expense of Health Care Explained: What Americans Need to Know

Medicare Advantage Customer Service Is Used Most by Higher-Need Patients

Patient-Reported Denials, Appeals, and Complaints: Associations With Overall Plan Ratings

Which Medicare Advantage Enrollees Are at Highest One-Year Mortality Risk?

Comparing HEDIS Performance of Dual Eligible Special Needs Plans to Other Coverage Types for Dually Eligible People

Understanding the Social Risk Factor Adjustment’s Effect on Star Ratings

Evaluation of Phase II of the Medicare Advantage Value-Based Insurance Design Model Test: First Three Years of Implementation (2020–2022)

Rural Disparities in the Quality of Clinical Care Are Notable and Larger for Males

Trends in Methadone Dispensing for Opioid Use Disorder After Medicare Payment Policy Changes

Treatment for Opioid Use Disorder Rises After Medicare Expands Coverage for Methadone

Oops! An unexpected error has occurred.