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Varied Differences in the Health Status Between Medicare Advantage and Fee-for-Service Enrollees

Bibliographic Data

ID13775775
AuthorsYunjie Song (Dartmouth College, Hanover, NH, USA), Xue Song (0000-0002-9305-9161, Dartmouth College, corresponding author)
Year2014
Volume51
Publication date2014-01-01
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0046958014561636
PMID25500754
OpenAlexW2140924199
LanguageEN
Citations received3
References cited18

This article examines the differences in mortality measured health status between the Medicare Advantage (MA) program and Fee-for-Service (FFS) program from 1999 to 2007. At the national level, differences in mortality rates were associated with MA market share. In some counties, enrollees in the MA program were 40% less likely to die than their peers in the FFS program, but in other counties, they were 20% more likely to die. Cost shifting between the two programs could bias county classifications of average FFS spending, and enlarged disparities in health status could make it difficult to evaluate risk adjusters

Actuarial science · Business · Economic growth · Economics · Environmental health · Fee-for-service · Health care · Health services · Health spending · Medicare Advantage · Population · Service (business · Sociology · Demography · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Marketing · Medicine · Gerontology

  • Potential Cost Savings From Reduction of Regional Variation in Medicare Spending

    Open Access•Yunjie Song, Xue Song•SAGE Open•2016

  • Mortality Differences Between Traditional Medicare and Medicare Advantage

    Open Access•Roy Beveridge, Roy A Beveridge et al.•INQUIRY The Journal of Health…•2017

  • Regional and Temporal Variations in Comorbidity Among US Dialysis Patients

    Open Access•Yi Mu, Andrew I Chin et al.•INQUIRY The Journal of Health…•2018

  • Disenrollment of Medicare Cancer Patients from Health Maintenance Organizations

    Gerald F Riley, Eric J Feuer et al.•Medical Care•1996

  • Biased Selection and Regression toward the Mean in Three Medicare HMO Demonstrations

    Gerald F Riley, Gerald Riley et al.•Medical Care•1989

  • Clinical Risk Groups (CRGs)

    JOHN S HUGHES, Richard F Averill et al.•Medical Care•2004

  • Incorporating New Research Into Medicare Risk Adjustment

    Bianca K Frogner, Gerald F Anderson et al.•Medical Care•2011

  • Predictors of Voluntary Disenrollment From Medicare Managed Care

    Judy H Ng, Judy Ng et al.•Medical Care•2007

Citations per year0.3
Citation span2016 - 2018 (3)
Highly citedNo

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Open DOISci-HubOpen Access
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