MedicareAdvantage, Outcomes

Comparison of Care Quality Metrics: Risk Medicare Advantage vs Fee-for-Service Medicare

JAMA Network 12/10/2022

The improvements observed in this study may be partly or fully attributed to the Medicare Advantage model. The Medicare Advantage risk adjustment system appears to be meeting its intended goal by aligning the capitation payments to the health care burden of the individual beneficiary and aggregate population served, thus providing revenue to develop infrastructure that supports improvements in quality and efficiency for the patients enrolled in Medicare Advantage models with 2-sided risk.

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