Growth In Medicare Advantage Greatest Among Black And Hispanic Enrollees
Health Affairs Blog June 2021
Expansion of the Medicare Advantage program during 2009–18 saw greater enrollment among racial/ethnic minorities and other traditionally marginalized groups. Growth was more rapid among Black, Hispanic, and dually enrolled beneficiaries than among White and nondual beneficiaries. The implications of greater heterogeneity in the program for enrollee outcomes are uncertain.
This piece is noteworthy for its use of SES factors in risk adjustment – you might want to ask HPC staff about their methodology – and for the dramatic differences in spending between Hospital-owned PCPs versus Physician-led groups for outpatient, ED and ancillary services. Methodology seems rigorous, but unfortunately the number of physician-led groups is quite small.
Jon Kingsdale
