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January 14, 2026Journal of Comparative Effectiveness ResearchOpen Access

The importance and challenge of comparing stroke care, utilization and outcomes in Medicare Advantage and Fee-for-Service Medicare: a narrative review and vision for the future

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Authors

EBEmily BianUniversity of VirginiaPMPriyanka MenonAugusta UniversityKMKathleen A. McManusUniversity of Virginia Health System

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Implication

Narrative review highlights differences in stroke preventive care and outcomes for Medicare beneficiaries.

Key Points

  • The study aims to compare stroke preventive care, utilization, and outcomes between Medicare Advantage and Fee-for-Service Medicare.
  • Performed an empirical narrative review of relevant studies from PubMed, EMBASE, and Web of Science.
  • Included studies that compared stroke preventive care between Medicare Advantage and Fee-for-Service Medicare.
  • Evaluated guidelines from the American Heart Association and additional factors like atrial fibrillation and post-acute care.
  • 7 out of 1356 studies met inclusion criteria, showing heterogeneity in design and settings.
  • Medicare Advantage appears to allow for better guideline-directed care for hyperlipidemia and smoking cessation.
  • Lower post-acute care utilization was noted in Medicare Advantage, with similar functional outcomes but in fewer days.

Cite This Study

Bian et al. (2026) studied this question.

synapsesocial.com/papers/6966e6f513bf7a6f02bfefa7https://doi.org/10.57264/cer-2025-0157
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Also Consider

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  4. 4Improving Access to Stroke Rehabilitation and Recovery: A Policy Statement From the American Heart Association/American Stroke Association2025 · 33 citations
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