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January 15, 2020JAMA Network OpenOpen Access

For nonemergent hospitalizations, MA enrollees were 5.1 percentage points (95% CI, 4.6-5.6 percentage points) more likely to enter an average-readmissions hospital, and less likely to enter low- or high-readmissions hospitals compared with traditional Medicare enrollees.

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Why the study?

Little is known about the quality of hospitals that serve Medicare Advantage enrollees compared with those that admit traditional Medicare enrollees.

Does Medicare Advantage enrollment affect the quality of hospitals patients are admitted to compared with traditional Medicare in Medicare beneficiaries?

Population

7 130 610 Medicare beneficiaries admitted to 2994 acute care hospitals across the United States

Comparison

Medicare Advantage enrollment vs traditional Medicare enrollment

Design

Cross-sectional study

Authors

DMDavid J. MeyersJohn Brown UniversityATAmal N. TrivediProvidence CollegeVMVincent MorUniversità Cattolica del Sacro Cuore

Discussion

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Member takes

Overview

MA enrollees may enter lower-quality hospitals than traditional Medicare patients; leaves open impact of plan steering on outcomes.

Structured PICO

Does Medicare Advantage enrollment affect the quality of hospitals patients are admitted to compared with traditional Medicare in Medicare beneficiaries?

P
Population
7,130,610 Medicare beneficiaries admitted to 2994 acute care hospitals across the United States in 2016, mean age 72.7 years, 54.3% female.
I
Intervention
Medicare Advantage (MA) enrollment
C
Comparator
Traditional Medicare enrollment
O
Outcome
Hospital Compare star ratings and quintiles of performance in 30-day readmission rates

Medicare Advantage enrollees are more likely to be admitted to average-quality hospitals rather than high- or low-quality hospitals compared to traditional Medicare enrollees, suggesting potential steering by MA plans.

Cite This Study

Meyers et al. (2020) studied this question.

synapsesocial.com/papers/6a73abdf9e855e455c27a09ahttps://doi.org/10.1001/jamanetworkopen.2019.19310
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