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Medicare Advantage

  • ADRD Prevalence in Various Insurance Populations: A Collaboration with The Alzheimer’s Association

    Tags: Alzheimer’s, Commercially Insured, Medicare, Medicare Advantage
    ADRD Prevalence in Various Insurance Populations: A Collaboration with The Alzheimer’s Association
    Aaron Bloschichak, Sally Rodriguez, John Hargraves
    June 19, 2020

    Alzheimer’s disease and related dementias (ADRD) represent a significant and growing cost to the United States health care system. While the prevalence and cost of ADRD related to Medicare Fee-for-Service beneficiaries is documented in the Center for Medicare and Medicaid Services’ Chronic Conditions Warehouse, less is known about the prevalence and cost of ADRD among…

    Read more: ADRD Prevalence in Various Insurance Populations: A Collaboration with The Alzheimer’s Association
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  • Comparing Post-Acute Care Use and First Site of Care Among Medicare Advantage Enrollees and Medicare Fee-for-Service Beneficiaries

    Tags: Medicare, Medicare Advantage, Utilization
    Comparing Post-Acute Care Use and First Site of Care Among Medicare Advantage Enrollees and Medicare Fee-for-Service Beneficiaries
    Jean Fuglesten Biniek, Aaron Bloschichak, Sally Rodriguez
    November 25, 2019

    Using data from the Health Care Cost Institute (HCCI) and Centers for Medicare & Medicaid Services (CMS), we examined trends in inpatient hospital admissions and post-acute care (PAC) utilization among Medicare Advantage (MA) and Fee-for-Service (FFS) beneficiaries. Specifically, we compared how frequently individuals in each group were discharged from the hospital, whether they had evidence…

    Read more: Comparing Post-Acute Care Use and First Site of Care Among Medicare Advantage Enrollees and Medicare Fee-for-Service Beneficiaries
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  • Non-Shoppable Health Care Services: Inpatient Hospitalizations

    Tags: Ambulance, Commercially Insured, Emergency Room, Inpatient Spending, Medicare Advantage
    Non-Shoppable Health Care Services: Inpatient Hospitalizations
    Eric Barrette
    February 28, 2017

    This data brief reports on spending and utilization in populations likely unable to shop for a hospital prior to seeking care, comparing spending and length-of-stay for individuals who were admitted through the emergency department (ED) to that of individuals who needed ambulance services the day of their admission through the ED. 

    Read more: Non-Shoppable Health Care Services: Inpatient Hospitalizations
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  • Medicare Advantage Health Care Utilization – Observation Stays

    Tags: Inpatient Spending, Medicare Advantage, Observation Stays, Utilization, Value Based Care
    Medicare Advantage Health Care Utilization – Observation Stays
    Eric Barrette, Katharine McGraves-Llyod
    December 1, 2016

    This data brief reports on outpatient observations stays in the Medicare Advantage population from 2010 through 2014. The results show that the rate of observations stays increased in total as well as following hospitalizations. 

    Read more: Medicare Advantage Health Care Utilization – Observation Stays
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  • Medicare Advantage Health Care Utilization – Hospital Readmissions

    Tags: Chronic Conditions, Inpatient Spending, Medicare Advantage, Readmissions
    Medicare Advantage Health Care Utilization – Hospital Readmissions
    Eric Barrette, Katharine McGraves-Lloyd
    November 1, 2016

     This data brief, reports on five readmission rate measures for the Medicare Advantage (MA) population: 30-day all-cause hospital-wide readmissions and 30-day all-cause readmissions following acute myocardial infarction (AMI), heart failure, chronic obstructive pulmonary disease (COPD), and pneumonia. The results show that MA readmission rates have been declining over the past five years.

    Read more: Medicare Advantage Health Care Utilization – Hospital Readmissions
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