Analysis of Value-Based Payment and Acute Care Use Among Medicare Advantage Beneficiaries

JAMA Network
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Analysis of Value-Based Payment and Acute Care Use Among Medicare Advantage Beneficiaries

Study shows...

In this JAMA Network article, you'll learn about:
  • The research study

"  In this study, we examined the association between value-based payment and acute care use in a national population of MA beneficiaries. "

  • The methods of the research study

" We identified beneficiaries enrolled in plans offered by a large MA organization from January 1, 2017, to December 31, 2019, and categorized them according to the payment model for their attributed primary care organization: fee-for-service (FFS); shared savings with upside-only financial risk (upside-only risk); and shared savings with upside and downside financial risk (2-sided risk). "

  • The results of the study

" The association between value-based payment and decreased acute care use was most pronounced for measures of avoidable acute care use. Compared with FFS, 2-sided risk models were associated with a 15.6% (95% CI, 14.2%-17.0%) relative reduction in avoidable hospitalizations, compared with 4.2% (3.4%-4.9%) for all-cause hospitalizations. "

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