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Medicare Advantage vs. Medicare FFS: Chronic Conditions Outcomes
Medicare Advantage vs. Medicare FFS: Chronic Conditions Outcomes
The clinical characteristics and care needs of older adults are changing over time. More than half of the Medicare population has 4 or more chronic conditions. Effectively managing the delivery of care for Medicare beneficiaries with multiple chronic conditions has the potential to improve the quality of life for these beneficiaries while reducing Medicare spending. To date, there is little comprehensive information on the performance and value of Medicare Advantage compared to FFS Medicare, due in part to a lack of access to Medicare Advantage data comparable to that available for FFS Medicare.

The Better Medicare Alliance sponsored an Avalere study to compare demographic and clinical characteristics, overall healthcare utilization, cost of care, and related clinical quality outcomes in 2 large national samples of Medicare Advantage and FFS Medicare beneficiaries enrolled for the full year of 2015. Avalere selected beneficiaries with 1 or more of 3 of the top-5 most prevalent chronic conditions in the Medicare population: hypertension, hyperlipidemia, and diabetes.

The study found that Medicare Advantage has a higher proportion of patients with clinical and social risk factors shown to affect health outcomes and cost than FFS Medicare; and that despite a higher proportion of clinical and social risk factors, Medicare Advantage beneficiaries with chronic conditions experienced lower utilization of high-cost services, comparable average costs, and better outcomes.

Please join us on Tuesday September 18, 2018, at 1 PM Eastern as Avalere's Christie Teigland, PhD and Better Medicare Alliance's James Michel present Avalere's research findings and perspectives.  Click here for detailed information and to register or call 209.577.4888.
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