Study Finds Better Outcomes for Medicare Advantage Beneficiaries than Traditional FFS Medicare
Among others, the study found that there were better outcomes in MA than FFS for all populations analyzed in 17 of 22 clinical quality of care measures.
January 3, 2021 – In December 2020, Better Medicare Alliance’s (BMA) Center for Innovation in Medicare released a report, Positive Outcomes for High-Need, High-Cost Beneficiaries in Medicare Advantage Compared to Traditional Fee-For-Service Medicare. The study south to analyze if Medicare Advantage’s (MA) integrated care and care management lead to better results for beneficiaries most at risk of poor results. It examined the range of outcomes for high-need, high-cost beneficiaries under Medicare Advantage and compared those to those under Traditional Fee-For-Service (FFS) Medicare.
Among others, the study found that there were better outcomes in MA than FFS for all populations analyzed in 17 of 22 clinical quality of care measures. It also found similar positive results for utilization of care, quality of care, and costs of care, which suggests that MA care management programs help lead to a better quality of care and lower cost of care for at-risk beneficiaries.
Click here to read the full report from Better Medicare Alliance’s (BMA) Center for Innovation in Medicare.
The VBP Blog is a comprehensive resource for all things related to value-based payments. We provide up to date news, informative webinars, and relevant blogs in the VBP sphere to help your organization find success.
Get even more VBP insights on LinkedIn & Twitter
More Trending Topics:

Massachusetts MLTSS: How Integrated Care and Consumer Input Shape the Model
Massachusetts uses integrated programs to coordinate medical care, behavioral health, and long-term services, but recent eligibility and program changes create new consumer considerations.

States Move to Regulate AI in Mental Health Care as Vermont and California Push for Stronger Safeguards
Vermont and California are advancing legislation that would limit the use of AI in mental health treatment, requiring greater clinician oversight and stronger patient protections.

States Expand Home-and Community-Based Services to Help More Medicaid Beneficiaries Age at Home
A new analysis finds states are expanding home- and community-based services through Medicaid, but workforce shortages, waitlists, and funding pressures continue to challenge access.

Pennsylvania Invests in Housing Pilot to Improve Health Outcomes for Medicaid Recipients
Pennsylvania is investing $1 million in a Medicaid housing pilot designed to improve health outcomes, reduce hospital use, and address housing instability among vulnerable residents.

Study Highlights Broader Economic Impact of Food Insecurity Beyond Health Care Costs
A new study finds food insecurity is linked to higher emergency department spending, lower income, and greater job instability, highlighting opportunities for managed care interventions.

CMS Proposes Medicare Home Health Payment Increase and Expanded Fraud Prevention Measures for 2027
CMS has proposed a 2.4% Medicare home health payment increase for 2027 while introducing new fraud prevention measures and updates to the Home Health Prospective Payment System.
