Value-based MA Models versus FFS Medicare Models: Comparison of 8 Patient Outcomes

  1. Patients in value-based Medicare Advantage (MA) models had 6% lower odds of acute inpatient admission through the emergency department (ED) than those in Medicare fee-for-service (FFS) models.
  2. Patients in value-based MA models had 6% lower rates of return to the ED within 30 days.
  3. Patients in value-based MA models had 14% lower odds of avoidable ED visits.
  4. Patients in value-based MA models were 18% less likely to be admitted to the hospital.
  5. Patients in value-based MA models had a 9% lower 30-day hospital readmission rate.
  6. Patients in value-based MA models were 11% less likely to visit the ED.
  7. Patients in value-based MA models were 44% less likely to be readmitted for complications linked to chronic obstructive pulmonary disease or asthma exacerbation.
  8. Patients in value-based MA models had 10% lower odds of admission for stroke or myocardial infarction.
Notes: From an article entitled, 'Comparison of Care Quality Metrics in 2-Sided Risk Medicare Advantage vs Fee-for-Service Medicare Programs," by Kenneth Cohen, MD1; Omid Ameli, MD, DrPH1; Christine E. Chaisson, MPH et. al.

Source: JAMA Network Open, December 12, 2022 - https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2799376?resultClic…

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