Studies Put Finer Point on Differences Between Medicare Advantage, Traditional Medicare

Among Medicare beneficiaries with complex care needs, those enrolled in Medicare Advantage had lower rates of hospital stays, emergency department (ED) visits and 30-day readmissions than those enrolled in traditional Medicare, according to a new JAMA study.

Based on an analysis of more than 1.8 million Medicare beneficiaries, the study found that MA beneficiaries enrolled in health maintenance organization plans and preferred provider organization plans both saw lower rates of hospitalizations and ED visits than traditional Medicare beneficiaries across all groups, but the difference was larger for those enrolled in HMO plans.

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Jinghong Chen

Jinghong Chen Reporter

Jinghong has been producing infographics and data stories on employer-sponsored insurance, public health insurance programs and prescription drug coverage for AIS Health’s Health Plan Weekly and Radar on Drug Benefits since 2018. She also manages AIS Health’s annual executive compensation database for top insurers and Blue Cross and Blue Shield affiliates. Before joining AIS Health, she interned at WBEZ, Al Jazeera English and The New York Times Chinese. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting.

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