Medicaid Expansion, Managed Care Plan Composition, and Enrollee Experience
Medicaid expansion was associated with substantial changes in Medicaid managed care plan composition, which may influence a plan’s performance on enrollee experience metrics.
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Comparison of Mortality Between Medicare Advantage and Traditional Medicare Beneficiaries With Kidney Failure
The risk-adjusted 1-year mortality rate was not different between Medicare Advantage and traditional Medicare beneficiaries with kidney failure who initiated dialysis.
Comparison of the Use of Top-Ranked Cancer Hospitals Between Medicare Advantage and Traditional Medicare
Medicare Advantage enrollees, particularly those with lower out-of-network benefits, may have restricted access to top-ranked hospitals for complex cancer care compared with traditional Medicare enrollees.
Integrated Medicare and Medicaid Managed Care and Rehospitalization of Dual Eligibles
Integrated Medicare and Medicaid managed care may not sufficiently address the problems of inefficiency and fragmentation in care for hospitalized dual eligible enrollees.
Predictors of High-Risk Prescribing Among Elderly Medicare Advantage Beneficiaries
This study examines patterns of high-risk prescribing in the elderly Medicare Advantage population and demonstrates that the practice varies widely by geography and drug class.