ReportDecember 9, 2020
Report: Positive Outcomes for High- Need, High-Cost Beneficiaries in Medicare Advantage Compared to Traditional Fee-For-Service Medicare
This report, with analysis conducted by Avalere Health, examined data on more than 1.4 million Medicare Advantage beneficiaries and 7.9 million Traditional Medicare beneficiaries, finding that Medicare Advantage outperforms Traditional Medicare on a broad range of quality measures – ranging from pneumonia and flu vaccines to diabetic eye exams, post-acute care, and avoidable hospitalizations.
The study population included the frail elderly, those with complex chronic conditions, and those individuals under 65 years old who are in Medicare due to a disability. These high-need beneficiaries were matched using new analytic tools not previously used for such studies.