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Value-Based Care

Medicare Advantage is built on a value-based system in which Medicare Advantage health plans receive a per-member, per-month payment for each beneficiary’s care, and are tasked with using those dollars most effectively – incentivizing high quality, high-value care for the 24.2 million enrollees who trust Medicare Advantage with their health care needs.

How Value-Based Care Works for Seniors

Our President and CEO, Congresswoman Allyson Y. Schwartz, penned a four-part blog series for Health Affairs about how Medicare Advantage’s value-based structure works to serve beneficiaries, which you can read below:

“The Value of Medicare Advantage: Understanding What’s at Stake” (January 7, 2020)
“The Value of Medicare Advantage: Coverage Security, Consumer Choice, and Lower Costs” (January 21, 2020 – with Oak Street Health)
“The Value of Medicare Advantage: 21st Century Care” (February 4, 2020 – with ChenMed)
“The Value of Medicare Advantage: Health Coverage as Unique as You” (February 19, 2020 – with National Minority Quality Forum)

Additionally, Better Medicare Alliance publishes a report series entitled “Spotlight on Innovation” which has detailed advances in health care made possible by Medicare Advantage’s value-based structure. Recent reports include:

Landmark Health Spotlight on Innovation (March 11, 2020)
SCAN Health Plan Addresses Social Determinants of Health to Enable Medicare Advantage Beneficiaries to Live Independently (May 20, 2019)
ChenMed & Patient-Centered Care for Medicare Advantage Patients (January 10, 2018)

You can also read recent research commissioned by Better Medicare Alliance explaining how Medicare Advantage's value-based systems works to improve health outcomes:

Report: Medicare Advantage Achieves Better Outcomes Than Traditional Medicare (July 11, 2018)