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Medicare Advantage Enrollment as a Share of the Medicare Part A and B Population, 2014-2023

... Includes Medicare Advantage plans: HMOs (including POS), PPOs (local and regional), ... and MMPs. About 59.82 million people are enrolled in Medicare Parts A and B in January 2023. ...

Fact Based - Patty Jamison - 06/16/2023 - 14:42 - 0 comments

Percentage of inpatient and outpatient claims initially denied for any reasons by payor category

... 14.1% 2021: Medicare (traditional): 3.4% ... 14.8% 2021: Medicare (traditional): 3.3% ...

Fact Based - Patty Jamison - 06/12/2023 - 17:46 - 0 comments

Distribution of 2023 Medicare Advantage Enrollment Growth by Plan Cohort

... Chartis, In a Shifting Market, Medicare Advantage Shows Continued Growth, March 23, 2023 ... https://www.chartis.com/insights/shifting-market-medicare-advantage-shows-continued-growth-0 ...

Fact Based - Patty Jamison - 04/18/2023 - 14:34 - 0 comments

Changes in MSSP ACO Quality Performance Scores from 2019 to 2021

... From an article entitled, "Changes in Medicare Accountable Care Organization Spending, Utilization, and Quality ...

Fact Based - Charlene Ice - 04/05/2023 - 15:58 - 0 comments

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

... 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. ...

Fact Based - Charlene Ice - 03/17/2023 - 15:52 - 0 comments

Gross Margins per Enrollee, 2018-2021 (Individual and Group Markets)

... https://www.kff.org/medicare/issue-brief/health-insurer-financial-performance/ ...

Fact Based - Patty Jamison - 03/08/2023 - 15:27 - 0 comments

Medical Loss Ratios, 2018-2021 (Individual and Group Markets)

... https://www.kff.org/medicare/issue-brief/health-insurer-financial-performance/ ...

Fact Based - Patty Jamison - 03/08/2023 - 15:24 - 0 comments

5 Top Reasons for ACO Skilled Nursing Facility Waivers, 2014-2019

... of at least 3 consecutive days as required by traditional Medicare. Source:  Center for Medicare & Medicaid Innovation Source ...

Fact Based - Charlene Ice - 03/07/2023 - 17:08 - 0 comments

Mandatory Federal Spending on Health Programs and Services, FY 2022

Medicare: 49.9% ($751.1 billion) ...

Fact Based - Charlene Ice - 03/01/2023 - 17:27 - 0 comments

Avalere: Average Total Medical Spending per Patients with Prediabetes, MA vs FFS

... and Spending for Patients with Type 2 Diabetes Between Medicare Advantage and Fee-For-Service Medicare Source URL:  ...

Fact Based - Patty Jamison - 02/14/2023 - 13:21 - 0 comments