{"id":16322,"date":"2025-02-04T15:35:10","date_gmt":"2025-02-04T15:35:10","guid":{"rendered":"https:\/\/lonecandle.com\/?p=16322"},"modified":"2025-02-04T15:39:55","modified_gmt":"2025-02-04T15:39:55","slug":"medicare-advantage-good-or-bad-lc-sources","status":"publish","type":"post","link":"https:\/\/lonecandle.com\/?p=16322","title":{"rendered":"Medicare Advantage: Good? Or Bad? LC Sources"},"content":{"rendered":"\n<p><strong>Medicare Advantage is bad for patients and bad for investors<\/strong><\/p>\n\n\n\n<p>Wendell Potter and Philip Verhoef. 2024 2 28. STAT.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-stat wp-block-embed-stat\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"ieWbYufQFv\"><a href=\"https:\/\/www.statnews.com\/2024\/02\/28\/medicare-advantage-traditional-overpayment-patient-dissatisfaction-investors\/\">Medicare Advantage is bad for patients and bad for investors<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Medicare Advantage is bad for patients and bad for investors&#8221; &#8212; STAT\" src=\"https:\/\/www.statnews.com\/2024\/02\/28\/medicare-advantage-traditional-overpayment-patient-dissatisfaction-investors\/embed\/#?secret=YNCZeoP7Ff#?secret=ieWbYufQFv\" data-secret=\"ieWbYufQFv\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Medicare Advantage Myth-Busting<\/strong><\/p>\n\n\n\n<p>Brandon Novick. 2024 3 14. CEPR.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.cepr.net\/medicare-advantage-mythbusting\">https:\/\/www.cepr.net\/medicare-advantage-mythbusting<\/a><\/p>\n\n\n\n<p><strong>How Does the U.S. Healthcare System Compare to Other Countries?<\/strong><\/p>\n\n\n\n<p>2024 8 15. Peter G. Peterson Foundation.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.pgpf.org\/blog\/2024\/08\/how-does-the-us-healthcare-system-compare-to-other-countries#:~:text=Despite%20spending%20nearly%20twice%20as,States%20and%20other%20wealthy%20countries.\">https:\/\/www.pgpf.org\/blog\/2024\/08\/how-does-the-us-healthcare-system-compare-to-other-countries#:~:text=Despite%20spending%20nearly%20twice%20as,States%20and%20other%20wealthy%20countries.<\/a><\/p>\n\n\n\n<p><strong>When Costs Are a Barrier to Getting Health Care: Reports from Older Adults in the United States and Other High-Income Countries<\/strong><\/p>\n\n\n\n<p>Gretchen Jacobson et al. 2021 10 1. The Commonwealth Fund.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.commonwealthfund.org\/publications\/surveys\/2021\/oct\/when-costs-are-barrier-getting-health-care-older-adults-survey#:~:text=Survey%20data%20show%20that%20older,people%20skipping%20or%20missing%20care\">https:\/\/www.commonwealthfund.org\/publications\/surveys\/2021\/oct\/when-costs-are-barrier-getting-health-care-older-adults-survey#:~:text=Survey%20data%20show%20that%20older,people%20skipping%20or%20missing%20care<\/a><\/p>\n\n\n\n<p><strong>It\u2019s Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt<\/strong><\/p>\n\n\n\n<p>Gerard F. Anderson et al. 2019 1. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2018.05144\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2018.05144<\/a><\/p>\n\n\n\n<p><strong>Provider Consolidation Drives Up Health Care Costs<\/strong><\/p>\n\n\n\n<p>Emily Gee and Ethan Gurwitz. 2018 12 5. CAP20.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.americanprogress.org\/article\/provider-consolidation-drives-health-care-costs\">https:\/\/www.americanprogress.org\/article\/provider-consolidation-drives-health-care-costs<\/a><\/p>\n\n\n\n<p><strong>The Role Of Administrative Waste In Excess US Health Spending<\/strong><\/p>\n\n\n\n<p>Health Affairs Research Brief. 2022 10 16.<\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/www.healthaffairs.org\/content\/briefs\/role-administrative-waste-excess-us-health-spending\n<\/div><\/figure>\n\n\n\n<p><strong>Your Periodic Reminder: Government-Granted Patent Monopolies Make Drugs Expensive<\/strong><\/p>\n\n\n\n<p>Dean Baker. 2023 8 29. CEPR.<\/p>\n\n\n\n<p><a href=\"https:\/\/cepr.net\/your-periodic-reminder-government-granted-patent-monopolies-make-drugs-expensive\/#:~:text=Dean%20Baker&amp;text=The%20reason%20drugs%20are%20expensive,expensive%20to%20manufacture%20and%20distribute.\">https:\/\/cepr.net\/your-periodic-reminder-government-granted-patent-monopolies-make-drugs-expensive\/#:~:text=Dean%20Baker&amp;text=The%20reason%20drugs%20are%20expensive,expensive%20to%20manufacture%20and%20distribute.<\/a><\/p>\n\n\n\n<p><strong>34 Million Seniors in Medicare Advantage Plans Face Rude Awakening<\/strong><\/p>\n\n\n\n<p>Emma Curchin. 2024 10 15. CEPR.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.cepr.net\/34-million-seniors-in-medicare-advantage-plans-face-rude-awakening\">https:\/\/www.cepr.net\/34-million-seniors-in-medicare-advantage-plans-face-rude-awakening<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage growth and its impact on rural health care<\/strong><\/p>\n\n\n\n<p>Carrie Shaver et al. National Rural Health Association Poljicy Brief.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ruralhealth.us\/getmedia\/44f3c191-6912-49e5-b3bc-03564e3775a6\/2024-NRHA-Medicare-Advantage-policy-brief.pdf\">https:\/\/www.ruralhealth.us\/getmedia\/44f3c191-6912-49e5-b3bc-03564e3775a6\/2024-NRHA-Medicare-Advantage-policy-brief.pdf<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage market expected to grow in 2025, despite big changes from insurers<\/strong><\/p>\n\n\n\n<p>Tara Bannow and Bob Herman. 2024 10 4. STAT.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.statnews.com\/2024\/10\/04\/medicare-advantage-plans-2025-insurers-change-benefits\/?utm_campaign=health_care_inc&amp;utm_medium=email&amp;_hsmi=327714190&amp;utm_content=327714190&amp;utm_source=hs_email\">https:\/\/www.statnews.com\/2024\/10\/04\/medicare-advantage-plans-2025-insurers-change-benefits\/?utm_campaign=health_care_inc&amp;utm_medium=email&amp;_hsmi=327714190&amp;utm_content=327714190&amp;utm_source=hs_email<\/a><\/p>\n\n\n\n<p><strong>Coverage Denials in Medicare Advantage\u2014Balancing Access and Efficiency<\/strong><\/p>\n\n\n\n<p>Suhas Gondi et al. 2024 3 1. JAMA Network.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2815743\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2815743<\/a><\/p>\n\n\n\n<p><strong>OIG finds widespread inappropriate care denials in Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Diane Archer. 2022 5 4. Just care.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-justcare wp-block-embed-justcare\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"dDeydM4Q4w\"><a href=\"https:\/\/justcareusa.org\/oig-finds-widespread-inappropriate-care-denials-in-medicare-advantage\/\">OIG finds widespread inappropriate care denials in Medicare Advantage<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;OIG finds widespread inappropriate care denials in Medicare Advantage&#8221; &#8212; JustCare\" src=\"https:\/\/justcareusa.org\/oig-finds-widespread-inappropriate-care-denials-in-medicare-advantage\/embed\/#?secret=3hbyd4BWfz#?secret=dDeydM4Q4w\" data-secret=\"dDeydM4Q4w\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care<\/strong><\/p>\n\n\n\n<p>Christi A. Grimm. 2022 4. U.S. department of Health and Human Services: Office of inspector General.<\/p>\n\n\n\n<p><a href=\"https:\/\/oig.hhs.gov\/oei\/reports\/OEI-09-18-00260.pdf\">https:\/\/oig.hhs.gov\/oei\/reports\/OEI-09-18-00260.pdf<\/a><\/p>\n\n\n\n<p><strong>O U R&nbsp; P A Y M E N T S&nbsp; T H E I R&nbsp; P R O F I T S<\/strong><\/p>\n\n\n\n<p>Physicians for a National Health Program.<\/p>\n\n\n\n<p><a href=\"https:\/\/pnhp.org\/system\/assets\/uploads\/2023\/09\/MAOverpaymentReport_Final.pdf\">https:\/\/pnhp.org\/system\/assets\/uploads\/2023\/09\/MAOverpaymentReport_Final.pdf<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage: A Policy Primer<\/strong><\/p>\n\n\n\n<p>Christina Ramsay et al. 2024 1 31. The Commonwealth Fund.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.commonwealthfund.org\/publications\/explainer\/2024\/jan\/medicare-advantage-policy-primer\">https:\/\/www.commonwealthfund.org\/publications\/explainer\/2024\/jan\/medicare-advantage-policy-primer<\/a><\/p>\n\n\n\n<p><strong>An Economic History of Medicare Part C<\/strong><\/p>\n\n\n\n<p>Thomas G. McGuire et al. 2011 6 16. The Milbank Quarterly.<\/p>\n\n\n\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1468-0009.2011.00629.x\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1468-0009.2011.00629.x<\/a><\/p>\n\n\n\n<p><strong>Industry-Wide and Sponsor-Specific Estimates of Medicare Advantage Coding Intensity<\/strong><\/p>\n\n\n\n<p>Richard Kronick and F. Michael Chua. 2021 11 17. SSRN.<\/p>\n\n\n\n<p><a href=\"https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=3959446\">https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=3959446<\/a><\/p>\n\n\n\n<p><strong>Ending Overpayment in Medicare Advantage<\/strong><\/p>\n\n\n\n<p><a>Micah Johnson et al. 2024 3 19. CAP 20.<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.americanprogress.org\/article\/ending-overpayment-in-medicare-advantage\">https:\/\/www.americanprogress.org\/article\/ending-overpayment-in-medicare-advantage<\/a><\/p>\n\n\n\n<p><strong>Myth-Busting Medicare Advantage.<\/strong><\/p>\n\n\n\n<p>Brandon Novick. 2024. CounterPunch.<\/p>\n\n\n\n<p><a href=\"https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A3%3A12725555\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A176480111&amp;crl=c\">https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A3%3A12725555\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A176480111&amp;crl=c<\/a><\/p>\n\n\n\n<p><strong>Favorable selection and future directions for Medicare Advantage payment policy. Chapter 4.<\/strong><\/p>\n\n\n\n<p>Medpac. Report to the Congress: Medicare and the Health Care Delivery System. 2023 6.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.medpac.gov\/wp-content\/uploads\/2023\/06\/Jun23_Ch4_MedPAC_Report_To_Congress_SEC.pdf\">https:\/\/www.medpac.gov\/wp-content\/uploads\/2023\/06\/Jun23_Ch4_MedPAC_Report_To_Congress_SEC.pdf<\/a><\/p>\n\n\n\n<p><strong>The Medicare Advantage Trade-Off: Saving Money, Losing Access<\/strong><\/p>\n\n\n\n<p>Cheryl Clark. 2022 10 13. Medpage Today.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.medpagetoday.com\/special-reports\/exclusives\/101213\">https:\/\/www.medpagetoday.com\/special-reports\/exclusives\/101213<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage: Beneficiary Disenrollments to Fee-for-Service in Last Year of Life Increase Medicare Spending<\/strong><\/p>\n\n\n\n<p>GAO. 2021 6 28.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.gao.gov\/products\/gao-21-482\">https:\/\/www.gao.gov\/products\/gao-21-482<\/a><\/p>\n\n\n\n<p><strong>Survey Results: Annual Seniors on Medicare Survey<\/strong><\/p>\n\n\n\n<p>Morning Consult. 2022 1. BETTER MEDICARE ALLIANCE.<\/p>\n\n\n\n<p><a href=\"https:\/\/bettermedicarealliance.org\/wp-content\/uploads\/2022\/01\/BMA_Seniors-on-Medicare-Memo_final3.pdf\">https:\/\/bettermedicarealliance.org\/wp-content\/uploads\/2022\/01\/BMA_Seniors-on-Medicare-Memo_final3.pdf<\/a><\/p>\n\n\n\n<p><strong>Better Medicare Alliance<\/strong><\/p>\n\n\n\n<p>Wikipedia.<\/p>\n\n\n\n<p><a href=\"https:\/\/en.wikipedia.org\/wiki\/Better_Medicare_Alliance\">https:\/\/en.wikipedia.org\/wiki\/Better_Medicare_Alliance<\/a><\/p>\n\n\n\n<p><strong>Positive Outcomes for High- Need, High-Cost Beneficiaries in Medicare Advantage Compared to Traditional Fee-For-Service Medicare<\/strong><\/p>\n\n\n\n<p>Avalere Health. 2020 12. BETTER MEDICARE ALLIANCE. Center for Innovation in Medicare Advantage.<\/p>\n\n\n\n<p><a href=\"https:\/\/bettermedicarealliance.org\/wp-content\/uploads\/2020\/12\/BMA-High-Need-Report.pdf\">https:\/\/bettermedicarealliance.org\/wp-content\/uploads\/2020\/12\/BMA-High-Need-Report.pdf<\/a><\/p>\n\n\n\n<p><strong>Study: Medicare Advantage Saves Seniors Nearly $2,000 a Year Compared to FFS Medicare<\/strong><\/p>\n\n\n\n<p>BETTER MEDICARE ALLIANCE. 2022 4 19.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-better-medicare-alliance wp-block-embed-better-medicare-alliance\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"wZsp63qSIi\"><a href=\"https:\/\/bettermedicarealliance.org\/news\/study-medicare-advantage-saves-seniors-nearly-2000-a-year-compared-to-ffs-medicare\/\">Study: Medicare Advantage Saves Seniors Nearly $2,000 a Year Compared to FFS Medicare<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Study: Medicare Advantage Saves Seniors Nearly $2,000 a Year Compared to FFS Medicare&#8221; &#8212; Better Medicare Alliance\" src=\"https:\/\/bettermedicarealliance.org\/news\/study-medicare-advantage-saves-seniors-nearly-2000-a-year-compared-to-ffs-medicare\/embed\/#?secret=1v5MYTI0P6#?secret=wZsp63qSIi\" data-secret=\"wZsp63qSIi\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>U.S. House Sets New, Bipartisan Record for Medicare Advantage Support<\/strong><\/p>\n\n\n\n<p>BETTER MEDICAREE ALLIANCE. 2022 1 28.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-better-medicare-alliance wp-block-embed-better-medicare-alliance\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"jsz4rGwjCx\"><a href=\"https:\/\/bettermedicarealliance.org\/news\/u-s-house-sets-new-bipartisan-record-for-medicare-advantage-support\/\">U.S. House Sets New, Bipartisan Record for Medicare Advantage Support<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;U.S. House Sets New, Bipartisan Record for Medicare Advantage Support&#8221; &#8212; Better Medicare Alliance\" src=\"https:\/\/bettermedicarealliance.org\/news\/u-s-house-sets-new-bipartisan-record-for-medicare-advantage-support\/embed\/#?secret=DhzYNdc4Ox#?secret=jsz4rGwjCx\" data-secret=\"jsz4rGwjCx\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Value to the federal government of Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Chris Gervenak and David Mike. Milliman Report. BETTER MEDICARE ALLIANCE.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.milliman.com\/-\/media\/milliman\/pdfs\/2021-articles\/10-20-21-value-federal-government-of-medicare-advantage.ashx\">https:\/\/www.milliman.com\/-\/media\/milliman\/pdfs\/2021-articles\/10-20-21-value-federal-government-of-medicare-advantage.ashx<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.milliman.com\/en\/insight\/value-to-the-federal-government-of-medicare-advantage\">https:\/\/www.milliman.com\/en\/insight\/value-to-the-federal-government-of-medicare-advantage<\/a><\/p>\n\n\n\n<p><strong>Comparison of Low-Value Services Among Medicare Advantage and Traditional Medicare Beneficiaries<\/strong><\/p>\n\n\n\n<p>Emily Boudreau et al. 2022 9 9. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/boudreau_2022_oi_220056_1662502272.22505.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzYwggMyBgkqhkiG9w0BBwagggMjMIIDHwIBADCCAxgGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMXZJ8-KMzwScagVV5AgEQgIIC6RCSId-s34-XNeqnQf5c_NMvuVKnt-6eWGL6aMJNK089U268I3hpM_GrlLHz3gpPnrk8U5y3ffUur3TRtL_o9HZm1QMIagto1xmc8RcswEuAfVnBFs-Rt_uswSXdcmSv-ERddyOXyXqPHSF4Yugt-OQJqRz27MIe-jCMA0ZXMIh4lKWy5u-80EkIZnKYUEkVUHkXbMQbhi1fNJOmpJ7kwyM1szDyK37ZlnrZNMrKsjfF7rF__sJ1boUxheMm_59WjacZEJ6zUfq9QIOwBg-Weyb7Bfdnnhqtu39YwdHkQOzQADEBYdWQD84FlC7CU6VHPiqwN_YibDdFM_DPFrt6CPxntsc0hz6QY9DUhJ6xJIJvTNlnQW_piYDrQxNRsA1FrgtqMgGkYAPjBFZE1HESN-Q4_XjbExLZQvRBjtnq7DIaqIqae4GjQ-LVsczFcCuD5il9gOrPvRaP2UCCsuo0qziQLKy8uB5pBWAlS3innykSQLkqSlieKr3IGVnltyK4kNsIxdfNiSGLEdYYVtRRUb8QQ9waX8Q73Ebgkeec4k1_fXbq-E19Jd6bZeSRf1L2Kh56Q8bFVYIL3wJhExZlP4N_BHse3MfE-aXSlOxZgODz90W4_oXy4V9g1zCugw_pe_9k45WcQImw-RhtFpVHPsk83Doc9A-8SjVO7bYiHsjpqoZ6Ac0NDGiuOaCPHO81ATmP4LP-khMBF4sTwr4pJRxvyC0wlb5OjtWPHCwKMEybNvyb3G_cyIMx4OnvIYgzOgcSrJURM8Y-Mvh08Pt02I80ldBOQoQmqmH95dX1D5GvWWeqGwcLIgQWnxiPjdS02d7AGB0xjUfxLlszpfFLXNVlA6_siM1Pr3AM7UDsZLMKmKMGgZhgkjfgCrn3vbfT95G9iqQMw6DxXqWeOJMKE-Hjy8d73__GJ-62bgyyE06GpDGLYMrdVDu9H12L_UjR1UDAZ7cI56VF7j7w4_VCTKWiSYxjy0aJGlE\">https:\/\/watermark.silverchair.com\/boudreau_2022_oi_220056_1662502272.22505.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzYwggMyBgkqhkiG9w0BBwagggMjMIIDHwIBADCCAxgGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMXZJ8-KMzwScagVV5AgEQgIIC6RCSId-s34-XNeqnQf5c_NMvuVKnt-6eWGL6aMJNK089U268I3hpM_GrlLHz3gpPnrk8U5y3ffUur3TRtL_o9HZm1QMIagto1xmc8RcswEuAfVnBFs-Rt_uswSXdcmSv-ERddyOXyXqPHSF4Yugt-OQJqRz27MIe-jCMA0ZXMIh4lKWy5u-80EkIZnKYUEkVUHkXbMQbhi1fNJOmpJ7kwyM1szDyK37ZlnrZNMrKsjfF7rF__sJ1boUxheMm_59WjacZEJ6zUfq9QIOwBg-Weyb7Bfdnnhqtu39YwdHkQOzQADEBYdWQD84FlC7CU6VHPiqwN_YibDdFM_DPFrt6CPxntsc0hz6QY9DUhJ6xJIJvTNlnQW_piYDrQxNRsA1FrgtqMgGkYAPjBFZE1HESN-Q4_XjbExLZQvRBjtnq7DIaqIqae4GjQ-LVsczFcCuD5il9gOrPvRaP2UCCsuo0qziQLKy8uB5pBWAlS3innykSQLkqSlieKr3IGVnltyK4kNsIxdfNiSGLEdYYVtRRUb8QQ9waX8Q73Ebgkeec4k1_fXbq-E19Jd6bZeSRf1L2Kh56Q8bFVYIL3wJhExZlP4N_BHse3MfE-aXSlOxZgODz90W4_oXy4V9g1zCugw_pe_9k45WcQImw-RhtFpVHPsk83Doc9A-8SjVO7bYiHsjpqoZ6Ac0NDGiuOaCPHO81ATmP4LP-khMBF4sTwr4pJRxvyC0wlb5OjtWPHCwKMEybNvyb3G_cyIMx4OnvIYgzOgcSrJURM8Y-Mvh08Pt02I80ldBOQoQmqmH95dX1D5GvWWeqGwcLIgQWnxiPjdS02d7AGB0xjUfxLlszpfFLXNVlA6_siM1Pr3AM7UDsZLMKmKMGgZhgkjfgCrn3vbfT95G9iqQMw6DxXqWeOJMKE-Hjy8d73__GJ-62bgyyE06GpDGLYMrdVDu9H12L_UjR1UDAZ7cI56VF7j7w4_VCTKWiSYxjy0aJGlE<\/a><\/p>\n\n\n\n<p><strong>Growth of Medicare Advantage After Plan Payment Reductions<\/strong><\/p>\n\n\n\n<p>Aaron L. Schwartz et al. 2023. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2806616\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2806616<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage plan characteristics associated with sorting their beneficiaries to providers that generate fewer avoidable hospital stays<\/strong><\/p>\n\n\n\n<p>Jianhui Xu et al. 2024 5 29. Health Services Research.<\/p>\n\n\n\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/1475-6773.14335\">https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/1475-6773.14335<\/a><\/p>\n\n\n\n<p>WHO BENEFITS WHEN THE GOVERNMENT PAYS MORE? PASS-THROUGH IN THE MEDICARE ADVANTAGE PROGRAM<\/p>\n\n\n\n<p>Mark Duggan et al. 2024 14. National Bureau of Economic Research Working Paper Series.<\/p>\n\n\n\n<p>Journal of Public Economics. 2016.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/system\/files\/working_papers\/w19989\/w19989.pdf\">https:\/\/www.nber.org\/system\/files\/working_papers\/w19989\/w19989.pdf<\/a><\/p>\n\n\n\n<p><strong>Some Medicare Advantage Companies Leveraged Chart Reviews and Health Risk Assessments To Disproportionately Drive Payments<\/strong><\/p>\n\n\n\n<p>HHS-OIG. 2021 9 13.<\/p>\n\n\n\n<p><a href=\"https:\/\/oig.hhs.gov\/reports\/all\/2021\/some-medicare-advantage-companies-leveraged-chart-reviews-and-health-risk-assessments-to-disproportionately-drive-payments\">https:\/\/oig.hhs.gov\/reports\/all\/2021\/some-medicare-advantage-companies-leveraged-chart-reviews-and-health-risk-assessments-to-disproportionately-drive-payments<\/a><\/p>\n\n\n\n<p><strong>Medicare Dis-Advantage: Overpayments and Inequity<\/strong><\/p>\n\n\n\n<p>Adam Gaffney et al. 2024 7 1. The Nation.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.thenation.com\/article\/society\/medicare-advantage-privatization-inequity-fraud\">https:\/\/www.thenation.com\/article\/society\/medicare-advantage-privatization-inequity-fraud<\/a><\/p>\n\n\n\n<p>2024 ANNUAL REPORT OF THE BOARDS OF TRUSTEES OF THE FEDERAL HOSPITAL INSURANCE AND FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUNDS<\/p>\n\n\n\n<p>Janet Yellen et al. 2024 5 6. Boards of the Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.cms.gov\/oact\/tr\/2024\">https:\/\/www.cms.gov\/oact\/tr\/2024<\/a><\/p>\n\n\n\n<p><strong>Marketing HMOs To Medicare Beneficiaries<\/strong><\/p>\n\n\n\n<p>Patricia Neuman et al. 1998 7. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.17.4.132?journalCode=hlthaff\">https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.17.4.132?journalCode=hlthaff<\/a><\/p>\n\n\n\n<p><strong>KFF Research Shows that Medicare Open Enrollment TV Ads Are Dominated by Medicare Advantage Plans Featuring Celebrities, Active and Fit Seniors, and Promises of Savings and Extra Benefits Without Fundamental Plan Information<\/strong><\/p>\n\n\n\n<p>KFF. 2023 9 20.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kff wp-block-embed-kff\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"AZmTX8XHRN\"><a href=\"https:\/\/www.kff.org\/medicare\/press-release\/kff-research-shows-that-medicare-open-enrollment-tv-ads-are-dominated-by-medicare-advantage-plans-featuring-celebrities-active-and-fit-seniors-and-promises-of-savings-and-extra-benefits-without-fund\/\">KFF Research Shows that Medicare Open Enrollment TV Ads Are Dominated by Medicare Advantage Plans Featuring Celebrities, Active and Fit Seniors, and Promises of Savings and Extra Benefits Without Fundamental Plan Information<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;KFF Research Shows that Medicare Open Enrollment TV Ads Are Dominated by Medicare Advantage Plans Featuring Celebrities, Active and Fit Seniors, and Promises of Savings and Extra Benefits Without Fundamental Plan Information&#8221; &#8212; KFF\" src=\"https:\/\/www.kff.org\/medicare\/press-release\/kff-research-shows-that-medicare-open-enrollment-tv-ads-are-dominated-by-medicare-advantage-plans-featuring-celebrities-active-and-fit-seniors-and-promises-of-savings-and-extra-benefits-without-fund\/embed\/#?secret=lWWHCBXqry#?secret=AZmTX8XHRN\" data-secret=\"AZmTX8XHRN\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Wide Variation In Differences In Resource Use Seen Across Conditions Between Medicare Advantage, Traditional Medicare<\/strong><\/p>\n\n\n\n<p>Jeah Jung et al. 2024 6. Health Aff (Millwood).<\/p>\n\n\n\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37669492\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37669492<\/a><\/p>\n\n\n\n<p><strong>Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Rachel A. Prusynski et al. 2024 3 1. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2815745\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2815745<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage: A Disadvantage for Complex Cancer Surgery Patients<\/strong><\/p>\n\n\n\n<p>Mustafa et al. 2022 11 10. Journal of Clinical Oncology.<\/p>\n\n\n\n<p><a href=\"https:\/\/ascopubs.org\/doi\/full\/10.1200\/JCO.21.01359\">https:\/\/ascopubs.org\/doi\/full\/10.1200\/JCO.21.01359<\/a><\/p>\n\n\n\n<p><strong>Mortality Effects and Choice Across Private Health Insurance Plans<\/strong><\/p>\n\n\n\n<p>Jason Abaluck et al. 2021 5 6. The Quarterly Journal of Economics.<\/p>\n\n\n\n<p><a href=\"https:\/\/academic.oup.com\/qje\/article-abstract\/136\/3\/1557\/6270892\">https:\/\/academic.oup.com\/qje\/article-abstract\/136\/3\/1557\/6270892<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Health Risk Assessments Contribute Up To $12 Billion Per Year To Risk-Adjusted Payments<\/strong><\/p>\n\n\n\n<p>Hannah O. James et al. 2024 5. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2023.00787?journalCode=hlthaff\">https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2023.00787?journalCode=hlthaff<\/a><\/p>\n\n\n\n<p><strong>Upcoding in medicare: where does it matter most?<\/strong><\/p>\n\n\n\n<p>Keith A Joiner et al. 2024 1. Health Evon Rev.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10759668\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10759668<\/a><\/p>\n\n\n\n<p><strong>Beneficiary Experience, Affordability, Utilization, and Quality in Medicare Advantage and Traditional Medicare: A Review of the Literature<\/strong><\/p>\n\n\n\n<p>2022 9 16. Nancy Ochieng and Jeannie Ruglestein Biniek. KFF.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kff wp-block-embed-kff\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"kSbSMdTU0y\"><a href=\"https:\/\/www.kff.org\/medicare\/report\/beneficiary-experience-affordability-utilization-and-quality-in-medicare-advantage-and-traditional-medicare-a-review-of-the-literature\/\">Beneficiary Experience, Affordability, Utilization, and Quality in Medicare Advantage and Traditional Medicare: A Review of the Literature<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Beneficiary Experience, Affordability, Utilization, and Quality in Medicare Advantage and Traditional Medicare: A Review of the Literature&#8221; &#8212; KFF\" src=\"https:\/\/www.kff.org\/medicare\/report\/beneficiary-experience-affordability-utilization-and-quality-in-medicare-advantage-and-traditional-medicare-a-review-of-the-literature\/embed\/#?secret=EWIBiDIENg#?secret=kSbSMdTU0y\" data-secret=\"kSbSMdTU0y\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Profiting at the Expense of Seniors: The Financialization of Home Health Care<\/strong><\/p>\n\n\n\n<p>Eileen Appelbaum et al. 2024 9 26. CEPR.<\/p>\n\n\n\n<p><a href=\"https:\/\/cepr.net\/report\/profiting-at-the-expense-of-seniors-the-financialization-of-home-health-care\">https:\/\/cepr.net\/report\/profiting-at-the-expense-of-seniors-the-financialization-of-home-health-care<\/a><\/p>\n\n\n\n<p><strong>For-Profit Medicare Home Health Agencies\u2019 Costs Appear Higher And Quality Appears Lower Compared To Nonprofit Agencies<\/strong><\/p>\n\n\n\n<p>William Cabin et al. 2024 8. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2014.0307\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2014.0307<\/a><\/p>\n\n\n\n<p><strong>&#8216;Deny, deny, deny&#8217;: By rejecting claims, Medicare Advantage plans threaten rural hospitals and patients, say CEOs<\/strong><\/p>\n\n\n\n<p>Gretchen Morgenson. 2023 10 31. NBC News.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nbcnews.com\/health\/rejecting-claims-medicare-advantage-rural-hospitals-rcna121012\">https:\/\/www.nbcnews.com\/health\/rejecting-claims-medicare-advantage-rural-hospitals-rcna121012<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Under Fire: Public Criticism and Implications<\/strong><\/p>\n\n\n\n<p>Daniel G. Aaron et al. 2024 6 26. Perspective.<\/p>\n\n\n\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-024-08876-7\">https:\/\/link.springer.com\/article\/10.1007\/s11606-024-08876-7<\/a><\/p>\n\n\n\n<p><strong>Deceptive Marketing Practices Flourish in Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Majority Staff of the U.S. Senate Committee on Finance. The United States Senate Committee on Finance. Chairman Ron Wyden.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.finance.senate.gov\/imo\/media\/doc\/Deceptive%20Marketing%20Practices%20Flourish%20in%20Medicare%20Advantage.pdf\">https:\/\/www.finance.senate.gov\/imo\/media\/doc\/Deceptive%20Marketing%20Practices%20Flourish%20in%20Medicare%20Advantage.pdf<\/a><\/p>\n\n\n\n<p><strong>Coverage Denials in Medicare Advantage\u2014Balancing Access and Efficiency<\/strong><\/p>\n\n\n\n<p>Suhas Gondi et al. 2024 3 1. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2815743\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2815743<\/a><\/p>\n\n\n\n<p><strong>Do Medicare Advantage Plans Minimize Costs? Investigating the Relationship Between Benchmarks, Costs, and Rebates<\/strong><\/p>\n\n\n\n<p>Stephen Zuckerman et al. 2017 12 21. Issue Briefs. The Commonwealth Fund.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2017\/dec\/do-medicare-advantage-plans-minimize-costs-investigating\">https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2017\/dec\/do-medicare-advantage-plans-minimize-costs-investigating<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Plans Provide No Substantial Cost Savings Over Traditional Medicare<\/strong><\/p>\n\n\n\n<p>Laura Joszt. 2024 6 24. AJMC.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ajmc.com\/view\/medicare-advantage-plans-provide-no-substantial-cost-savings-over-traditional-medicare\">https:\/\/www.ajmc.com\/view\/medicare-advantage-plans-provide-no-substantial-cost-savings-over-traditional-medicare<\/a><\/p>\n\n\n\n<p><strong>Association of Medicare Advantage Enrollment With Financial Burden of Care: A Retrospective Cohort Study<\/strong><\/p>\n\n\n\n<p>Sungchul Park et al. 2024 6 25. Annals of Internal Medicine.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.acpjournals.org\/doi\/10.7326\/M23-2480\">https:\/\/www.acpjournals.org\/doi\/10.7326\/M23-2480<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Enrolls Lower-Spending People, Leading to Large Overpayments<\/strong><\/p>\n\n\n\n<p>Steve M. Lieberman et al. 2023 6 13. USC Schaeffer.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-usc-schaeffer wp-block-embed-usc-schaeffer\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"p4LKyW11vs\"><a href=\"https:\/\/healthpolicy.usc.edu\/research\/ma-enrolls-lower-spending-people-leading-to-large-overpayments\/\">Medicare Advantage Enrolls Lower-Spending People, Leading to Large Overpayments<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Medicare Advantage Enrolls Lower-Spending People, Leading to Large Overpayments&#8221; &#8212; USC Schaeffer\" src=\"https:\/\/healthpolicy.usc.edu\/research\/ma-enrolls-lower-spending-people-leading-to-large-overpayments\/embed\/#?secret=6ijMXB4JdM#?secret=p4LKyW11vs\" data-secret=\"p4LKyW11vs\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>How Successful Is Medicare Advantage?<\/strong><\/p>\n\n\n\n<p>Joseph P Newhouse and Thomas G McGuire. 2014 6. The Milbank Quarterly.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4089375\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4089375<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2015.1553\"><strong>Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays<\/strong><\/a><\/p>\n\n\n\n<p>Laurence C. Baker et al. 2016 8. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2015.1553\">https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2015.1553<\/a><\/p>\n\n\n\n<p>HEALTHCARE SPENDING AND UTILIZATION IN PUBLIC AND PRIVATE MEDICARE<\/p>\n\n\n\n<p>Vilsa Curto. 2017 1. NBER Working Paper Series.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/system\/files\/working_papers\/w23090\/w23090.pdf\">https:\/\/www.nber.org\/system\/files\/working_papers\/w23090\/w23090.pdf<\/a><\/p>\n\n\n\n<p>THE SPILLOVER EFFECTS OF MEDICARE MANAGED CARE: MEDICARE ADVANTAGE AND HOSPITAL UTILIZATION<\/p>\n\n\n\n<p>Katherine Baicker et al. 2013 5. NBER Working Paper Series.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/system\/files\/working_papers\/w19070\/w19070.pdf\">https:\/\/www.nber.org\/system\/files\/working_papers\/w19070\/w19070.pdf<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0167629613001124\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0167629613001124<\/a><\/p>\n\n\n\n<p>HOW MUCH FAVORABLE SELECTION IS LEFT IN MEDICARE ADVANTAGE?<\/p>\n\n\n\n<p>Joseph P. Newhouse et al. 2014 3. NBER Working Paper Series.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/system\/files\/working_papers\/w20021\/w20021.pdf\">https:\/\/www.nber.org\/system\/files\/working_papers\/w20021\/w20021.pdf<\/a><\/p>\n\n\n\n<p><strong>Steps to reduce favorable risk selection in medicare advantage largely succeeded, boding well for health insurance exchanges<\/strong><\/p>\n\n\n\n<p>Joseph P Newhouse et al. 2013 12 1. Health Aff (Millwood)<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3535470\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3535470<\/a><\/p>\n\n\n\n<p><strong>Analysis Of Medicare Advantage HMOs Compared With Traditional Medicare Shows Lower Use Of Many Services During 2003\u201309<\/strong><\/p>\n\n\n\n<p>Bruce E. Landon et al. 2012. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.researchgate.net\/profile\/L-Gregory-Pawlson-2\/publication\/233849909_Analysis_Of_Medicare_Advantage_HMOs_Compared_With_Traditional_Medicare_Shows_Lower_Use_Of_Many_Services_During_2003-09\/links\/59161ffbaca27200fe50209d\/Analysis-Of-Medicare-Advantage-HMOs-Compared-With-Traditional-Medicare-Shows-Lower-Use-Of-Many-Services-During-2003-09.pdf?_sg%5B0%5D=started_experiment_milestone&amp;origin=journalDetail\">https:\/\/www.researchgate.net\/profile\/L-Gregory-Pawlson-2\/publication\/233849909_Analysis_Of_Medicare_Advantage_HMOs_Compared_With_Traditional_Medicare_Shows_Lower_Use_Of_Many_Services_During_2003-09\/links\/59161ffbaca27200fe50209d\/Analysis-Of-Medicare-Advantage-HMOs-Compared-With-Traditional-Medicare-Shows-Lower-Use-Of-Many-Services-During-2003-09.pdf?_sg%5B0%5D=started_experiment_milestone&amp;origin=journalDetail<\/a><\/p>\n\n\n\n<p><strong>A Comparison of Relative Resource Use and Quality in Medicare Advantage Health Plans Versus Traditional Medicare<\/strong><\/p>\n\n\n\n<p>Bruce E. Landon et al. 2015 8. Am J Manag Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6365159\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6365159<\/a><\/p>\n\n\n\n<p><strong>The Effect of Medicare Advantage on Hospital Admissions and Mortality<\/strong><\/p>\n\n\n\n<p>Christopher C. Afendulis et al. American Journal of Health Economics.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.journals.uchicago.edu\/doi\/abs\/10.1162\/AJHE_a_00074\">https:\/\/www.journals.uchicago.edu\/doi\/abs\/10.1162\/AJHE_a_00074<\/a><\/p>\n\n\n\n<p><strong>Service Use at the End of Life in Medicare Advantage versus Traditional Medicare<\/strong><\/p>\n\n\n\n<p>David G Stevenson et al. 2013 10. Med Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3804008\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3804008<\/a><\/p>\n\n\n\n<p><strong>The persistence of medicare advantage spillovers in the post-Affordable Care Act era<\/strong><\/p>\n\n\n\n<p>Yevgeniy Feyman et al. 2020 11. Health Economics.<\/p>\n\n\n\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/hec.4199\">https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/hec.4199<\/a><\/p>\n\n\n\n<p><strong>Legislative and Regulatory Options for Improving Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Erin C. Fuse Brown et al. 2023. J Health Polit Policy Law.<\/p>\n\n\n\n<p><a href=\"https:\/\/read.dukeupress.edu\/jhppl\/article-abstract\/48\/6\/919\/379609\/Legislative-and-Regulatory-Options-for-Improving\">https:\/\/read.dukeupress.edu\/jhppl\/article-abstract\/48\/6\/919\/379609\/Legislative-and-Regulatory-Options-for-Improving<\/a><\/p>\n\n\n\n<p><strong>Potential \u201cSavings\u201d of Medicare: The Analysis of Medicare Advantage and Accountable Care Organizations<\/strong><\/p>\n\n\n\n<p>Patrick L. Brockett et al. 2018. North American Actuarial Journal.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.tandfonline.com\/doi\/pdf\/10.1080\/10920277.2018.1436445\">https:\/\/www.tandfonline.com\/doi\/pdf\/10.1080\/10920277.2018.1436445<\/a><\/p>\n\n\n\n<p><strong>Characteristics of Medicare Advantage and Fee-for-Service Beneficiaries Upon Enrollment In Medicare at Age 65<\/strong><\/p>\n\n\n\n<p>Eric A. Miller. 2024 5 20. J Ambul Care Manage.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11103511\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11103511<\/a><\/p>\n\n\n\n<p><strong>The Impact of the Affordable Care Act on Medicare Advantage Plan Availability and Enrollment<\/strong><\/p>\n\n\n\n<p>Christopher C Afendulis et al. 2012 5 11. Health Serv Res..<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3419768\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3419768<\/a><\/p>\n\n\n\n<p><strong>Paying more for less? Insurer competition and health plan generosity in the Medicare Advantage program<a><\/a><\/strong><\/p>\n\n\n\n<p>Daria Pelech. 2018 9. Journal of Health Economics.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0167629617305738\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0167629617305738<\/a><\/p>\n\n\n\n<p><strong>Paying Medicare Advantage Plans: To Level or Tilt the Playing Field<\/strong><\/p>\n\n\n\n<p>Jacob Glazer and Homas G McGuire. 2017 12 18. J Health Econ.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5548660\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5548660<\/a><\/p>\n\n\n\n<p><strong>Impact of Continued Biased Disenrollment from the Medicare Advantage Program to Fee-for-Service<\/strong><\/p>\n\n\n\n<p>Gerald F Riley. 2012 1 30. Medicare Medicaid Res Rev.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4006478\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4006478<\/a><\/p>\n\n\n\n<p><strong>Comparison of Mortality Between Medicare Advantage and Traditional Medicare Beneficiaries With Kidney Failure.<\/strong><\/p>\n\n\n\n<p>Daeho Kim et al. 2022. American Journal of Managed Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A6%3A19488758\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A156309828&amp;crl=c\">https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A6%3A19488758\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A156309828&amp;crl=c<\/a><\/p>\n\n\n\n<p><strong>Growing divergence between Medicare Advantage plan bids and payments to plans<\/strong><\/p>\n\n\n\n<p>Grace McCormack and Erin Trish. 2024. Health Affairs Scholar.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/qxae093.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA3MwggNvBgkqhkiG9w0BBwagggNgMIIDXAIBADCCA1UGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMgnKLT_Ed8g5XW1BEAgEQgIIDJganQ9tmEVenbuZAVtiG_C25llHpLOO-6HP_GPPjOlMD-NFkum4XloaqX2k7ryynv9W_-zeVm3IN0gWmyI7zSkX6YHZE5kDj-bWRtOl_xAoK9a30lZoIV3WaPxAvAvGgGU7AFZBVd3fC-jyMmgpxJpEn8D4DlAaJZs_py148csxCF45ygZMD-Mda0j9JjvEXo2UUr7hAaVXtt2ndXYclqk_7kShAzOwgOdXh86IY2mhNP47mWU0D_ysec-hG3HhZJfk8jUjIFHSx9ZAg4gdWnrW2gDgy4ca1Y6VZPLevdF7k2tzKHe2msU4O-37ccGzIz-CHMGJ5enP3LaxYNeqhz7ajBpd3cBf55fOjz4UVZoe7JUUruBl1PX-Y0szrjIGt0-ZvGtL0t-L_DvXQnWiOEy2HCPddDg3Ph5fgCcgaxZoUe251BJSqzRswl4UI7pG1DsSk0QGTfxsj0GoelgV3i6RudkLW-N_umB_4gBH4TKe0DBEWGz-OMdLFAOwhTT-obrw4qQh2bpGYbRFSWEUI2XYMTgPZ3UrSJBdDF1UktaDUx5iFOcx32cWRMS-40qwqgSCUmJ3gdg5AZ19Zg4oPJwgi3AaAhmfSd8pTGIV4K5O753nu1xsGVdC4CEE2gKjVtBfK3UpPMNePyN81yWxk4S539rLSGMdiw3TeIjzvuntR2UwRNQDf_InO3ca44QDrSDRNIVOrCCsL7M793vIZ7RBHBQXVQnFOL8wEaZvRH5rTJi4Eg1bA4QGb4MHAJgRLfu-zHKu1Omsv5kyhagfrIJt3gCI6ivkbOvekfyTMEjCs2fUZJbAIToyDfwYycv7gHQAYe0AqlUCiPFWC5mHINeqdkOos84a1OjYEgIbfjM5yIibUmpHVW6PUKxHBJZWBeHuPOYR_BQ1TkasNI47QWELfKpGhCSUoESiTWQ_pB8t1-YPHT-MGd0QP6OJ3OzmMWWwKZbEb_t_6oMbc4V4cA6LpccpJDqw2unfkcCC8CxHS3ClwpO7eyMR4OdnuJxfMmEaU7n3XCTGOKiYpbah64AL5ck_vmjb1Th4cn6R4xjrOyn1rz3vb\">https:\/\/watermark.silverchair.com\/qxae093.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA3MwggNvBgkqhkiG9w0BBwagggNgMIIDXAIBADCCA1UGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMgnKLT_Ed8g5XW1BEAgEQgIIDJganQ9tmEVenbuZAVtiG_C25llHpLOO-6HP_GPPjOlMD-NFkum4XloaqX2k7ryynv9W_-zeVm3IN0gWmyI7zSkX6YHZE5kDj-bWRtOl_xAoK9a30lZoIV3WaPxAvAvGgGU7AFZBVd3fC-jyMmgpxJpEn8D4DlAaJZs_py148csxCF45ygZMD-Mda0j9JjvEXo2UUr7hAaVXtt2ndXYclqk_7kShAzOwgOdXh86IY2mhNP47mWU0D_ysec-hG3HhZJfk8jUjIFHSx9ZAg4gdWnrW2gDgy4ca1Y6VZPLevdF7k2tzKHe2msU4O-37ccGzIz-CHMGJ5enP3LaxYNeqhz7ajBpd3cBf55fOjz4UVZoe7JUUruBl1PX-Y0szrjIGt0-ZvGtL0t-L_DvXQnWiOEy2HCPddDg3Ph5fgCcgaxZoUe251BJSqzRswl4UI7pG1DsSk0QGTfxsj0GoelgV3i6RudkLW-N_umB_4gBH4TKe0DBEWGz-OMdLFAOwhTT-obrw4qQh2bpGYbRFSWEUI2XYMTgPZ3UrSJBdDF1UktaDUx5iFOcx32cWRMS-40qwqgSCUmJ3gdg5AZ19Zg4oPJwgi3AaAhmfSd8pTGIV4K5O753nu1xsGVdC4CEE2gKjVtBfK3UpPMNePyN81yWxk4S539rLSGMdiw3TeIjzvuntR2UwRNQDf_InO3ca44QDrSDRNIVOrCCsL7M793vIZ7RBHBQXVQnFOL8wEaZvRH5rTJi4Eg1bA4QGb4MHAJgRLfu-zHKu1Omsv5kyhagfrIJt3gCI6ivkbOvekfyTMEjCs2fUZJbAIToyDfwYycv7gHQAYe0AqlUCiPFWC5mHINeqdkOos84a1OjYEgIbfjM5yIibUmpHVW6PUKxHBJZWBeHuPOYR_BQ1TkasNI47QWELfKpGhCSUoESiTWQ_pB8t1-YPHT-MGd0QP6OJ3OzmMWWwKZbEb_t_6oMbc4V4cA6LpccpJDqw2unfkcCC8CxHS3ClwpO7eyMR4OdnuJxfMmEaU7n3XCTGOKiYpbah64AL5ck_vmjb1Th4cn6R4xjrOyn1rz3vb<\/a><\/p>\n\n\n\n<p><strong>Quality Advantage? Provider Quality and Networks in Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Simon F. Haeder. 2020. Journal of Public and Nonprofit Affairs.<\/p>\n\n\n\n<p><a href=\"file:\/\/\/C:\/Users\/ajk13\/Downloads\/vedwards,+JPNA+Vol.+6+Issue+2+-+Quality+Advantage.pdf\">file:\/\/\/C:\/Users\/ajk13\/Downloads\/vedwards,+JPNA+Vol.+6+Issue+2+-+Quality+Advantage.pdf<\/a><\/p>\n\n\n\n<p><strong>Analysis of Drivers of Disenrollment and Plan Switching Among Medicare Advantage Beneficiaries<\/strong><\/p>\n\n\n\n<p>David J. Meyers et al. 2019 2 25. JAMA Intern Med.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2725083%C2%A0\">https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2725083%C2%A0<\/a><\/p>\n\n\n\n<p><strong>Measuring Coding Intensity in the Medicare Advantage Program<\/strong><\/p>\n\n\n\n<p>Richard Kronick and W Pete Welch. 2014 7 17. Medicare Medicaid Res Rev.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4109819\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4109819<\/a><\/p>\n\n\n\n<p><strong>Trends in Cumulative Disenrollment in the Medicare Advantage Program, 2011-2020<\/strong><\/p>\n\n\n\n<p>David J. Meyers et al. 2023. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2808747\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2808747<\/a><\/p>\n\n\n\n<p><strong>Health Care Utilization, Care Satisfaction, and Health Status for Medicare Advantage and Traditional Medicare Beneficiaries With and Without Alzheimer Disease and Related Dementias<\/strong><\/p>\n\n\n\n<p>Sungchul Park et al. 2020. JAMA Network Open.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/park_2020_oi_200094.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAx8wggMbBgkqhkiG9w0BBwagggMMMIIDCAIBADCCAwEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMES43Q7mp1i9JBjHWAgEQgIIC0nsHSFsjoN7q5DChUPHSBxuYwF8dEZTsJGzNhXLc2frnn10QILs4OVa7knQuMH_8yzXO9RGK7lhwPYLMAs2k60V9DF945HId7UDxkRC0Tt9MH3-6YRc8PtYuw6oMyjMIoB_XGudzauAWp0nm2Mkphm40Y2fg_YWEbx2jlNDXov9jyyK3VYVx_SEyIDtONNkF4_pYqnkdr6ZKYtvZ13z2PmJQhov4VLv66h_mHIYBnZBIATmkNNotiPvWSvvyuHpRw-3PV8fUvCvo8behluz1--k0iyy7T3dzLNDVVjkWxoAsKg80Nb9zyHioPsbs9lwD6lgbH-_yz7gj4Qa6FnUr2wmbc6B44qCNqU9gOKn6dTK4yLwnE7-8g-6Zguw36W-93e2LgMBexCufbTDAZuWYmbY3BcAi2ugFl8uxBiyA001av0EuBXZB5gBaiUg4gJQDMhmU41s7XoJf2d1gVSlXZj0IgbCIiBgdYAyGMevX8BSBBBjOozSyInUDwzH1puSN_1WJrFdopQ7Uybdpqvhzwmf_T9KlO3CobafSpW9ZDb_wr0hWnANvQzin35joBY1x2DgMvZP9iGOe7hu8f-FTDmP1WpYMRgbEnyWQXa14TPnQROiKAqkFToyspjYW0pcqr1Whek3sLWNS8wtcEoL3RSL94xlt9MoxZy_dNatCdCQT4706dTBn7WL4CKHkIaHdH-NIoLKMxsoKujJXl8FDyfGcOFKLBy9u6K8vl4pGkUosCDdFo0IvLVzxfr3f7cpKGue51Fv-BjL2_1m-I5ERrfGjwk6ja4DpSI8MRp8dmj6n55Wk7rI9hvOEjXa6_MLLi2qXMspZ0CSIEhSZr4PWzDVAzzcJRZMR7jRjHTeZ3l_Mp74ZA-zZoTIeFQ2ZRPHbBhuYZxy95K2EA4hQtRVJT427-a5ggh_36h30gIyj3I55Hle9xX4zUD2_CTfDvUK6UEz7\">https:\/\/watermark.silverchair.com\/park_2020_oi_200094.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAx8wggMbBgkqhkiG9w0BBwagggMMMIIDCAIBADCCAwEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMES43Q7mp1i9JBjHWAgEQgIIC0nsHSFsjoN7q5DChUPHSBxuYwF8dEZTsJGzNhXLc2frnn10QILs4OVa7knQuMH_8yzXO9RGK7lhwPYLMAs2k60V9DF945HId7UDxkRC0Tt9MH3-6YRc8PtYuw6oMyjMIoB_XGudzauAWp0nm2Mkphm40Y2fg_YWEbx2jlNDXov9jyyK3VYVx_SEyIDtONNkF4_pYqnkdr6ZKYtvZ13z2PmJQhov4VLv66h_mHIYBnZBIATmkNNotiPvWSvvyuHpRw-3PV8fUvCvo8behluz1&#8211;k0iyy7T3dzLNDVVjkWxoAsKg80Nb9zyHioPsbs9lwD6lgbH-_yz7gj4Qa6FnUr2wmbc6B44qCNqU9gOKn6dTK4yLwnE7-8g-6Zguw36W-93e2LgMBexCufbTDAZuWYmbY3BcAi2ugFl8uxBiyA001av0EuBXZB5gBaiUg4gJQDMhmU41s7XoJf2d1gVSlXZj0IgbCIiBgdYAyGMevX8BSBBBjOozSyInUDwzH1puSN_1WJrFdopQ7Uybdpqvhzwmf_T9KlO3CobafSpW9ZDb_wr0hWnANvQzin35joBY1x2DgMvZP9iGOe7hu8f-FTDmP1WpYMRgbEnyWQXa14TPnQROiKAqkFToyspjYW0pcqr1Whek3sLWNS8wtcEoL3RSL94xlt9MoxZy_dNatCdCQT4706dTBn7WL4CKHkIaHdH-NIoLKMxsoKujJXl8FDyfGcOFKLBy9u6K8vl4pGkUosCDdFo0IvLVzxfr3f7cpKGue51Fv-BjL2_1m-I5ERrfGjwk6ja4DpSI8MRp8dmj6n55Wk7rI9hvOEjXa6_MLLi2qXMspZ0CSIEhSZr4PWzDVAzzcJRZMR7jRjHTeZ3l_Mp74ZA-zZoTIeFQ2ZRPHbBhuYZxy95K2EA4hQtRVJT427-a5ggh_36h30gIyj3I55Hle9xX4zUD2_CTfDvUK6UEz7<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Enrollment and Disenrollment Among Persons With Alzheimer Disease and Related Dementias<\/strong><\/p>\n\n\n\n<p>Hannah O. James et al. 2023 9 15. Jama Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2809665\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2809665<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2022.01525\"><strong>Favorable Selection In Medicare Advantage Is Linked To Inflated Benchmarks And Billions In Overpayments To Plans<\/strong><\/a><\/p>\n\n\n\n<p>Andrew M. Ryan et al. 2023 9. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2022.01525\">https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2022.01525<\/a><\/p>\n\n\n\n<p><strong>Differences in health care utilization, process of diabetes care, care satisfaction, and health status in patients with diabetes in Medicare Advantage vs traditional Medicare<\/strong><\/p>\n\n\n\n<p>Sungchul Park et al. 2020 11. Med Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7572707\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7572707<\/a><\/p>\n\n\n\n<p><strong>Plan Switching and Stickiness in Medicare Advantage: A Qualitative Interview With Medicare Advantage Beneficiaries<\/strong><\/p>\n\n\n\n<p>Maricruz Rivera-Hernandez et al. 2020 8. Med Care Res Rev.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7903586\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7903586<\/a><\/p>\n\n\n\n<p><strong>Rural Enrollees In Medicare Advantage Have Substantial Rates Of Switching To Traditional Medicare<\/strong><\/p>\n\n\n\n<p><a>Sungchul Park et al. 2021 3. Health Affairs.<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2020.01435\">https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2020.01435<\/a><\/p>\n\n\n\n<p><strong>Dying with dementia in Medicare Advantage, Accountable Care Organizations, or traditional Medicare<\/strong><\/p>\n\n\n\n<p>Joan M Teno et al. 2022 10 1. J Am Geriatr Soc..<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8497397\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8497397<\/a><\/p>\n\n\n\n<p><strong>Switching Between Medicare Advantage And Traditional Medicare Before And After The Onset Of Functional Disability<\/strong><\/p>\n\n\n\n<p>Claire K Ankuda et al. 2021 3 11. Health Aff (Millwood).<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7951954\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7951954<\/a><\/p>\n\n\n\n<p><strong>Higher Medicare Advantage Star Ratings Are Associated With Improvements In Patient Outcomes<\/strong><\/p>\n\n\n\n<p>David J Meyers et al. 2021 2 22. Health Aff (Millwood).<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7899034\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7899034<\/a><\/p>\n\n\n\n<p><strong>Medicare Switching: Patterns Of Enrollment Growth In Medicare Advantage, 2006\u201322<\/strong><\/p>\n\n\n\n<p>Lanlan Xu et al. 2023. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/pdf\/10.1377\/hlthaff.2023.00224\">https:\/\/www.healthaffairs.org\/doi\/pdf\/10.1377\/hlthaff.2023.00224<\/a><\/p>\n\n\n\n<p><strong>Turnover Among New Medicare Advantage Enrollees May Be Greater Than Perceived<\/strong><\/p>\n\n\n\n<p>Jeffrey Dong et al. 2023 4 1. Am J Manag Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9586458\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9586458<\/a><\/p>\n\n\n\n<p><strong>The Relationship Between Medicare Advantage Star Ratings and Enrollee Experience<\/strong><\/p>\n\n\n\n<p>David J. Meyers et al. 2021. J Gen Intern Med.<\/p>\n\n\n\n<p><a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-021-06764-y.pdf\">https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-021-06764-y.pdf<\/a><\/p>\n\n\n\n<p><strong>Impact of star ratings on Medicare health plan enrollment: A&nbsp;systematic literature review<\/strong><\/p>\n\n\n\n<p>Eric P. Borrelli et al. 2023 7. Journal of the American Pharmacists Association.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1544319123000778\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1544319123000778<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage enrollment and outcomes of post-acute nursing home care among patients with dementia<\/strong><\/p>\n\n\n\n<p>Daeho Kim et al. 2024. Health Affairs Scholar.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/qxae084.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA3MwggNvBgkqhkiG9w0BBwagggNgMIIDXAIBADCCA1UGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM4aHDuPSkH11alMx-AgEQgIIDJqxUxKZif_YqGQMWLXYDpIhyRC_dOjIbLviDXJMik1NKb7-5LovgdXfoYQLzDMTcAaycOMKNUVkypdMB_BcuVvXDYQX8tkxyt9jvOQapQxoAP4hTw-kevpmkdgWBUco3cpk2kZO2tSFlbpssQ6NlRUC4inM93qguizQ_6_CQ6SHGGvhsr9AHqH4lelNZQibTGsehk0k-0PmfG-m82-WZoZfFuhMfzLfsaN_FAwfiXslln2074C_lmsYLUz3hY2CkOl5k5syqpxRr2yvsjalZgxQmwg4i2UxVKDdBP3-ssU7IOvAFEgKNHo2_8aReaCZxijJ2NmcHmc88icO6Z_3_NZZQsltS9umMP3-q0QRqBhXgRSKj7rHWe7hiIFBoC6EepqHFCZRyg6RNW40Xwq7U6JcG8kFq9Q9HwP_qm7Jf8yd3K2m5bRrKso-crRZEyODcedpwpFZ1Fn2JVGK_cHj_Qf-T3U7VgPk2OU0DEnjuoSIwgcW0sF44-gF45wrp4dEV0ARAmQGb75XbwoeiJ58xQqGSrBf2_OFZbUryfNBRIizayh85Qql-V8w_SUEl5_QZPDOTe4I13Gge_k7N7mwH_LRMBFPI1dqnCrzGvCmOt1fw9S4YOtUsd8RNgueMPaMCdJ4HCHHSAKvK3BGZkWCWDKlJBFw_qut0FJLntek0sOrsnsee2pl5aY-LRl_GCcmypOx2ys1uVEcQApJuCgrFE3dCKbtR32BvBtortMR7ujLELvhqaLS5HpWJpsWAafTzZyPfF-rTNfxKWvQzUDcZ_hAZxAjz-usgTBEkj40RffV-keX1nZ-kf7hPHgasGHJkYLocf3tWUU_f9lpb7BJ5DClQJDnvqaVmXH5o_EM6IPYwTjQ3nxeWGbnGtzlG_x7780YpB5ITfxHAa6igAGt1gGPO1P9tL0TCiRiDGO6ceG-JdlY9lE3GXn7_11sV0Y1JWVSu4isQ-w3Ngl4Ns0ofpF7JdJW5_A8Xt5fEy3XIR95G9Rvq5KmPlkJrSdEegl3Q6nbwwTMj3UrUt2IQov67xpbMY_JyYBKMPp4E5nEmGCuAZNGkHKyp\">https:\/\/watermark.silverchair.com\/qxae084.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA3MwggNvBgkqhkiG9w0BBwagggNgMIIDXAIBADCCA1UGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM4aHDuPSkH11alMx-AgEQgIIDJqxUxKZif_YqGQMWLXYDpIhyRC_dOjIbLviDXJMik1NKb7-5LovgdXfoYQLzDMTcAaycOMKNUVkypdMB_BcuVvXDYQX8tkxyt9jvOQapQxoAP4hTw-kevpmkdgWBUco3cpk2kZO2tSFlbpssQ6NlRUC4inM93qguizQ_6_CQ6SHGGvhsr9AHqH4lelNZQibTGsehk0k-0PmfG-m82-WZoZfFuhMfzLfsaN_FAwfiXslln2074C_lmsYLUz3hY2CkOl5k5syqpxRr2yvsjalZgxQmwg4i2UxVKDdBP3-ssU7IOvAFEgKNHo2_8aReaCZxijJ2NmcHmc88icO6Z_3_NZZQsltS9umMP3-q0QRqBhXgRSKj7rHWe7hiIFBoC6EepqHFCZRyg6RNW40Xwq7U6JcG8kFq9Q9HwP_qm7Jf8yd3K2m5bRrKso-crRZEyODcedpwpFZ1Fn2JVGK_cHj_Qf-T3U7VgPk2OU0DEnjuoSIwgcW0sF44-gF45wrp4dEV0ARAmQGb75XbwoeiJ58xQqGSrBf2_OFZbUryfNBRIizayh85Qql-V8w_SUEl5_QZPDOTe4I13Gge_k7N7mwH_LRMBFPI1dqnCrzGvCmOt1fw9S4YOtUsd8RNgueMPaMCdJ4HCHHSAKvK3BGZkWCWDKlJBFw_qut0FJLntek0sOrsnsee2pl5aY-LRl_GCcmypOx2ys1uVEcQApJuCgrFE3dCKbtR32BvBtortMR7ujLELvhqaLS5HpWJpsWAafTzZyPfF-rTNfxKWvQzUDcZ_hAZxAjz-usgTBEkj40RffV-keX1nZ-kf7hPHgasGHJkYLocf3tWUU_f9lpb7BJ5DClQJDnvqaVmXH5o_EM6IPYwTjQ3nxeWGbnGtzlG_x7780YpB5ITfxHAa6igAGt1gGPO1P9tL0TCiRiDGO6ceG-JdlY9lE3GXn7_11sV0Y1JWVSu4isQ-w3Ngl4Ns0ofpF7JdJW5_A8Xt5fEy3XIR95G9Rvq5KmPlkJrSdEegl3Q6nbwwTMj3UrUt2IQov67xpbMY_JyYBKMPp4E5nEmGCuAZNGkHKyp<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Enrolls Lower-Spending People, Leading to Large Overpayments<\/strong><\/p>\n\n\n\n<p>Steven M. Lieberman et al. 2023 6. USC Schaeffer.<\/p>\n\n\n\n<p><a href=\"https:\/\/healthpolicy.usc.edu\/wp-content\/uploads\/2023\/06\/2023.06_Schaeffer_Center_White_Paper_Role_of_Risk_Adjustment_in_Overpaying_Medicare_Advantage_Plans.pdf\">https:\/\/healthpolicy.usc.edu\/wp-content\/uploads\/2023\/06\/2023.06_Schaeffer_Center_White_Paper_Role_of_Risk_Adjustment_in_Overpaying_Medicare_Advantage_Plans.pdf<\/a><\/p>\n\n\n\n<p><strong>Quality of End-of-Life Care for Medicare Advantage Enrollees\u2014Does It Measure Up?<\/strong><\/p>\n\n\n\n<p>Momotazur Rahman et al. 2020 10 13. JAMA Network.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/rahman_2020_ic_200168_1601494366.80187.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzIwggMuBgkqhkiG9w0BBwagggMfMIIDGwIBADCCAxQGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMAPOseXNL57lTWnDBAgEQgIIC5SRLfMfiAsg0lOONQUC9e_n6fBJI-iurWul8jU8dNBi1jwg2hk7HB5BiNTco9MTbzdhmZIijlrWR59jcEL7oUx9GFNjIsCiZzex4SCoOpFh6inKFtI4EZczJVhdWO8WRTUy3Nh2zLDp5l7fkJy0gXVYdYi-Wf1F5IEC0sG7_x98c1uZqUb3ukriNnFaHjEOGYHHMrGm4WTnTLZdazirC315iiuPigxr_t8DBZiL9fRLx2P6IeuXfIzs4EeSaELE_y2hZrIZ8VCK9JZElejvziteSHgbe4I_VI5HRyw9zMP9PPl9-_H9k0HHY0cX75NxhEwCh955QeD4ZUjGlF5EiPDXrUxldjECvjntESqghKxPzpQhqvID3fsSuS6NS2wr-Tt97MInYoagf6sPR52sF6cRSZklJRwha4n6x6c5Bb7Idt09b8KKZ_HnWqPjqSlK5fzbEduj3lkfiIK5RrXMALP_RSDRk3X6gCKyf-wRLohnDqNyPJhXbBFAcVfcD2pWf_o2M0ZgfN2L3GoAGcdo9VptTorBgh_oyyf1lUEoQRCJtKvHgQTnpEd_1M6PgGavP0Od1PcdSqx9wYQwsQ-1PTsjFmNHowoO5t5s-WpT2q_zu2YF1hA5qRwe91eBff4YN-X4h3AXT2z-gTlgFzJ28TTSM755_JKaR_CBZm6DVKUWuyi-ik0Gv0FeGR0apDAlfIa0aFR3fDuLaQIIGKZPhpEm2a_VTSMhIm36vubOBtYJb3885568Im6W4sysqHV7-WPrnmh6zc8evdVmJigcvj0Sh-RNFqKOs8o0_EaluGJkFlmcLjjQVrL3ArVKXwJ3GoFW66ii37Vw6kN4wqFGoaGausBUCalK8v8sqLX7QtOhojG1Y3qLz6RmtL24klgbvkbcMexlWW6bnOi69TzDwh3_kLZNELVcE_nO13kD7veCe9921tBs42Zy1tBb7aBTZsscI3UEB0hWRvEWt2sWy3kSuw_4n_g\">https:\/\/watermark.silverchair.com\/rahman_2020_ic_200168_1601494366.80187.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzIwggMuBgkqhkiG9w0BBwagggMfMIIDGwIBADCCAxQGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMAPOseXNL57lTWnDBAgEQgIIC5SRLfMfiAsg0lOONQUC9e_n6fBJI-iurWul8jU8dNBi1jwg2hk7HB5BiNTco9MTbzdhmZIijlrWR59jcEL7oUx9GFNjIsCiZzex4SCoOpFh6inKFtI4EZczJVhdWO8WRTUy3Nh2zLDp5l7fkJy0gXVYdYi-Wf1F5IEC0sG7_x98c1uZqUb3ukriNnFaHjEOGYHHMrGm4WTnTLZdazirC315iiuPigxr_t8DBZiL9fRLx2P6IeuXfIzs4EeSaELE_y2hZrIZ8VCK9JZElejvziteSHgbe4I_VI5HRyw9zMP9PPl9-_H9k0HHY0cX75NxhEwCh955QeD4ZUjGlF5EiPDXrUxldjECvjntESqghKxPzpQhqvID3fsSuS6NS2wr-Tt97MInYoagf6sPR52sF6cRSZklJRwha4n6x6c5Bb7Idt09b8KKZ_HnWqPjqSlK5fzbEduj3lkfiIK5RrXMALP_RSDRk3X6gCKyf-wRLohnDqNyPJhXbBFAcVfcD2pWf_o2M0ZgfN2L3GoAGcdo9VptTorBgh_oyyf1lUEoQRCJtKvHgQTnpEd_1M6PgGavP0Od1PcdSqx9wYQwsQ-1PTsjFmNHowoO5t5s-WpT2q_zu2YF1hA5qRwe91eBff4YN-X4h3AXT2z-gTlgFzJ28TTSM755_JKaR_CBZm6DVKUWuyi-ik0Gv0FeGR0apDAlfIa0aFR3fDuLaQIIGKZPhpEm2a_VTSMhIm36vubOBtYJb3885568Im6W4sysqHV7-WPrnmh6zc8evdVmJigcvj0Sh-RNFqKOs8o0_EaluGJkFlmcLjjQVrL3ArVKXwJ3GoFW66ii37Vw6kN4wqFGoaGausBUCalK8v8sqLX7QtOhojG1Y3qLz6RmtL24klgbvkbcMexlWW6bnOi69TzDwh3_kLZNELVcE_nO13kD7veCe9921tBs42Zy1tBb7aBTZsscI3UEB0hWRvEWt2sWy3kSuw_4n_g<\/a><\/p>\n\n\n\n<p><strong>Post-SNF Outcomes and Cost Comparison: Medicare Advantage vs Traditional Medicare<\/strong><\/p>\n\n\n\n<p>Adrianne W Casebeer et al. 2023 7 6. Am J Manag Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10324636\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10324636<\/a><\/p>\n\n\n\n<p><strong>Should I stay or should I go again: Multiple switching between fee-for-service Medicare and Medicare advantage among older beneficiaries<\/strong><\/p>\n\n\n\n<p>Geoffrey J. Hoffman et al. 2024. Health Serv Res..<\/p>\n\n\n\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.14398\">https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.14398<\/a><\/p>\n\n\n\n<p><strong>Favorable Selection in Medicare Advantage?<\/strong><\/p>\n\n\n\n<p>Bown Garrett. 2024 4. Urban Institute.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.researchgate.net\/profile\/Bowen-Garrett\/publication\/382744710_Favorable_Selection_in_Medicare_Advantage_What_the_Evidence_Tells_Us\/links\/66ab8c9bc6e41359a850d570\/Favorable-Selection-in-Medicare-Advantage-What-the-Evidence-Tells-Us.pdf\">https:\/\/www.researchgate.net\/profile\/Bowen-Garrett\/publication\/382744710_Favorable_Selection_in_Medicare_Advantage_What_the_Evidence_Tells_Us\/links\/66ab8c9bc6e41359a850d570\/Favorable-Selection-in-Medicare-Advantage-What-the-Evidence-Tells-Us.pdf<\/a><\/p>\n\n\n\n<p><strong>Frailty in Medicare Advantage Beneficiaries and Traditional Medicare Beneficiaries<\/strong><\/p>\n\n\n\n<p>Sandra M. Shi. 2024 8 30. JAMA Network.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/shi_2024_oi_240933_1724438664.73442.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAy8wggMrBgkqhkiG9w0BBwagggMcMIIDGAIBADCCAxEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMxBA8wVz4oCgoadABAgEQgIIC4iOGyBrUK1NRYkodx8JwXNlwxHu4gO-iIznQUorwgyrYuzCB8umRzft0VpthzfpjOTOfFIWhsfbgKy04V1ns3EQAxf7yDYPtNYFymFx1nhrySeIvf51CP9v29xre-d_kvgLOlm_xyQWV6hC5xfBB1JyzzqoQABBW4TAU9q6Q8gMabCqT-yU7XHTBRvohy7o2EIqMy9QRzuj29eisaEWCQSSvWdG0ZKehaVsiaunSTdYKrvyzrKdwtAadBuiYMjHtb9dK4JE94Bhc3uF6s-XVCeGNYJ1fIscWM7rhvrdsE5pYbNb50mAcGRJvRQlXXOVjdHRlfMfTXLVAGBH5u_ivZRTCs2TCZMS22CTz1tAMhO_h-gt3cEi3ojgHPMC0B7_P3dh44Yjotl92Rkw6sEgu4O5RXEw1r4V3G_bza9G_RTuQqKltOX_vvAikWD62tJDiYD9mMBaeFdt42PfwVyR9GXRaX8Pb_zv2pJjyWPA-oPdG_6SAgw38t-DSKphIT6CQLxK3xSPFNPk7VpPV97FjjOQJeIwN8EgVioTgZ-jHPr_n4ZYXnsQvSfsgwAFTmrh3waWVPKpBpdy39JyotopknN16SB4sM7emI2v4l4W1w-CcJ2UF9qyPnEskq38U_aptnIrjN8ckfWGjNwQ4s7yvAXsrohYJ0hbg4niKPLxCb22u5v0sp3ldPRVG4ALtTQPtfbyoGYP2UyxqBzlkrRiXBC7MBZZFAWRjfbaeoxxmQNORyZB0mrtFW7VKMXLALWEIPurN78mLMgf1Y4QBKp-kbVb0pjXTK_CA8153gDGlqiGud7X_G2CjUrxSLANomCYn0BpwfTVMD0OrxguksjTIdbdD9JNGgKEpiJ-MSOuO7wn3uxrpyxAYeMM2sg35HKsrmb37hb2GzAyKUKQTeL083KE09TDm-vNGMoPzitmEvojhC3K71Y-hmTUHTBBbmTNoT4zxsME4HAlIm-OW_z_UTaSHFw\">https:\/\/watermark.silverchair.com\/shi_2024_oi_240933_1724438664.73442.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAy8wggMrBgkqhkiG9w0BBwagggMcMIIDGAIBADCCAxEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMxBA8wVz4oCgoadABAgEQgIIC4iOGyBrUK1NRYkodx8JwXNlwxHu4gO-iIznQUorwgyrYuzCB8umRzft0VpthzfpjOTOfFIWhsfbgKy04V1ns3EQAxf7yDYPtNYFymFx1nhrySeIvf51CP9v29xre-d_kvgLOlm_xyQWV6hC5xfBB1JyzzqoQABBW4TAU9q6Q8gMabCqT-yU7XHTBRvohy7o2EIqMy9QRzuj29eisaEWCQSSvWdG0ZKehaVsiaunSTdYKrvyzrKdwtAadBuiYMjHtb9dK4JE94Bhc3uF6s-XVCeGNYJ1fIscWM7rhvrdsE5pYbNb50mAcGRJvRQlXXOVjdHRlfMfTXLVAGBH5u_ivZRTCs2TCZMS22CTz1tAMhO_h-gt3cEi3ojgHPMC0B7_P3dh44Yjotl92Rkw6sEgu4O5RXEw1r4V3G_bza9G_RTuQqKltOX_vvAikWD62tJDiYD9mMBaeFdt42PfwVyR9GXRaX8Pb_zv2pJjyWPA-oPdG_6SAgw38t-DSKphIT6CQLxK3xSPFNPk7VpPV97FjjOQJeIwN8EgVioTgZ-jHPr_n4ZYXnsQvSfsgwAFTmrh3waWVPKpBpdy39JyotopknN16SB4sM7emI2v4l4W1w-CcJ2UF9qyPnEskq38U_aptnIrjN8ckfWGjNwQ4s7yvAXsrohYJ0hbg4niKPLxCb22u5v0sp3ldPRVG4ALtTQPtfbyoGYP2UyxqBzlkrRiXBC7MBZZFAWRjfbaeoxxmQNORyZB0mrtFW7VKMXLALWEIPurN78mLMgf1Y4QBKp-kbVb0pjXTK_CA8153gDGlqiGud7X_G2CjUrxSLANomCYn0BpwfTVMD0OrxguksjTIdbdD9JNGgKEpiJ-MSOuO7wn3uxrpyxAYeMM2sg35HKsrmb37hb2GzAyKUKQTeL083KE09TDm-vNGMoPzitmEvojhC3K71Y-hmTUHTBBbmTNoT4zxsME4HAlIm-OW_z_UTaSHFw<\/a><\/p>\n\n\n\n<p><strong>Minimally invasive colorectal cancer surgery: an observational study of medicare advantage and fee<\/strong><strong>\u2011for<\/strong><strong>\u2011service beneficiaries<\/strong><\/p>\n\n\n\n<p>Emna Bakillah et al. 2024 2 1. Surgical Endoscopy.<\/p>\n\n\n\n<p><a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-11168-0.pdf\">https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-11168-0.pdf<\/a><\/p>\n\n\n\n<p><strong>The Medicare Advantage Quality Bonus Program<\/strong><\/p>\n\n\n\n<p>Laura Skopec and Robert A. Berenson. 2023 6. Urban Institute.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.urban.org\/sites\/default\/files\/2023-06\/The%20Medicare%20Advantage%20Quality%20Bonus%20Program.pdf\">https:\/\/www.urban.org\/sites\/default\/files\/2023-06\/The%20Medicare%20Advantage%20Quality%20Bonus%20Program.pdf<\/a><\/p>\n\n\n\n<p><strong>No Association Between Medicare Advantage Providers\u2019 Network Restrictiveness and Star Rating Between 2013 and 2017: An Observational Study<\/strong><\/p>\n\n\n\n<p>Dannie Dai et al. 2024 7 19. Journal of General Internal Medicine.<\/p>\n\n\n\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-024-08938-w\">https:\/\/link.springer.com\/article\/10.1007\/s11606-024-08938-w<\/a><\/p>\n\n\n\n<p><strong>A Comparison of Home Health Utilization, Outcomes, and Cost Between Medicare Advantage and Traditional Medicare<\/strong><\/p>\n\n\n\n<p>Adrianne Casebeer et al. 2022 1. Medical Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/journals.lww.com\/lww-medicalcare\/abstract\/2022\/01000\/a_comparison_of_home_health_utilization,_outcomes,.10.aspx\">https:\/\/journals.lww.com\/lww-medicalcare\/abstract\/2022\/01000\/a_comparison_of_home_health_utilization,_outcomes,.10.aspx<\/a><\/p>\n\n\n\n<p><strong>Effects of Medicare advantage on patterns of end\u2010of\u2010life care among Medicare decedents<\/strong><\/p>\n\n\n\n<p>Sungchul Park et al. 2022 2. Health Serv Res.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9264456\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9264456<\/a><\/p>\n\n\n\n<p><strong>Effects of Medicare Advantage on preventive care use and health behavior<\/strong><\/p>\n\n\n\n<p>Sungchul Park. 2022 11. Health Serv Res.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10154162\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10154162<\/a><\/p>\n\n\n\n<p><strong>Comparison of Financial Hardship and Healthcare Utilizations Associated with Cancer in the United States Medicare Programs during the COVID-19 Pandemic<\/strong><\/p>\n\n\n\n<p>Jiamin Hu et al. 2024. Healthcare.<\/p>\n\n\n\n<p><a href=\"file:\/\/\/C:\/Users\/ajk13\/Downloads\/healthcare-12-01049.pdf\">file:\/\/\/C:\/Users\/ajk13\/Downloads\/healthcare-12-01049.pdf<\/a><\/p>\n\n\n\n<p><strong>Trends in Use of Low-Value Care in Traditional Fee-for-Service Medicare and Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Sungchul Park. 2021. JAMA Network Open.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/park_2021_oi_210076_1615398904.06001.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzAwggMsBgkqhkiG9w0BBwagggMdMIIDGQIBADCCAxIGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMSDmjdMbuWz561iLkAgEQgIIC47aOcDNhMN4C2bSuygkgSYTlXRdkl1VTe4BvEgiqYZSV3v_LrgOI42h2PUcSIbWXV9aUJI3EiIpIN_KGFXtUuiCNMosH5PrCdgMxBP4yY6keUAVshX4b6410KL_IYkf37Q22hck8pKXfUZO0Smk4MZ55Erqsw-kh9HmpFIUTn-isUamhMLYbqajr6n12VBxngFqyLx3TPF90QcCxOUj8H_Y1-i6BdquJ7M-uICICiQ6ffFpH92_sSpJUZ27TsARBZmFKXYrVJw4p5PaWhJL9MLo4VnNQkeXtZKrsdIbd5DZYBiIhr6TLMwb_A4_bJQSJVbHV3wxvpK4o7ZdwMD2Jb2apw6gfQt9pWcPeklcunIhvN7qldqvzzB3C58edM7sJ7GvANrAWwp2kZzS2_yWvMQRVF2uoQKetBZoqRg8zVI_x4QNA98pukGOdISfAvtKT0hyeXhyo193YuJVyyx5kSZxG8HiRV_wbhnAaxvW7HdNq5M1tPFOT-lcV13l_sJ5rcZ2G5jGRTQtEVDOcKmnA4A7b9n_6ayYqkMuUVYedRqgrWVJJ1tXvCvAkJxrA40a5AQJGDPfw9596h_46tRtm4qBfSiuwu2YQFn70MXgFnIdbusWqBf7nt3Vn6UeL_YEhuveNzothSPYauDzcxe549wn7iAtSDwPjwOzR4Ko1RNDamejpO0sCNQ3VzWGj300ps8HjZ3acs2LUu-jHGE2tlaDWlMnUUaUwf_-BAqg4lBGOks7kJQve5n7fK2U4qAU7NVSoLgEuJwwh2iwTQIsdCDa5WImIE-RPyPoW2SqViJmOwPprVHb2LkvpTbl3BfmlJ8OSpidwgZgXDkS5oQSJN5VmVLku0W2kmq5umXF2y7bmE3gemOBVC0eUbjdmC9Vl08Qf-Hqirt4-Bs0ZBewEaDv6aRTopBGwbc0dN0ITwztKFT63o5rbml7JGf-lT88D2RUvVUqhir2IMhM6Pvoi0H1luOk\">https:\/\/watermark.silverchair.com\/park_2021_oi_210076_1615398904.06001.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzAwggMsBgkqhkiG9w0BBwagggMdMIIDGQIBADCCAxIGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMSDmjdMbuWz561iLkAgEQgIIC47aOcDNhMN4C2bSuygkgSYTlXRdkl1VTe4BvEgiqYZSV3v_LrgOI42h2PUcSIbWXV9aUJI3EiIpIN_KGFXtUuiCNMosH5PrCdgMxBP4yY6keUAVshX4b6410KL_IYkf37Q22hck8pKXfUZO0Smk4MZ55Erqsw-kh9HmpFIUTn-isUamhMLYbqajr6n12VBxngFqyLx3TPF90QcCxOUj8H_Y1-i6BdquJ7M-uICICiQ6ffFpH92_sSpJUZ27TsARBZmFKXYrVJw4p5PaWhJL9MLo4VnNQkeXtZKrsdIbd5DZYBiIhr6TLMwb_A4_bJQSJVbHV3wxvpK4o7ZdwMD2Jb2apw6gfQt9pWcPeklcunIhvN7qldqvzzB3C58edM7sJ7GvANrAWwp2kZzS2_yWvMQRVF2uoQKetBZoqRg8zVI_x4QNA98pukGOdISfAvtKT0hyeXhyo193YuJVyyx5kSZxG8HiRV_wbhnAaxvW7HdNq5M1tPFOT-lcV13l_sJ5rcZ2G5jGRTQtEVDOcKmnA4A7b9n_6ayYqkMuUVYedRqgrWVJJ1tXvCvAkJxrA40a5AQJGDPfw9596h_46tRtm4qBfSiuwu2YQFn70MXgFnIdbusWqBf7nt3Vn6UeL_YEhuveNzothSPYauDzcxe549wn7iAtSDwPjwOzR4Ko1RNDamejpO0sCNQ3VzWGj300ps8HjZ3acs2LUu-jHGE2tlaDWlMnUUaUwf_-BAqg4lBGOks7kJQve5n7fK2U4qAU7NVSoLgEuJwwh2iwTQIsdCDa5WImIE-RPyPoW2SqViJmOwPprVHb2LkvpTbl3BfmlJ8OSpidwgZgXDkS5oQSJN5VmVLku0W2kmq5umXF2y7bmE3gemOBVC0eUbjdmC9Vl08Qf-Hqirt4-Bs0ZBewEaDv6aRTopBGwbc0dN0ITwztKFT63o5rbml7JGf-lT88D2RUvVUqhir2IMhM6Pvoi0H1luOk<\/a><\/p>\n\n\n\n<p><strong>Plan switching among Medicare Advantage beneficiaries with Alzheimer\u2019s disease and other dementias<\/strong><\/p>\n\n\n\n<p>David J. Meyers et al. 2020 12. Alzheimer\u2019s Dement.<\/p>\n\n\n\n<p><a href=\"https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdfdirect\/10.1002\/trc2.12150\">https:\/\/alz-journals.onlinelibrary.wiley.com\/doi\/pdfdirect\/10.1002\/trc2.12150<\/a><\/p>\n\n\n\n<p><strong>Comparison of Health Care Utilization by Medicare Advantage and Traditional Medicare Beneficiaries With Complex Care Needs<\/strong><\/p>\n\n\n\n<p>Dana Drzayich Antol. 2022. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2797081\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2797081<\/a><\/p>\n\n\n\n<p><strong>Health Care Spending, Use, and Financial Hardship Among Traditional Medicare and Medicare Advantage Enrollees With Mental Health Symptoms<\/strong><\/p>\n\n\n\n<p>Sungchul Park et al. 2024 6. The American Journal of Geriatric Psychiatry.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1064748124000149\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1064748124000149<\/a><\/p>\n\n\n\n<p><strong>Health care utilization before and after a dementia diagnosis in Medicare Advantage versus traditional Medicare<\/strong><\/p>\n\n\n\n<p>Mireille Jacobson et al. 2023 8 3. Journal of the American Geriatrics Society.<\/p>\n\n\n\n<p><a href=\"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdfdirect\/10.1111\/jgs.18570\">https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdfdirect\/10.1111\/jgs.18570<\/a><\/p>\n\n\n\n<p><strong>Quality, Health, and Spending in Medicare Advantage and Traditional Medicare.<\/strong><\/p>\n\n\n\n<p>Eva DuGoff et al. 2021. American Journal of Manage Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A12%3A19488652\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A152655605&amp;crl=c\">https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A12%3A19488652\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A152655605&amp;crl=c<\/a><\/p>\n\n\n\n<p><strong>Comparison of Ambulatory Care Access and Quality for Beneficiaries With Disabilities Covered by Medicare Advantage vs Traditional Medicare Insurance<\/strong><\/p>\n\n\n\n<p>Kenton J. Johnston. 2022 1 14. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2788096\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2788096<\/a><\/p>\n\n\n\n<p><strong>Mortality Differences Between Traditional Medicare and Medicare Advantage: A Risk-Adjusted Assessment Using Claims Data<\/strong><\/p>\n\n\n\n<p>Roy A. Beveridge et al. 2017. The Journal of Health Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0046958017709103\">https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0046958017709103<\/a><\/p>\n\n\n\n<p><strong>Comparison of Medicare Advantage vs Traditional Medicare for Health Care Access, Affordability, and Use of Preventive Services Among Adults With Low Income<\/strong><\/p>\n\n\n\n<p>Rahul Aggarwal et al. 2022. JAMA Network Open.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/aggarwal_2022_oi_220445_1654005914.41524.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzQwggMwBgkqhkiG9w0BBwagggMhMIIDHQIBADCCAxYGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM88cmmt1E-BH_iFl3AgEQgIIC5zmQcViltD_cauFDvCUTbwd_OO4-0yXkY7Out63W0r7bcW9jsf75SjWD9GgDZOVs-a-eYi7hw2PJZaAQ1Xhb9mYCoxxUUCHLMvyBskB5XI515qXuzKlLwq-mVdABfsx6ev0hec2fyNI6R3leyAXykTAZ--_mVntEqP0kfGPEokN5aN0YucpIPdlcUK3QQbqMvrwK_xI1Chq8Rk-cp0uTI6iNJUb05zHCaqA_buD7QL1D0nKla9PGSAKQnXN0vssUAYzSCtVkCwKM8tOViw9gs4jixvvu23-VDkFYrpeNG3VzxNEspCoClGaB2FnewqZ9Fk9gLghMw3cqz2PgliOJSuKcgI3rgtejCz-eDxuuSjlhfbeE9miu_PLGjmgcuZIC-G9pL3aoFvvpgmOVHJXzPMc_TlI209jTfAC0RukN3fUgWic32zF40oIsrpxG3KY36hi6nYbryl4L0mMRmUPHsMwpqVqF0tPBlDPkPMskSc8pG0JNEMr1PbbD4o1RyIMRB49bVjAixApAbsFGx_TncK8ajQoxrbnCHFXzIf89jU-VNfLiu_Qv8vtQFZX82D5J_vUoITsHf_TL5HKPzjaDtbW_7aOq0LJuR3Yy-YCUb1fLwNLfZPtU6pLrJfSm2RFVyJhJtmugQFq3ln9eepSXQFGhwu2rE6UuVIeLQQa159xsylKA6Xdhb8rTlZ-db0eIFcxFUSgwh5jfxF3Z2a6l6G3mTotSKRO-SD8oOBgetgFY-vzXE5lE4GHJnSuf0UQxdAAdeWTUyEDNYQqWlfnGsW3IvikJyK0l6D1C_viWzA1f47kyXwzLTDYk2AM4tn6VuMyMXnxY04BUpSFz4EMn-lKaOZMyGKh3EfNv07KSOJHjf0Max99hBlotpx53E3BmX4QqrI5Lemv5cfWYNmu1pifDzgdnMpigngnzVeCHolSAqquG3Zmm9qNRNjaOeA5AFhETw_sfCbnOrwF0Jgd3Oa-MEHYD5JtK\">https:\/\/watermark.silverchair.com\/aggarwal_2022_oi_220445_1654005914.41524.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzQwggMwBgkqhkiG9w0BBwagggMhMIIDHQIBADCCAxYGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM88cmmt1E-BH_iFl3AgEQgIIC5zmQcViltD_cauFDvCUTbwd_OO4-0yXkY7Out63W0r7bcW9jsf75SjWD9GgDZOVs-a-eYi7hw2PJZaAQ1Xhb9mYCoxxUUCHLMvyBskB5XI515qXuzKlLwq-mVdABfsx6ev0hec2fyNI6R3leyAXykTAZ&#8211;_mVntEqP0kfGPEokN5aN0YucpIPdlcUK3QQbqMvrwK_xI1Chq8Rk-cp0uTI6iNJUb05zHCaqA_buD7QL1D0nKla9PGSAKQnXN0vssUAYzSCtVkCwKM8tOViw9gs4jixvvu23-VDkFYrpeNG3VzxNEspCoClGaB2FnewqZ9Fk9gLghMw3cqz2PgliOJSuKcgI3rgtejCz-eDxuuSjlhfbeE9miu_PLGjmgcuZIC-G9pL3aoFvvpgmOVHJXzPMc_TlI209jTfAC0RukN3fUgWic32zF40oIsrpxG3KY36hi6nYbryl4L0mMRmUPHsMwpqVqF0tPBlDPkPMskSc8pG0JNEMr1PbbD4o1RyIMRB49bVjAixApAbsFGx_TncK8ajQoxrbnCHFXzIf89jU-VNfLiu_Qv8vtQFZX82D5J_vUoITsHf_TL5HKPzjaDtbW_7aOq0LJuR3Yy-YCUb1fLwNLfZPtU6pLrJfSm2RFVyJhJtmugQFq3ln9eepSXQFGhwu2rE6UuVIeLQQa159xsylKA6Xdhb8rTlZ-db0eIFcxFUSgwh5jfxF3Z2a6l6G3mTotSKRO-SD8oOBgetgFY-vzXE5lE4GHJnSuf0UQxdAAdeWTUyEDNYQqWlfnGsW3IvikJyK0l6D1C_viWzA1f47kyXwzLTDYk2AM4tn6VuMyMXnxY04BUpSFz4EMn-lKaOZMyGKh3EfNv07KSOJHjf0Max99hBlotpx53E3BmX4QqrI5Lemv5cfWYNmu1pifDzgdnMpigngnzVeCHolSAqquG3Zmm9qNRNjaOeA5AFhETw_sfCbnOrwF0Jgd3Oa-MEHYD5JtK<\/a><\/p>\n\n\n\n<p><strong>Total and Out-of-Pocket Costs Surrounding Emergency Department Care Among Older Adults Enrolled in Traditional Medicare and Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Cameron J. Gettel et al. 2024 9. Annals of Emergency Medicine.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.annemergmed.com\/article\/S0196-0644(24)00234-8\/fulltext\">https:\/\/www.annemergmed.com\/article\/S0196-0644(24)00234-8\/fulltext<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage in Rural Areas: Implications for Hospital Sustainability<\/strong><\/p>\n\n\n\n<p>Rachel Mosher Henke et al. 2023 11. The American Journal of Managed Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.researchgate.net\/profile\/H-Joanna-Jiang\/publication\/375557827_Medicare_Advantage_in_rural_areas_implications_for_hospital_sustainability\/links\/65de0e94e7670d36abe2e7ef\/Medicare-Advantage-in-Rural-Areas-Implications-for-Hospital-Sustainability.pdf\">https:\/\/www.researchgate.net\/profile\/H-Joanna-Jiang\/publication\/375557827_Medicare_Advantage_in_rural_areas_implications_for_hospital_sustainability\/links\/65de0e94e7670d36abe2e7ef\/Medicare-Advantage-in-Rural-Areas-Implications-for-Hospital-Sustainability.pdf<\/a><\/p>\n\n\n\n<p><strong>Comparison of the Pathway to Hospice Enrollment Between Medicare Advantage and Traditional Medicare<\/strong><\/p>\n\n\n\n<p>Claire K. Ankuda et al. 2023 2 17. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2801476\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2801476<\/a><\/p>\n\n\n\n<p><strong>Disease-Specific Plan Switching Between Traditional Medicare and Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Sungchul Park et al. 2019 11 22. Perm J..<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6907897\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6907897<\/a><\/p>\n\n\n\n<p><strong>Strategic Cross Subsidization in Healthcare Capitation Programs: Evidence from Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Zhaowei She et al. 2024 9. INFORMS.<\/p>\n\n\n\n<p><a href=\"https:\/\/discovery.ucl.ac.uk\/id\/eprint\/10197004\/1\/Strategic_Cross_Subsidization__MSOM___MainPaper_.pdf\">https:\/\/discovery.ucl.ac.uk\/id\/eprint\/10197004\/1\/Strategic_Cross_Subsidization__MSOM___MainPaper_.pdf<\/a><\/p>\n\n\n\n<p><strong>Favorable Risk Selection in Medicare Advantage: The Effect of Allowing Non-Medical Services<\/strong><\/p>\n\n\n\n<p>Woonam Hwang et al. 2023 8 24. SSRN.<\/p>\n\n\n\n<p><a href=\"file:\/\/\/C:\/Users\/ajk13\/Downloads\/ssrn-4551435.pdf\">file:\/\/\/C:\/Users\/ajk13\/Downloads\/ssrn-4551435.pdf<\/a><\/p>\n\n\n\n<p><strong>Association of Medicare Advantage star ratings with patterns of end-of-life care<\/strong><\/p>\n\n\n\n<p>Sungchul Park et al. 2022 9 12. J Am Geriatr Soc..<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9870854\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9870854<\/a><\/p>\n\n\n\n<p><strong>Reverse Cross Subsidization in Healthcare Capitation Programs: Evidence from Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Zhaowei She et al.<\/p>\n\n\n\n<p><a href=\"https:\/\/conference2021.eaamo.org\/accepted\/acceptednonarchival\/EAMO21_paper_19.pdf\">https:\/\/conference2021.eaamo.org\/accepted\/acceptednonarchival\/EAMO21_paper_19.pdf<\/a><\/p>\n\n\n\n<p><strong>Mandated Copayment Reductions in Medicare Advantage: Effects on Skilled Nursing Care, Hospitalizations, and Plan Exit<\/strong><\/p>\n\n\n\n<p>Laura M Keohane et al. 2021 3 1. Med Care..<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7880533\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7880533<\/a><\/p>\n\n\n\n<p><strong>Association of Medicare Program Type with Health Care Access, Utilization, and Affordability among Cancer Survivors<\/strong><\/p>\n\n\n\n<p>Faraz I. Jafri et al. 2023. Cancers.<\/p>\n\n\n\n<p><a href=\"file:\/\/\/C:\/Users\/ajk13\/Downloads\/cancers-15-03964.pdf\">file:\/\/\/C:\/Users\/ajk13\/Downloads\/cancers-15-03964.pdf<\/a><\/p>\n\n\n\n<p><strong>Beneficiary Switching Between Traditional Medicare and Medicare Advantage Between 2016 and 2020<\/strong><\/p>\n\n\n\n<p>Aig Unuigbe et al. 2022 12 29. JAMA Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2799962\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2799962<\/a><\/p>\n\n\n\n<p><strong>High-Need Beneficiary Enrollment Patterns in Medicare Advantage and Traditional Medicare.<\/strong><\/p>\n\n\n\n<p>Aig Unuigbe et al. 2024. American Journal of Managed Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A11%3A19489099\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A176522475&amp;crl=c\">https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A11%3A19489099\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A176522475&amp;crl=c<\/a><\/p>\n\n\n\n<p><strong>Understanding Factors Associated With Increases in Medicare Advantage Enrollment, 2007-2018.<\/strong><\/p>\n\n\n\n<p>Adam Atherly et al. 2023. American Journal of Managed Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A10%3A19488906\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A163708393&amp;crl=c\">https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A10%3A19488906\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A163708393&amp;crl=c<\/a><\/p>\n\n\n\n<p><strong>Care for Food-Insecure Enrollees in Medicare Advantage vs Traditional Medicare.<\/strong><\/p>\n\n\n\n<p>Sungchul Park and Brent A. Langellier. 2021. American Journal of Managed Care.<\/p>\n\n\n\n<p><a href=\"https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A4%3A19488628\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A151704735&amp;crl=c\">https:\/\/openurl.ebsco.com\/EPDB%3Agcd%3A4%3A19488628\/detailv2?sid=ebsco%3Aplink%3Ascholar&amp;id=ebsco%3Agcd%3A151704735&amp;crl=c<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Disenrollment Patterns Among Beneficiaries With Multiple Chronic Conditions<\/strong><\/p>\n\n\n\n<p>Eli Raver et al. 2023 6. JAMA.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10294013\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10294013<\/a><\/p>\n\n\n\n<p><strong>Higher and Faster Growing Spending Per Medicare Advantage Enrollee Adds to Medicare&#8217;s Solvency and Affordability Challenges<\/strong><\/p>\n\n\n\n<p>Jeannie Fuglesten Biniek et al. 2021 8 17. KFF.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.kff.org\/medicare\/issue-brief\/higher-and-faster-growing-spending-per-medicare-advantage-enrollee-adds-to-medicares-solvency-and-affordability-challenges\">https:\/\/www.kff.org\/medicare\/issue-brief\/higher-and-faster-growing-spending-per-medicare-advantage-enrollee-adds-to-medicares-solvency-and-affordability-challenges<\/a><\/p>\n\n\n\n<p><strong>Report to the Congress: Medicare Payment Policy<\/strong><\/p>\n\n\n\n<p><a>Medpac: Medicare Payment Advisory Commission. 2021 3.<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.medpac.gov\/wp-content\/uploads\/import_data\/scrape_files\/docs\/default-source\/reports\/mar21_medpac_report_to_the_congress_sec.pdf#page=401\">https:\/\/www.medpac.gov\/wp-content\/uploads\/import_data\/scrape_files\/docs\/default-source\/reports\/mar21_medpac_report_to_the_congress_sec.pdf#page=401<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage vs. Traditional Medicare: How Do Beneficiaries\u2019 Characteristics and Experiences Differ?<\/strong><\/p>\n\n\n\n<p>Gretchen Jacobson et al. 2021 10 14. The Commonwealth Fund.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2021\/oct\/medicare-advantage-vs-traditional-medicare-beneficiaries-differ\">https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2021\/oct\/medicare-advantage-vs-traditional-medicare-beneficiaries-differ<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage&#8217;s cost to taxpayers has soared in recent years, research finds<\/strong><\/p>\n\n\n\n<p>Fred Schulte. 2021 11 11. KERA.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2021\/11\/11\/1054281885\/medicare-advantage-overcharges-exploding\">https:\/\/www.npr.org\/sections\/health-shots\/2021\/11\/11\/1054281885\/medicare-advantage-overcharges-exploding<\/a><\/p>\n\n\n\n<p><strong>New Study: Medicare Advantage Costs Less than Original Medicare<\/strong><\/p>\n\n\n\n<p>AHIP. 2022 9 21.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ahip.org\/news\/press-releases\/new-study-medicare-advantage-costs-less-than-original-medicare\">https:\/\/www.ahip.org\/news\/press-releases\/new-study-medicare-advantage-costs-less-than-original-medicare<\/a><\/p>\n\n\n\n<p><strong>Re: Value of Medicare Advantage Compared with Fee for Service<\/strong><\/p>\n\n\n\n<p>Lynn Nonnemaker. 2022 9 21. Wakely.<\/p>\n\n\n\n<p><a href=\"https:\/\/ahiporg-production.s3.amazonaws.com\/documents\/Value-of-MA-_Response-to-MedPAC_09.21.2022.pdf\">https:\/\/ahiporg-production.s3.amazonaws.com\/documents\/Value-of-MA-_Response-to-MedPAC_09.21.2022.pdf<\/a><\/p>\n\n\n\n<p><strong>Preparing Medicare Advantage for Comprehensive Medicare Reform<\/strong><\/p>\n\n\n\n<p>Robert Moffit. 2023 2 23. The Heritage Foundation.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.heritage.org\/health-care-reform\/report\/preparing-medicare-advantage-comprehensive-medicare-reform\">https:\/\/www.heritage.org\/health-care-reform\/report\/preparing-medicare-advantage-comprehensive-medicare-reform<\/a><\/p>\n\n\n\n<p><strong>Improving Medicare Through Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Joe Albanese. 2024 2. Paragon Health Institute.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-paragon-health-institute wp-block-embed-paragon-health-institute\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"KQH4xaxQxG\"><a href=\"https:\/\/paragoninstitute.org\/medicare\/improving-medicare-through-medicare-advantage\/\">Improving Medicare Through Medicare Advantage<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Improving Medicare Through Medicare Advantage&#8221; &#8212; Paragon Health Institute\" src=\"https:\/\/paragoninstitute.org\/medicare\/improving-medicare-through-medicare-advantage\/embed\/#?secret=J48YEE38qp#?secret=KQH4xaxQxG\" data-secret=\"KQH4xaxQxG\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Medicare Advantage Provides Higher Quality of Care And Better Rates of Preventive Service Use<\/strong><\/p>\n\n\n\n<p>AHIP. 2023 12.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.messerfinancial.com\/website\/blog\/202312-AHIP_HEDISMeasures-12.5.23.pdf\">https:\/\/www.messerfinancial.com\/website\/blog\/202312-AHIP_HEDISMeasures-12.5.23.pdf<\/a><\/p>\n\n\n\n<p><strong>Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding<\/strong><\/p>\n\n\n\n<p>D. Lipschutz. 2024 7 18. Center for Medicare Advocacy.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-center-for-medicare-advocacy wp-block-embed-center-for-medicare-advocacy\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"rhqJjzhWDF\"><a href=\"https:\/\/medicareadvocacy.org\/report-real-impact-of-medicare-advantage\/\">Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Special Report | The Real Impact of Medicare Advantage for Beneficiaries and Medicare Funding&#8221; &#8212; Center for Medicare Advocacy\" src=\"https:\/\/medicareadvocacy.org\/report-real-impact-of-medicare-advantage\/embed\/#?secret=44D8TcFR7N#?secret=rhqJjzhWDF\" data-secret=\"rhqJjzhWDF\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>While an Insurance Industry Front Group Pushes Against Medicare Advantage Scrutiny, Rural Hospitals Remain Unswayed<\/strong><\/p>\n\n\n\n<p>Trudy Lieberman. 2024 7 8. Heatlh Care un-covered.<\/p>\n\n\n\n<p><a href=\"https:\/\/healthcareuncovered.substack.com\/p\/while-an-insurance-industry-front?utm_source=substack&amp;publication_id=255152&amp;post_id=146402022&amp;utm_medium=email&amp;utm_content=share&amp;utm_campaign=email-share&amp;triggerShare=true&amp;isFreemail=true&amp;r=aapxm&amp;triedRedirect=true\">https:\/\/healthcareuncovered.substack.com\/p\/while-an-insurance-industry-front?utm_source=substack&amp;publication_id=255152&amp;post_id=146402022&amp;utm_medium=email&amp;utm_content=share&amp;utm_campaign=email-share&amp;triggerShare=true&amp;isFreemail=true&amp;r=aapxm&amp;triedRedirect=true<\/a><\/p>\n\n\n\n<p><strong>Delays, denials, debt and the growing privatization of Medicare<\/strong><\/p>\n\n\n\n<p>Michael Sainato. 2024 6 3. The Guardian.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.theguardian.com\/us-news\/article\/2024\/jun\/03\/medicare-advantage-privatization?link_id=0&amp;can_id=625cde07662afe0e659a49884b592fe8&amp;source=email-back-in-the-news&amp;email_referrer=email_2346891&amp;email_subject=this-is-making-the-news-again\">https:\/\/www.theguardian.com\/us-news\/article\/2024\/jun\/03\/medicare-advantage-privatization?link_id=0&amp;can_id=625cde07662afe0e659a49884b592fe8&amp;source=email-back-in-the-news&amp;email_referrer=email_2346891&amp;email_subject=this-is-making-the-news-again<\/a><\/p>\n\n\n\n<p><strong>Medicare\u2019s Affordability Problem: A Look at the Cost Burdens Faced by Older Enrollees<\/strong><\/p>\n\n\n\n<p>The Commonwealth Fund. 2023 9 19.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2023\/sep\/medicare-affordability-problem-cost-burdens-biennial#:~:text=Medical%20Bills%20and%20Medical%20Debt&amp;text=The%20likelihood%20of%20having%20problems,than%20those%20with%20traditional%20Medicare.\">https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2023\/sep\/medicare-affordability-problem-cost-burdens-biennial#:~:text=Medical%20Bills%20and%20Medical%20Debt&amp;text=The%20likelihood%20of%20having%20problems,than%20those%20with%20traditional%20Medicare.<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage: High Costs and Poor Protection<\/strong><\/p>\n\n\n\n<p>Steffie Woolhandler and David U. Himmelstein. 2024. Ann Intern Med..<\/p>\n\n\n\n<p><a href=\"https:\/\/scc.org.co\/wp-content\/uploads\/2024\/10\/yAnn-Intern-Med-2024-Jul-1777-974.pdf\">https:\/\/scc.org.co\/wp-content\/uploads\/2024\/10\/yAnn-Intern-Med-2024-Jul-1777-974.pdf<\/a><\/p>\n\n\n\n<p><strong>Traditional Medicare or an Advantage Plan?<\/strong><\/p>\n\n\n\n<p>Kimberly Blanton. 2022 11 10. Center for Retirement Research of Boston College.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-center-for-retirement-research wp-block-embed-center-for-retirement-research\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"18M1ZXHJ9y\"><a href=\"https:\/\/crr.bc.edu\/traditional-medicare-or-an-advantage-plan\/\">Traditional Medicare or an Advantage Plan?<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Traditional Medicare or an Advantage Plan?&#8221; &#8212; Center for Retirement Research\" src=\"https:\/\/crr.bc.edu\/traditional-medicare-or-an-advantage-plan\/embed\/#?secret=LML2KrfaGV#?secret=18M1ZXHJ9y\" data-secret=\"18M1ZXHJ9y\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>The Real Cost of Medicare Advantage Plan Success<\/strong><\/p>\n\n\n\n<p>Stacie Sutter. 2023 8 9. Ensemble Health Partners.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-ensemble-health-partners wp-block-embed-ensemble-health-partners\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"WvRxbn4SZT\"><a href=\"https:\/\/www.ensemblehp.com\/blog\/the-real-cost-of-medicare-advantage-plan-success\/\">\u00ad\u00ad\u00ad\u00adThe Real Cost of Medicare Advantage Plan Success<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;\u00ad\u00ad\u00ad\u00adThe Real Cost of Medicare Advantage Plan Success&#8221; &#8212; Ensemble Health Partners\" src=\"https:\/\/www.ensemblehp.com\/blog\/the-real-cost-of-medicare-advantage-plan-success\/embed\/#?secret=lVKCtcjtNA#?secret=WvRxbn4SZT\" data-secret=\"WvRxbn4SZT\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>It\u2019s True, Medicare Advantage Costs Less Than Original Medicare But There\u2019s More To This Story<\/strong><\/p>\n\n\n\n<p>Diane Omdahl. Forbes. 2022 11 17.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.forbes.com\/sites\/dianeomdahl\/2022\/11\/15\/its-true-medicare-advantage-costs-less-than-original-medicare-but\">https:\/\/www.forbes.com\/sites\/dianeomdahl\/2022\/11\/15\/its-true-medicare-advantage-costs-less-than-original-medicare-but<\/a><\/p>\n\n\n\n<p><strong>Reduce Medicare Advantage Benchmarks<\/strong><\/p>\n\n\n\n<p>CBO. 2022 12 7.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.cbo.gov\/budget-options\/58626\">https:\/\/www.cbo.gov\/budget-options\/58626<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Overview: A Primer on Enrollment and Spending<\/strong><\/p>\n\n\n\n<p>Lanlan Xu et al. 2023 5 25. ASPE.<\/p>\n\n\n\n<p><a href=\"https:\/\/aspe.hhs.gov\/sites\/default\/files\/documents\/9b42ffbf2341726d5b63a9647b0aad15\/medicare-advantage-overview.pdf\">https:\/\/aspe.hhs.gov\/sites\/default\/files\/documents\/9b42ffbf2341726d5b63a9647b0aad15\/medicare-advantage-overview.pdf<\/a><\/p>\n\n\n\n<p><strong>Original Medicare vs. Medicare Advantage: Which Should You Trust Your Health To?<\/strong><\/p>\n\n\n\n<p>Meredith Mangan. 2024 10 3. Investopedia.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.investopedia.com\/original-medicare-vs-medicare-advantage-which-should-you-trust-your-health-to-8666589\">https:\/\/www.investopedia.com\/original-medicare-vs-medicare-advantage-which-should-you-trust-your-health-to-8666589<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage was meant to curb federal healthcare spending. It\u2019s costing more instead<\/strong><\/p>\n\n\n\n<p>Don Lee. 2023 5 9. LA Times.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.latimes.com\/politics\/story\/2023-05-09\/medicare-advantage-health-spending\">https:\/\/www.latimes.com\/politics\/story\/2023-05-09\/medicare-advantage-health-spending<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage vs. Medicare: Which Should I Choose?<\/strong><\/p>\n\n\n\n<p>Kate Ashford. 2024 9 16. Nerdwallet.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nerdwallet.com\/article\/insurance\/medicare\/medicare-vs-medicare-advantage\">https:\/\/www.nerdwallet.com\/article\/insurance\/medicare\/medicare-vs-medicare-advantage<\/a><\/p>\n\n\n\n<p><strong>Medicare vs. Medicare Advantage: sales pitches are often from biased sources, the choices can be overwhelming and impartial help is not equally available to&nbsp;all<\/strong><\/p>\n\n\n\n<p>Joel Abrams. 2024 10 10. The Conversation.<\/p>\n\n\n\n<p><a href=\"https:\/\/theconversation.com\/medicare-vs-medicare-advantage-sales-pitches-are-often-from-biased-sources-the-choices-can-be-overwhelming-and-impartial-help-is-not-equally-available-to-all-236635\">https:\/\/theconversation.com\/medicare-vs-medicare-advantage-sales-pitches-are-often-from-biased-sources-the-choices-can-be-overwhelming-and-impartial-help-is-not-equally-available-to-all-236635<\/a><\/p>\n\n\n\n<p><strong>Is Medicare Advantage A Good Deal for Enrollees?<\/strong><\/p>\n\n\n\n<p>Peter Wehrwein. 2024 8 28. Managed Healthcare.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.managedhealthcareexecutive.com\/view\/is-medicare-advantage-a-good-deal-for-enrollees-\">https:\/\/www.managedhealthcareexecutive.com\/view\/is-medicare-advantage-a-good-deal-for-enrollees-<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage and Vertical Consolidation in Health Care<\/strong><\/p>\n\n\n\n<p>Hayden Rooke-Ley. 2024 4. American Economic Liberties Project.<\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/www.economicliberties.us\/wp-content\/uploads\/2024\/04\/Medicare-Advantage-AELP.pdf\n<\/div><\/figure>\n\n\n\n<p><strong>An Economic History of Medicare Part C<\/strong><\/p>\n\n\n\n<p>Thomas G Mcguire et al. . 2011 6. The Milbank Quarterly.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3117270\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3117270<\/a><\/p>\n\n\n\n<p><strong>The History of Medicare Advantage: From Inception to Growing Popularity<\/strong><\/p>\n\n\n\n<p>Victoria Bailey. 2023 5 22. TechTarget.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.techtarget.com\/healthcarepayers\/feature\/The-History-of-Medicare-Advantage-From-Inception-to-Growing-Popularity\">https:\/\/www.techtarget.com\/healthcarepayers\/feature\/The-History-of-Medicare-Advantage-From-Inception-to-Growing-Popularity<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage History: Legislative Milestones<\/strong><\/p>\n\n\n\n<p>Medicare Rights Center. 2023.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.medicarerights.org\/pdf\/medicare-advantage-101-legislative-milestones.pdf\">https:\/\/www.medicarerights.org\/pdf\/medicare-advantage-101-legislative-milestones.pdf<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage &#8211; any regrets ?<\/strong><\/p>\n\n\n\n<p>KarateG. 2023. Reddit.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-rich is-provider-reddit wp-block-embed-reddit\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"reddit-embed-bq\" style=\"height:316px\" ><a href=\"https:\/\/www.reddit.com\/r\/medicare\/comments\/176j474\/medicare_advantage_any_regrets\/\">Medicare Advantage &#8211; any regrets ?<\/a><br> by<a href=\"https:\/\/www.reddit.com\/user\/KarateG\/\">u\/KarateG<\/a> in<a href=\"https:\/\/www.reddit.com\/r\/medicare\/\">medicare<\/a><\/blockquote><script async src=\"https:\/\/embed.reddit.com\/widgets.js\" charset=\"UTF-8\"><\/script>\n<\/div><\/figure>\n\n\n\n<p>MA works for some people, and is cheaper for some people, but a lot of people get fucked by denials, or the doctor they need for their illness not covered, or being forced to travel because local hospital isn\u2019t covered.<\/p>\n\n\n\n<p><strong>How Medicare Advantage Could Kill Medicare<\/strong><\/p>\n\n\n\n<p>Ady Barkan. 2023 5 17. The Nation.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.thenation.com\/article\/politics\/medicare-advantage-health-care\">https:\/\/www.thenation.com\/article\/politics\/medicare-advantage-health-care<\/a><\/p>\n\n\n\n<p><strong>Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need<\/strong><\/p>\n\n\n\n<p>Casey Ross and Bob Herman. 2023 3 13. Stat News.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-stat wp-block-embed-stat\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"hUP0PBfQz2\"><a href=\"https:\/\/www.statnews.com\/2023\/03\/13\/medicare-advantage-plans-denial-artificial-intelligence\/\">Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need&#8221; &#8212; STAT\" src=\"https:\/\/www.statnews.com\/2023\/03\/13\/medicare-advantage-plans-denial-artificial-intelligence\/embed\/#?secret=8s8Ak8rwoZ#?secret=hUP0PBfQz2\" data-secret=\"hUP0PBfQz2\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Why some Medicare Advantage plans will get skimpier and costlier<\/strong><\/p>\n\n\n\n<p>Richard Eisenberg. 2024 2 26. Fortune Well.<\/p>\n\n\n\n<p><a href=\"https:\/\/fortune.com\/well\/article\/medicare-advantage-plans-will-get-skimpier-and-costlier\">https:\/\/fortune.com\/well\/article\/medicare-advantage-plans-will-get-skimpier-and-costlier<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Is Popular, but Some Beneficiaries Feel Buyer\u2019s Remorse<\/strong><\/p>\n\n\n\n<p>Sarah Jane Tribble. 2024 1 24. KFF Health News.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kff-health-news wp-block-embed-kff-health-news\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"Rwm1v1in7P\"><a href=\"https:\/\/kffhealthnews.org\/news\/article\/health-202-medicare-advantage-buyers-remorse\/\">Medicare Advantage Is Popular, but Some Beneficiaries Feel Buyer\u2019s Remorse<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Medicare Advantage Is Popular, but Some Beneficiaries Feel Buyer\u2019s Remorse&#8221; &#8212; KFF Health News\" src=\"https:\/\/kffhealthnews.org\/news\/article\/health-202-medicare-advantage-buyers-remorse\/embed\/#?secret=eMp0GIRzGE#?secret=Rwm1v1in7P\" data-secret=\"Rwm1v1in7P\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Hospitals are dropping Medicare Advantage left and right<\/strong><\/p>\n\n\n\n<p>Jakob Emerson. 2023 9 27. PNHP.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-pnhp wp-block-embed-pnhp\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"pC3W4vrYVL\"><a href=\"https:\/\/pnhp.org\/news\/hospitals-are-dropping-medicare-advantage-left-and-right\/\">Hospitals are dropping Medicare Advantage left and right<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Hospitals are dropping Medicare Advantage left and right&#8221; &#8212; PNHP\" src=\"https:\/\/pnhp.org\/news\/hospitals-are-dropping-medicare-advantage-left-and-right\/embed\/#?secret=um0WbRO6LU#?secret=pC3W4vrYVL\" data-secret=\"pC3W4vrYVL\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>A Patient\u2019s Warning to Others &#8211; Medicare Advantage may not be an Advantage<\/strong><\/p>\n\n\n\n<p>Dwain Hebda. 2023 1 24. Baxter Health.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.baxterhealth.org\/news-updates\/2023\/january\/a-patient-s-warning-to-others-medicare-advantage\">https:\/\/www.baxterhealth.org\/news-updates\/2023\/january\/a-patient-s-warning-to-others-medicare-advantage<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage \u2013 and Disadvantage: Program Enrollment Grows Amid Physician Concerns<\/strong><\/p>\n\n\n\n<p>Emma Freer. 2024 3. Texas Medicine.<\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/www.texmed.org\/MedicareAdvantageAndDisadvantage\n<\/div><\/figure>\n\n\n\n<p><strong>New Medicare Advantage Cuts Threaten Seniors&#8217; Benefits<\/strong><\/p>\n\n\n\n<p>Alexander Fabino. 2024 4 3. Newsweek.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.newsweek.com\/medicare-advantage-cuts-seniors-lose-benefits-biden-administration-adjustments-1886664\">https:\/\/www.newsweek.com\/medicare-advantage-cuts-seniors-lose-benefits-biden-administration-adjustments-1886664<\/a><\/p>\n\n\n\n<p><strong>Is Medicare Advantage More Efficient than Traditional Medicare?<\/strong><\/p>\n\n\n\n<p>2016 9 7. Bulletin on Aging &amp; Health. NBER.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/bah\/2016no1\/medicare-advantage-more-efficient-traditional-medicare\">https:\/\/www.nber.org\/bah\/2016no1\/medicare-advantage-more-efficient-traditional-medicare<\/a><\/p>\n\n\n\n<p>THE EFFICIENCY CONSEQUENCES OF HEALTH CARE PRIVATIZATION: EVIDENCE FROM MEDICARE ADVANTAGE EXITS<\/p>\n\n\n\n<p>Mark Duggan et al. 2015 10. NBER.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/system\/files\/working_papers\/w21650\/w21650.pdf\">https:\/\/www.nber.org\/system\/files\/working_papers\/w21650\/w21650.pdf<\/a><\/p>\n\n\n\n<p><strong>Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets<\/strong><\/p>\n\n\n\n<p>Thomas G. McGuire and Richard C. van Kleef. 2018. Academic Press.<\/p>\n\n\n\n<p><a href=\"https:\/\/publications.hse.ru\/pubs\/share\/direct\/223496920.PDF#page=594\">https:\/\/publications.hse.ru\/pubs\/share\/direct\/223496920.PDF#page=594<\/a><\/p>\n\n\n\n<p><strong>Inappropriate Utilization in Fee-for-Service Medicare and Medicare Advantage Plans<\/strong><\/p>\n\n\n\n<p>Shriram Parashuram et al. 2018. American Journal of Medical Quality.&nbsp;<\/p>\n\n\n\n<p><a href=\"https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/1062860617702240\">https:\/\/journals.sagepub.com\/doi\/abs\/10.1177\/1062860617702240<\/a><\/p>\n\n\n\n<p><strong>Essays on Private Health Insurance in Public Programs<\/strong><\/p>\n\n\n\n<p>Brett Lissenden. Virginia.<\/p>\n\n\n\n<p><a href=\"https:\/\/economics.virginia.edu\/sites\/economics.virginia.edu\/files\/Lissenden%20Brett%20-%20abstract.pdf\">https:\/\/economics.virginia.edu\/sites\/economics.virginia.edu\/files\/Lissenden%20Brett%20-%20abstract.pdf<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Delivers Better Care And Saves Money: A Response To Gilfillan And Berwick<\/strong><\/p>\n\n\n\n<p>George C. Halvorson. 2022 1 7. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/content\/forefront\/medicare-advantage-delivers-better-care-and-saves-money-response-gilfillan-and-berwick\">https:\/\/www.healthaffairs.org\/content\/forefront\/medicare-advantage-delivers-better-care-and-saves-money-response-gilfillan-and-berwick<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Versus Traditional Medicare Resource Use<\/strong><\/p>\n\n\n\n<p>John Andrew Updike. 2024 6. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.01304\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.01304<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2023.00803\"><strong>Primary Care Physicians In Medicare Advantage Were Less Costly, Provided Similar Quality Versus Regional Average<\/strong><\/a><\/p>\n\n\n\n<p>Eran Politzer. 2024 3. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00803\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00803<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/mhcc.maryland.gov\/mhcc\/pages\/apc\/apc\/documents\/apc_hlth_affairs_pc_phy_medicare_adv.pdf\">https:\/\/mhcc.maryland.gov\/mhcc\/pages\/apc\/apc\/documents\/apc_hlth_affairs_pc_phy_medicare_adv.pdf<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage And Traditional Medicare Differences<\/strong><\/p>\n\n\n\n<p>James G. Kahn. 2023 10. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00851\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00851<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage And Traditional Medicare Differences: The Authors Reply<\/strong><\/p>\n\n\n\n<p>Bruce E. Landon et al. 2023 10. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00992\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00992<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2023.00376\"><strong>Home-Based Medical Care Use In Medicare Advantage And Traditional Medicare In 2018<\/strong><\/a><\/p>\n\n\n\n<p>Jeffrey Marr et al. 2023 9. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00376\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00376<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2023.00039\"><strong>Hospital Prices For Commercial Plans Are Twice Those For Medicare Advantage Plans When Negotiated By The Same Insurer<\/strong><\/a><\/p>\n\n\n\n<p>Mark Katz Meiselbach et al. 2023 8. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00039\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2023.00039<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2022.01547\"><strong>Psychiatrist Networks In Medicare Advantage Plans Are Substantially Narrower Than In Medicaid And ACA Markets<\/strong><\/a><\/p>\n\n\n\n<p>Jane M. Zhu et al. 2023 7. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2022.01547\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2022.01547<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2021.01054\"><strong>Coverage Denials: Government And Private Insurer Policies For Medical Necessity In Medicare<\/strong><\/a><\/p>\n\n\n\n<p>Aaron L. Schwartz et al. 2022 1. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2021.01054\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2021.01054<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2021.00606\"><strong>The Medicare Advantage Quality Bonus Program Has Not Improved Plan Quality<\/strong><\/a><\/p>\n\n\n\n<p>Adam A. Markovitz et al. 2021 12. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2021.00606\">https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2021.00606<\/a><\/p>\n\n\n\n<p><strong>Legislative and Regulatory Strategies for Revitalizing Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Erin C. Fuse Brown and Travis C. Williams. Center for Advancing Health Policy Through Research. School of Public Health: Brown University.<\/p>\n\n\n\n<p><a href=\"https:\/\/cahpr.sph.brown.edu\/sites\/default\/files\/documents\/One-Pager_MABenchmarks_MR-6.pdf\">https:\/\/cahpr.sph.brown.edu\/sites\/default\/files\/documents\/One-Pager_MABenchmarks_MR-6.pdf<\/a><\/p>\n\n\n\n<p><strong>Comparing Medicare Advantage And Traditional Medicare: A Systematic Review<\/strong><\/p>\n\n\n\n<p>Rajender Agarwal et al. 2021 6. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2020.02149\">https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2020.02149<\/a><\/p>\n\n\n\n<p><strong>Taking Stock of Medicare Advantage: Payment<\/strong><\/p>\n\n\n\n<p>Sarah Klein and Martha Hostetter. 2022 2 17. Common Wealth Fund.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.commonwealthfund.org\/blog\/2022\/taking-stock-medicare-advantage-payment\">https:\/\/www.commonwealthfund.org\/blog\/2022\/taking-stock-medicare-advantage-payment<\/a><\/p>\n\n\n\n<p><strong>Understanding Medicare Advantage Payment<\/strong><\/p>\n\n\n\n<p>Robert A. Berenson et al. 2022 9. Urban Institute.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.urban.org\/sites\/default\/files\/2022-09\/Understanding%20Medicare%20Advantage%20Payment.pdf\">https:\/\/www.urban.org\/sites\/default\/files\/2022-09\/Understanding%20Medicare%20Advantage%20Payment.pdf<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Achieves Better Health Outcomes and Lower Utilization of High-Cost Services Compared to Fee-for-Service Medicare<\/strong><\/p>\n\n\n\n<p>Avalere. 2018 7 11.<\/p>\n\n\n\n<p><a href=\"https:\/\/avalere.com\/press-releases\/medicare-advantage-achieves-better-health-outcomes-and-lower-utilization-of-high-cost-services-compared-to-fee-for-service-medicare#\">https:\/\/avalere.com\/press-releases\/medicare-advantage-achieves-better-health-outcomes-and-lower-utilization-of-high-cost-services-compared-to-fee-for-service-medicare#<\/a><\/p>\n\n\n\n<p><strong>Born On Third Base: Medicare Advantage Thrives On Subsidies, Not Better Care<\/strong><\/p>\n\n\n\n<p>Richard Gilfillan and Donald M. Berwick. 2023 3 27. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/content\/forefront\/born-third-base-medicare-advantage-thrives-subsidies-not-better-care\">https:\/\/www.healthaffairs.org\/content\/forefront\/born-third-base-medicare-advantage-thrives-subsidies-not-better-care<\/a><\/p>\n\n\n\n<p><strong>Medicare\u2019s Private Option Is Gaining Popularity, and Critics<\/strong><\/p>\n\n\n\n<p>Mark Miller. 2020 2 21. The New York Times.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nytimes.com\/2020\/02\/21\/business\/medicare-advantage-retirement.html\">https:\/\/www.nytimes.com\/2020\/02\/21\/business\/medicare-advantage-retirement.html<\/a><\/p>\n\n\n\n<p><strong>Medicare plans comparison: Is Medicare Advantage more effective than Traditional Fee-for-Service Medicare?<\/strong><\/p>\n\n\n\n<p>Christie Teigland. Inovalon.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.inovalon.com\/blog\/medicare-plans-comparison-is-medicare-advantage-more-effective-than-traditional-fee-for-service-medicare\">https:\/\/www.inovalon.com\/blog\/medicare-plans-comparison-is-medicare-advantage-more-effective-than-traditional-fee-for-service-medicare<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.inovalon.com\/wp-content\/uploads\/2023\/11\/PAY-23-1601-Insights-Harvard-Campaign-Whitepaper_FINAL.pdf\">https:\/\/www.inovalon.com\/wp-content\/uploads\/2023\/11\/PAY-23-1601-Insights-Harvard-Campaign-Whitepaper_FINAL.pdf<\/a><\/p>\n\n\n\n<p><strong>Inovalon Customers Achieve Higher Performance On CMS Medicare Advantage Health Plan Ratings<\/strong><\/p>\n\n\n\n<p>Inovalon. 2023 10 30.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.inovalon.com\/news\/inovalon-customers-achieve-higher-performance-on-cms-medicare-advantage-health-plan-ratings\">https:\/\/www.inovalon.com\/news\/inovalon-customers-achieve-higher-performance-on-cms-medicare-advantage-health-plan-ratings<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage plans denied some members needed care, OIG finds<\/strong><\/p>\n\n\n\n<p>Samantha Liss. 2022 4 29. HealthcareDIVE.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthcaredive.com\/news\/medicare-advantage-denied-members-needed-care-oig\/622904\">https:\/\/www.healthcaredive.com\/news\/medicare-advantage-denied-members-needed-care-oig\/622904<\/a><\/p>\n\n\n\n<p><strong>The Expansion of Medicare Advantage and Solvency of Traditional Medicare<\/strong><\/p>\n\n\n\n<p>Hoag Levins. 2023 11 15. Penn LDI.<\/p>\n\n\n\n<p><a href=\"https:\/\/ldi.upenn.edu\/our-work\/research-updates\/the-expansion-of-medicare-advantage-and-solvency-of-traditional-medicare\">https:\/\/ldi.upenn.edu\/our-work\/research-updates\/the-expansion-of-medicare-advantage-and-solvency-of-traditional-medicare<\/a><\/p>\n\n\n\n<p><strong>The &#8220;Advantage&#8221; in Medicare Advantage for Providers<\/strong><\/p>\n\n\n\n<p>Eric Meinkow, Brian Fisher, Ernesto Flores, Monte Regier, and Brinda Gupta. Guidehouse.<\/p>\n\n\n\n<p><a href=\"https:\/\/guidehouse.com\/insights\/healthcare\/2023\/the-advantage-in-medicare-advantage-for-providers\">https:\/\/guidehouse.com\/insights\/healthcare\/2023\/the-advantage-in-medicare-advantage-for-providers<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage and the Role of Medigap in Higher Fee-for-Service Costs<\/strong><\/p>\n\n\n\n<p>James C. Capretta. 2024 2 28. AEI.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-american-enterprise-institute-aei wp-block-embed-american-enterprise-institute-aei\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"a5BsEqmzkE\"><a href=\"https:\/\/www.aei.org\/economics\/medicare-advantage-and-the-role-of-medigap-in-higher-fee-for-service-costs\/\">Medicare Advantage and the Role of Medigap in Higher Fee-for-Service Costs<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Medicare Advantage and the Role of Medigap in Higher Fee-for-Service Costs&#8221; &#8212; American Enterprise Institute - AEI\" src=\"https:\/\/www.aei.org\/economics\/medicare-advantage-and-the-role-of-medigap-in-higher-fee-for-service-costs\/embed\/#?secret=cMv4BcpM5j#?secret=a5BsEqmzkE\" data-secret=\"a5BsEqmzkE\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>The Future of Medicare and the Role of Traditional Medicare as Competitor<\/strong><\/p>\n\n\n\n<p>Michael McWilliams. 2024 8 21. The New England Journal of Medicine.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMsb2313939\">https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMsb2313939<\/a><\/p>\n\n\n\n<p><strong>Review Identifies \u201cNoteworthy\u201d Differences in Effects on Patients of Traditional Medicare vs Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Joan Stephenson. 2022 9 20. Jama Health Forum.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2796752\">https:\/\/jamanetwork.com\/journals\/jama-health-forum\/fullarticle\/2796752<\/a><\/p>\n\n\n\n<p>Cheryl Clark. 2024 2 22. MedPageToday.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.medpagetoday.com\/special-reports\/features\/108846\">https:\/\/www.medpagetoday.com\/special-reports\/features\/108846<\/a><\/p>\n\n\n\n<p><strong>Private Insurance Is More Efficient than Medicare\u2013By Far<\/strong><\/p>\n\n\n\n<p>Michael F. Cannon. 2011 9 21. CATO Institute.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.cato.org\/blog\/private-insurance-more-efficient-medicare-far\">https:\/\/www.cato.org\/blog\/private-insurance-more-efficient-medicare-far<\/a><\/p>\n\n\n\n<p><strong>&#8220;Private insurance companies in this country spend between 12 and 18 percent on administration costs. The cost of administering the Medicare program, a very popular program that works well for our seniors, is 2 percent. We can save approximately $500 billion a year just in administration costs.&#8221;<\/strong><\/p>\n\n\n\n<p>Manuela Tobias. 2017 9 20. Politifact.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.politifact.com\/factchecks\/2017\/sep\/20\/bernie-sanders\/comparing-administrative-costs-private-insurance-a\">https:\/\/www.politifact.com\/factchecks\/2017\/sep\/20\/bernie-sanders\/comparing-administrative-costs-private-insurance-a<\/a><\/p>\n\n\n\n<p><strong>4 things to know about Medicare&#8217;s overhead costs<\/strong><\/p>\n\n\n\n<p>Bob Herman. 2013 2 27. PNHP.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-pnhp wp-block-embed-pnhp\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"MDdl0EQJ3z\"><a href=\"https:\/\/pnhp.org\/news\/4-things-to-know-about-medicares-overhead-costs\/\">4 things to know about Medicare&#039;s overhead costs<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;4 things to know about Medicare&#039;s overhead costs&#8221; &#8212; PNHP\" src=\"https:\/\/pnhp.org\/news\/4-things-to-know-about-medicares-overhead-costs\/embed\/#?secret=3P5wyMregt#?secret=MDdl0EQJ3z\" data-secret=\"MDdl0EQJ3z\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Out-of-network payments in Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Multiple Authors. 2021 2 10. The Incidental Economist.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-the-incidental-economist wp-block-embed-the-incidental-economist\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"XSuxKTZYHO\"><a href=\"https:\/\/theincidentaleconomist.com\/wordpress\/out-of-network-payments-in-medicare-advantage\/\">Out-of-network payments in Medicare Advantage<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Out-of-network payments in Medicare Advantage&#8221; &#8212; The Incidental Economist\" src=\"https:\/\/theincidentaleconomist.com\/wordpress\/out-of-network-payments-in-medicare-advantage\/embed\/#?secret=XbePkFalCr#?secret=XSuxKTZYHO\" data-secret=\"XSuxKTZYHO\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Medicare Advantage plans spend less on care than traditional Medicare, but are paid more for it<\/strong><\/p>\n\n\n\n<p>Austin Frakt. 2017 8 9. The Incidental Economist.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-the-incidental-economist wp-block-embed-the-incidental-economist\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"j9gGD9dADL\"><a href=\"https:\/\/theincidentaleconomist.com\/wordpress\/medicare-advantage-plans-spend-less-on-care-than-traditional-medicare-but-are-paid-more-for-it\/\">Medicare Advantage plans spend less on care than traditional Medicare, but are paid more for it<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Medicare Advantage plans spend less on care than traditional Medicare, but are paid more for it&#8221; &#8212; The Incidental Economist\" src=\"https:\/\/theincidentaleconomist.com\/wordpress\/medicare-advantage-plans-spend-less-on-care-than-traditional-medicare-but-are-paid-more-for-it\/embed\/#?secret=wExngdnlQD#?secret=j9gGD9dADL\" data-secret=\"j9gGD9dADL\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Harvard-Inovalon Medicare Study: Utilization and Efficiency Under Medicare Advantage vs. Medicare Fee-for-Service<\/strong><\/p>\n\n\n\n<p>Boris Vabson et al. 2023 9 22. AEI.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-american-enterprise-institute-aei wp-block-embed-american-enterprise-institute-aei\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"Vl9hWSkWP8\"><a href=\"https:\/\/www.aei.org\/research-products\/report\/harvard-inovalon-medicare-study-utilization-and-efficiency-under-medicare-advantage-vs-medicare-fee-for-service\/\">Harvard-Inovalon Medicare Study: Utilization and Efficiency Under Medicare Advantage vs. Medicare Fee-for-Service<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Harvard-Inovalon Medicare Study: Utilization and Efficiency Under Medicare Advantage vs. Medicare Fee-for-Service&#8221; &#8212; American Enterprise Institute - AEI\" src=\"https:\/\/www.aei.org\/research-products\/report\/harvard-inovalon-medicare-study-utilization-and-efficiency-under-medicare-advantage-vs-medicare-fee-for-service\/embed\/#?secret=8Nmd6l0zEv#?secret=Vl9hWSkWP8\" data-secret=\"Vl9hWSkWP8\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Comparison of Care Quality Metrics in 2-Sided Risk Medicare Advantage vs Fee-for-Service Medicare Programs<\/strong><\/p>\n\n\n\n<p>Kenneth Cohen. 2022 12 12. JAMA Network Open.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2799376\">https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2799376<\/a><\/p>\n\n\n\n<p><strong>What to Know About How Medicare Pays Physicians<\/strong><\/p>\n\n\n\n<p>Alex Cottrill et al. 2024 3 6. KFF.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kff wp-block-embed-kff\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"V1bQusaa9M\"><a href=\"https:\/\/www.kff.org\/medicare\/issue-brief\/what-to-know-about-how-medicare-pays-physicians\/\">What to Know About How Medicare Pays Physicians<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;What to Know About How Medicare Pays Physicians&#8221; &#8212; KFF\" src=\"https:\/\/www.kff.org\/medicare\/issue-brief\/what-to-know-about-how-medicare-pays-physicians\/embed\/#?secret=4bXL6zS8pA#?secret=V1bQusaa9M\" data-secret=\"V1bQusaa9M\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Physician Reimbursement in Medicare Advantage Compared With Traditional Medicare and Commercial Health Insurance<\/strong><\/p>\n\n\n\n<p>Erin Trish et al. 2017 9 5. JAMA Intern Med.<\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5710575\n<\/div><\/figure>\n\n\n\n<p><strong>Fifty Years of Medicare The Good and the Bad<\/strong><\/p>\n\n\n\n<p><strong>Arthur Gale. 2015 7. Missouri Medicine.<\/strong><\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6170066\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6170066<\/a><\/p>\n\n\n\n<p><strong>The Medicare Advantage Debacle<\/strong><\/p>\n\n\n\n<p>Arthur Gale. 2014 3. Missouri Medicine.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6179483\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6179483<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage: Blame the Physicians, and then Fire Them<\/strong><\/p>\n\n\n\n<p>Paul B Vatterott Jr. 2014 5. Missouri Medicine.<\/p>\n\n\n\n<p><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6179570\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6179570<\/a><\/p>\n\n\n\n<p><strong>More than a third of U.S. healthcare costs go to bureaucracy<\/strong><\/p>\n\n\n\n<p>Linda Carroll. 2020 1 6. Reuters.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.reuters.com\/article\/business\/healthcare-pharmaceuticals\/more-than-a-third-of-us-healthcare-costs-go-to-bureaucracy-idUSKBN1Z5260\">https:\/\/www.reuters.com\/article\/business\/healthcare-pharmaceuticals\/more-than-a-third-of-us-healthcare-costs-go-to-bureaucracy-idUSKBN1Z5260<\/a><\/p>\n\n\n\n<p><strong>A $600 Billion Swindle: Study Makes Case to \u2018Abolish\u2019 Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Jake Johnson. 2024 6 10. Common Dreams.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.commondreams.org\/news\/medicare-advantage-cost\">https:\/\/www.commondreams.org\/news\/medicare-advantage-cost<\/a><\/p>\n\n\n\n<p><strong>Less Care at Higher Cost\u2014The Medicare Advantage Paradox<\/strong><\/p>\n\n\n\n<p>Adam Gaffney et al. 2024 6 10. JAMA Internal Medicine.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2819817?guestAccessKey=868d34eb-8ea3-4442-8a2b-10ac358bd17b&amp;utm_source=For_The_Media&amp;utm_medium=referral&amp;utm_campaign=ftm_links&amp;utm_content=tfl&amp;utm_term=061024\">https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2819817?guestAccessKey=868d34eb-8ea3-4442-8a2b-10ac358bd17b&amp;utm_source=For_The_Media&amp;utm_medium=referral&amp;utm_campaign=ftm_links&amp;utm_content=tfl&amp;utm_term=061024<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage plans pay physicians about the same as traditional Medicare, study finds<\/strong><\/p>\n\n\n\n<p>Les Masterson. 2017 6 12. Healthcare DIVE.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthcaredive.com\/news\/medicare-advantage-plans-pay-physicians-about-the-same-as-traditional-medic\/446935\">https:\/\/www.healthcaredive.com\/news\/medicare-advantage-plans-pay-physicians-about-the-same-as-traditional-medic\/446935<\/a><\/p>\n\n\n\n<p><strong>The Huge Advantage and Real Value of Medicare for All (The 15 Percent Solution)<\/strong><\/p>\n\n\n\n<p>2019 5 1. Intergroup institute.<\/p>\n\n\n\n<p><a href=\"http:\/\/www.intergroupinstitute.org\/blog\/the-huge-advantage-and-real-value-of-medicare-for-all-the-15-percent-solution\">http:\/\/www.intergroupinstitute.org\/blog\/the-huge-advantage-and-real-value-of-medicare-for-all-the-15-percent-solution<\/a><\/p>\n\n\n\n<p><strong>Prior Authorization Reduces Net Costs of Medicare Part D<\/strong><\/p>\n\n\n\n<p>Boris Vabson. 2023 8 4. AEI.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-american-enterprise-institute-aei wp-block-embed-american-enterprise-institute-aei\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"kB5YVmufnK\"><a href=\"https:\/\/www.aei.org\/health-care\/prior-authorization-reduces-net-costs-of-medicare-part-d\/\">Prior Authorization Reduces Net Costs of Medicare Part D<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Prior Authorization Reduces Net Costs of Medicare Part D&#8221; &#8212; American Enterprise Institute - AEI\" src=\"https:\/\/www.aei.org\/health-care\/prior-authorization-reduces-net-costs-of-medicare-part-d\/embed\/#?secret=nzPhupDhJw#?secret=kB5YVmufnK\" data-secret=\"kB5YVmufnK\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>When is Competition Not Competition: The Curious Case of Medicare Advantage Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Robert A. Berenson. 2017. St. Louis University Journal of Health Law &amp; Policy.<\/p>\n\n\n\n<p><a href=\"https:\/\/scholarship.law.slu.edu\/cgi\/viewcontent.cgi?article=1036&amp;context=jhlp\">https:\/\/scholarship.law.slu.edu\/cgi\/viewcontent.cgi?article=1036&amp;context=jhlp<\/a><\/p>\n\n\n\n<p>RATIONING MEDICINE THROUGH BUREAUCRACY: AUTHORIZATION RESTRICTIONS IN MEDICARE<\/p>\n\n\n\n<p>Zarek C. Brot-Goldberg et al. 2023 1. National Bureau of Economic Research.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/system\/files\/working_papers\/w30878\/w30878.pdf\">https:\/\/www.nber.org\/system\/files\/working_papers\/w30878\/w30878.pdf<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Reigns. So Who Still Buys Medigap?<\/strong><\/p>\n\n\n\n<p>Kimberly Blanton. 2024 2 13. Center for Retirement Research.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-center-for-retirement-research wp-block-embed-center-for-retirement-research\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"HiRqsIWbVD\"><a href=\"https:\/\/crr.bc.edu\/medicare-advantage-reigns-so-who-still-buys-medigap\/\">Medicare Advantage Reigns. So Who Still Buys Medigap?<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Medicare Advantage Reigns. So Who Still Buys Medigap?&#8221; &#8212; Center for Retirement Research\" src=\"https:\/\/crr.bc.edu\/medicare-advantage-reigns-so-who-still-buys-medigap\/embed\/#?secret=09icSU1mIp#?secret=HiRqsIWbVD\" data-secret=\"HiRqsIWbVD\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Insurance Purchases of Older Americans<\/strong><\/p>\n\n\n\n<p>Karolos Arapakis et al. 2023 3. Michigan Retirement and Disability Research Center.<\/p>\n\n\n\n<p><a href=\"https:\/\/mrdrc.isr.umich.edu\/publication\/insurance-purchases-of-older-americans\">https:\/\/mrdrc.isr.umich.edu\/publication\/insurance-purchases-of-older-americans<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/mrdrc.isr.umich.edu\/wp-content\/uploads\/2024\/04\/wp463.pdf\">https:\/\/mrdrc.isr.umich.edu\/wp-content\/uploads\/2024\/04\/wp463.pdf<\/a><\/p>\n\n\n\n<p>IMPUTING RISK TOLERANCE FROM SURVEY RESPONSES<\/p>\n\n\n\n<p>Miles S. Kimball et al. 2007 8. NBER Working Paper Series.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/system\/files\/working_papers\/w13337\/w13337.pdf\">https:\/\/www.nber.org\/system\/files\/working_papers\/w13337\/w13337.pdf<\/a><\/p>\n\n\n\n<p><strong>Bureaucracy consumes one-quarter of US hospitals\u2019 budgets, twice as much as in other nations: Health Affairs study<\/strong><\/p>\n\n\n\n<p>PNHP. 2014 9 8.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-pnhp wp-block-embed-pnhp\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"72FtORKxC4\"><a href=\"https:\/\/pnhp.org\/news\/bureaucracy-consumes-one-quarter-of-us-hospitals-budgets-twice-as-much-as-in-other-nations-health-affairs-study\/\">Bureaucracy consumes one-quarter of US hospitals\u2019 budgets, twice as much as in other nations: Health Affairs study<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Bureaucracy consumes one-quarter of US hospitals\u2019 budgets, twice as much as in other nations: Health Affairs study&#8221; &#8212; PNHP\" src=\"https:\/\/pnhp.org\/news\/bureaucracy-consumes-one-quarter-of-us-hospitals-budgets-twice-as-much-as-in-other-nations-health-affairs-study\/embed\/#?secret=lYCQavENQD#?secret=72FtORKxC4\" data-secret=\"72FtORKxC4\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Healthcare paperwork cost U.S. $812 billion in 2017, 4 times more per capita than Canada<\/strong><\/p>\n\n\n\n<p>Jeff Lagasse. 2020 1 7. Healthcare Finance.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthcarefinancenews.com\/news\/healthcare-paperwork-cost-us-812-billion-2017-4-times-more-capita-canada\">https:\/\/www.healthcarefinancenews.com\/news\/healthcare-paperwork-cost-us-812-billion-2017-4-times-more-capita-canada<\/a><\/p>\n\n\n\n<p><strong>A DENIAL A DAY KEEPS THE DOCTOR AWAY<\/strong><\/p>\n\n\n\n<p>Abe Dunn et al. 2023. Oxford University Press. The Quarterly Journal of Economics.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/qjad035.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA08wggNLBgkqhkiG9w0BBwagggM8MIIDOAIBADCCAzEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMhmbEY9Yc3Z-Vj4GKAgEQgIIDAkqSe3C2YHkZ7mK8A6LPwC6dyWi9TeOq4_-82KtzE4cdXhdP5jQPppcuXurUwOwntGt3NV26zYHwkfFm5bkYTh1MqLtlG-oOVP2rzraurS4UVIjYscQrkIjt-zQ3MGj8rJH6CJCdQS915C1RejM1T1iZN4p3ekD9CZtfY5ea10zpUTYrUQp-r4eUnNTa8aXjb2ld62YDWzyFA6P743tHCtk_BRm7vUfdznuas1hNhART6uuaUBvsjPQnRdp8N7XTq-nbpm1t6W0fTk41mE8CrUwnGl_vZgtigBwEhPvemGbfPBnpIIenfISMpSsaoluaO4JBTXMAC-F1HDE0Km4obng1xjEX95lfwoBqa00lvxaxSY7w8L6sSUMOzl99oXJXuTsEF17wrGJ177aTx1yXqys2t57HDej4EdwwecQfrmuMaxkjp5awdUSY8OTC4IPcRxV7FyqD2ZmDp0j4V-KQ75d7XiPRwiRdxjXfUwEV_Dnp8fizuPbFTv9l86kNfjTPvHXOHLmzRF3ioaMS6JEIPGDZakbzdt0MeIjx2eMCpcotLFqELPT70E9jJMdP1ZsxnqEtENYDvBgAIlm4PnocWXk9yclKHRcFEjU4UkRxWqHYItTFKFW02veiZQ6DLJFYvTkmMmdf2EwBsBjK0JXTOVNgWRUUcuNl8KPSZVc0dl7MCNBwwLISuphXnnBp92K2FnA2eyNZGwFmRHAygJ3a3sasi8cJeLdY6QawmTg-LCp2lkRvAp4kJDGu46Lx0JvJsnHs9ewzSKdeOlj9LhS2B1kDVTtvSMLGVNsLMxhBemD4KVucwEtcDPozIbf_GArEj-Tch1-OVdnsORbCNIs1YDUZ8K7xdz77NkZ0UY36AOr4nl59VRt_LqMxxW1Xc9dv9GCbENbsll9NfH5Z0Vl7A4mNs_xFGeZ-pwoqe2UZnYwC1lJW-H8amfXRyMm4uMzurS2suGh9aFTYG8KztmS2iEUXDi1Jw4BPfZY4lv9ZiLMxIJQp1vqJb_jnadXk9ffXBc80\">https:\/\/watermark.silverchair.com\/qjad035.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA08wggNLBgkqhkiG9w0BBwagggM8MIIDOAIBADCCAzEGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMhmbEY9Yc3Z-Vj4GKAgEQgIIDAkqSe3C2YHkZ7mK8A6LPwC6dyWi9TeOq4_-82KtzE4cdXhdP5jQPppcuXurUwOwntGt3NV26zYHwkfFm5bkYTh1MqLtlG-oOVP2rzraurS4UVIjYscQrkIjt-zQ3MGj8rJH6CJCdQS915C1RejM1T1iZN4p3ekD9CZtfY5ea10zpUTYrUQp-r4eUnNTa8aXjb2ld62YDWzyFA6P743tHCtk_BRm7vUfdznuas1hNhART6uuaUBvsjPQnRdp8N7XTq-nbpm1t6W0fTk41mE8CrUwnGl_vZgtigBwEhPvemGbfPBnpIIenfISMpSsaoluaO4JBTXMAC-F1HDE0Km4obng1xjEX95lfwoBqa00lvxaxSY7w8L6sSUMOzl99oXJXuTsEF17wrGJ177aTx1yXqys2t57HDej4EdwwecQfrmuMaxkjp5awdUSY8OTC4IPcRxV7FyqD2ZmDp0j4V-KQ75d7XiPRwiRdxjXfUwEV_Dnp8fizuPbFTv9l86kNfjTPvHXOHLmzRF3ioaMS6JEIPGDZakbzdt0MeIjx2eMCpcotLFqELPT70E9jJMdP1ZsxnqEtENYDvBgAIlm4PnocWXk9yclKHRcFEjU4UkRxWqHYItTFKFW02veiZQ6DLJFYvTkmMmdf2EwBsBjK0JXTOVNgWRUUcuNl8KPSZVc0dl7MCNBwwLISuphXnnBp92K2FnA2eyNZGwFmRHAygJ3a3sasi8cJeLdY6QawmTg-LCp2lkRvAp4kJDGu46Lx0JvJsnHs9ewzSKdeOlj9LhS2B1kDVTtvSMLGVNsLMxhBemD4KVucwEtcDPozIbf_GArEj-Tch1-OVdnsORbCNIs1YDUZ8K7xdz77NkZ0UY36AOr4nl59VRt_LqMxxW1Xc9dv9GCbENbsll9NfH5Z0Vl7A4mNs_xFGeZ-pwoqe2UZnYwC1lJW-H8amfXRyMm4uMzurS2suGh9aFTYG8KztmS2iEUXDi1Jw4BPfZY4lv9ZiLMxIJQp1vqJb_jnadXk9ffXBc80<\/a><\/p>\n\n\n\n<p>MONITORING FOR WASTE: EVIDENCE FROM MEDICARE AUDITS<\/p>\n\n\n\n<p>Maggie Shi. 2023 8. NBER Working Paper Series.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nber.org\/system\/files\/working_papers\/w31559\/w31559.pdf\">https:\/\/www.nber.org\/system\/files\/working_papers\/w31559\/w31559.pdf<\/a><\/p>\n\n\n\n<p><strong>Prior Authorization and Association With Delayed or Discontinued Prescription Fills<\/strong><\/p>\n\n\n\n<p>Michael Anne Kyle. 2023 12 12. Journal of Clinical Oncology.<\/p>\n\n\n\n<p><a href=\"https:\/\/ascopubs.org\/doi\/abs\/10.1200\/JCO.23.01693\">https:\/\/ascopubs.org\/doi\/abs\/10.1200\/JCO.23.01693<\/a><\/p>\n\n\n\n<p><strong>Prior Authorization in Oncology: Burdens and Barriers to Care<\/strong><\/p>\n\n\n\n<p>Aaron Tallent and Erin Clancy. 2024 8 20. Cancer Therapy Advisor.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-cancer-therapy-advisor wp-block-embed-cancer-therapy-advisor\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"YiIoFtvUrU\"><a href=\"https:\/\/www.cancertherapyadvisor.com\/features\/oncology-prior-authorization-burdens-barriers-to-care\/\">Prior Authorization in Oncology: Burdens and Barriers to Care<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Prior Authorization in Oncology: Burdens and Barriers to Care&#8221; &#8212; Cancer Therapy Advisor\" src=\"https:\/\/www.cancertherapyadvisor.com\/features\/oncology-prior-authorization-burdens-barriers-to-care\/embed\/#?secret=IPgnepWeXg#?secret=YiIoFtvUrU\" data-secret=\"YiIoFtvUrU\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Medicare Advantage Prior Authorization Requirements for Otolaryngologic Procedures in 2021<\/strong><\/p>\n\n\n\n<p>Lauren E. Miller et al. 2024. Otolaryngology\u2014Head and Neck Surgery.<\/p>\n\n\n\n<p><a href=\"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdfdirect\/10.1002\/ohn.931\">https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdfdirect\/10.1002\/ohn.931<\/a><\/p>\n\n\n\n<p><strong>An Overview of the Challenging Process of Prior Authorization: Medical Necessity for a Better Way<\/strong><\/p>\n\n\n\n<p>Stephen T. Amann et al. 2024 9 18. Clinical Gastroenterology and Hepatology.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1542356524008279?fr=RR-1&amp;ref=cra_js_challenge\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1542356524008279?fr=RR-1&amp;ref=cra_js_challenge<\/a><\/p>\n\n\n\n<p><strong>Health Insurer Gatekeeping<\/strong><\/p>\n\n\n\n<p>Natalia Serna. 2024 10 25.<\/p>\n\n\n\n<p><a href=\"https:\/\/nsernab.github.io\/insurer_gatekeeping.pdf\">https:\/\/nsernab.github.io\/insurer_gatekeeping.pdf<\/a><\/p>\n\n\n\n<p><strong>The Promise and Perils of Oncology Care in Medicare Advantage<\/strong><\/p>\n\n\n\n<p>Michael Anne Kyle and Nancy L. Keating. 2024 9 20. JAMA Network Open.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/kyle_2024_ic_240199_1726158449.86176.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzAwggMsBgkqhkiG9w0BBwagggMdMIIDGQIBADCCAxIGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM3puk92_2f0QmNidwAgEQgIIC49vH8nHnMIPmM-Hld5sXf_RFLzhSjZpFyGEHVUHPu2HbmVYTRCHcxBmed0sJ4RLoviFQ9TzivvWH-04NO8VIbqcA5GuppqNqZ4JbHKklqR8fK8gDKF9FHSxzgzlvjZ9RJJX-xbwQ1hRQXQxJWybsthafd5IVOpW3UPtPkXpZNig7DdLDgB0bTVQP5y_VgLwInqry0eZsk3JrmOkUTByagblvwxyc1SENTlFfxCGVFNaXXWFZ5WlddvaCXg0O87EAK-33ZtE67kqMNpzuLWCO44coX09RpM0DgGmCMxVURaYgetX3QLwdQ8lFOmk_W1rCCNzjJVoG44in6_vpFYyIXHEm9h8wG_BZkMIgNWKZ3rfK2yxuOY8D-SA_g-BPI6NLvL5KjxJDP_tClWEK0xl50fOQOZQxjyn3JUa9cxRMrWum33QxiddDfL_mhFxvnUOCK4TLxIep3CQUcU-5Vaz8Esc6AO1x9U7b4iEZlDJg2oaoAOhX5-uObj619SnKjlshr_Sm4JJv9tuCuKfJzbr-vY7H2CnQxsjqgarjL4_vcRfazw12_xBix1hXpw2_CtyD4IWvzuOlesA4vL34YB2mX1jJT-3cl609cDVM9pprA2ynCBXDhEAJHWjYyldPPMEOK5yMVZrgi-c9XrBLsQqHd0ph8r_i50jS-PMGdYfrTua23nN-FxcsQBohuRk3_8Zy2TH9UXhHeNt48b5xSmEp0KezmAHvbwP2DQXZ_cWH94ZeEeiLV5_zZSfwzRDbBt6tJpWitTRZIW9ZKfSZSITaMdAskbs2_Mj_P_qcgKvX1zOlsebM6GS4UU1s8_bpohx30b0WXdb1LKB8KRHYEAJBlpbA-QQgkMlItmAuEHAX9RsEgwTwcnfnyzMj7iixonprLB4gBQw7BjNzVDGTE1meABxOGDO3MJ_Mc1FnAVEFMGgm3BwjvC1K5sEouVbjky7E_EWnHpskAROaksg5zOIK2IpsOXk\">https:\/\/watermark.silverchair.com\/kyle_2024_ic_240199_1726158449.86176.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAzAwggMsBgkqhkiG9w0BBwagggMdMIIDGQIBADCCAxIGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM3puk92_2f0QmNidwAgEQgIIC49vH8nHnMIPmM-Hld5sXf_RFLzhSjZpFyGEHVUHPu2HbmVYTRCHcxBmed0sJ4RLoviFQ9TzivvWH-04NO8VIbqcA5GuppqNqZ4JbHKklqR8fK8gDKF9FHSxzgzlvjZ9RJJX-xbwQ1hRQXQxJWybsthafd5IVOpW3UPtPkXpZNig7DdLDgB0bTVQP5y_VgLwInqry0eZsk3JrmOkUTByagblvwxyc1SENTlFfxCGVFNaXXWFZ5WlddvaCXg0O87EAK-33ZtE67kqMNpzuLWCO44coX09RpM0DgGmCMxVURaYgetX3QLwdQ8lFOmk_W1rCCNzjJVoG44in6_vpFYyIXHEm9h8wG_BZkMIgNWKZ3rfK2yxuOY8D-SA_g-BPI6NLvL5KjxJDP_tClWEK0xl50fOQOZQxjyn3JUa9cxRMrWum33QxiddDfL_mhFxvnUOCK4TLxIep3CQUcU-5Vaz8Esc6AO1x9U7b4iEZlDJg2oaoAOhX5-uObj619SnKjlshr_Sm4JJv9tuCuKfJzbr-vY7H2CnQxsjqgarjL4_vcRfazw12_xBix1hXpw2_CtyD4IWvzuOlesA4vL34YB2mX1jJT-3cl609cDVM9pprA2ynCBXDhEAJHWjYyldPPMEOK5yMVZrgi-c9XrBLsQqHd0ph8r_i50jS-PMGdYfrTua23nN-FxcsQBohuRk3_8Zy2TH9UXhHeNt48b5xSmEp0KezmAHvbwP2DQXZ_cWH94ZeEeiLV5_zZSfwzRDbBt6tJpWitTRZIW9ZKfSZSITaMdAskbs2_Mj_P_qcgKvX1zOlsebM6GS4UU1s8_bpohx30b0WXdb1LKB8KRHYEAJBlpbA-QQgkMlItmAuEHAX9RsEgwTwcnfnyzMj7iixonprLB4gBQw7BjNzVDGTE1meABxOGDO3MJ_Mc1FnAVEFMGgm3BwjvC1K5sEouVbjky7E_EWnHpskAROaksg5zOIK2IpsOXk<\/a><\/p>\n\n\n\n<p><strong>Resource Use and Care Quality Differences Among Medicare Beneficiaries Undergoing Chemotherapy<\/strong><\/p>\n\n\n\n<p>Yamini Kalidindi et al. 2024 9 20. Oncology.<\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2823851?utm_campaign=articlePDF&amp;utm_medium=articlePDFlink&amp;utm_source=articlePDF&amp;utm_content=jamanetworkopen.2024.34650\">https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2823851?utm_campaign=articlePDF&amp;utm_medium=articlePDFlink&amp;utm_source=articlePDF&amp;utm_content=jamanetworkopen.2024.34650<\/a><\/p>\n\n\n\n<p><strong>Perceptions of government-assisted payors: a survey and analysis of American Shoulder and Elbow Surgeons current Medicare, Medicare Advantage, and Medicaid practice allocation<\/strong><\/p>\n\n\n\n<p>Hafiz F. Kassam et al. 2024 9 20. Journal of Shoulder and Elbow Surgery.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1058274624006761\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1058274624006761<\/a><\/p>\n\n\n\n<p><strong>Rationing by Inconvenience: How Insurance Denials Induce Administrative Burdens<\/strong><\/p>\n\n\n\n<p>Miranda Yaver. 2024. Journal of Health Politics, Policy and Law.<\/p>\n\n\n\n<p>https:\/\/web.archive.org\/web\/20240217230422id_\/https:\/\/watermark.silverchair.com\/11186111.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA2EwggNdBgkqhkiG9w0BBwagggNOMIIDSgIBADCCA0MGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMoO9VKx7NMSUMQaOfAgEQgIIDFLMj0lMNFR1eqm4HXvXpDscaaST_XfOlLz9xDuRJI33lkhBaZ8PnUnH34jTauFiAn1z2IJ3yB-rguxENWC4tQ1CFM4YpKTJyKNVi6zzdWodf7KY_SAVC1FTCDpr5yMihwnsoGU1sG-T-aj2t3QyXzsNlxrJWo1Q-aONo084ozYJn8FhX9PrbEWMPEglj4KMi2aqM5HbtCPAtndBBM8Ox6TyNXzkBASQkaOikYPaGfCdvzav3u8ENour4LXh9U4UZ3dDUgMUgdVImOSK8omrTSMbUM815sr_x0UZ7ATYORRxLvDphx7Abruk0yGDLnBiT9lHVQWej3Ng8rBq08GHC_dygzmsyh3Le2atYtbVXC0cCarGv1eMPyUSBq4gyy265CCg357vN7nXVdDOde8cA0CzHC3ujJQMdZK-Tq5Gx7cV6iHMlZsxWku0SXDDDHIvZLPA2ST5xJjgNyPDSZ3UQRx5RZrAVsKDmrtiBsbdHuecgL_ZuAT36Mob6foi5KAMuB2O2SP67HAkNZitBakZfce3PHXFxn0aU47ON-OAD9wyeQOvWvrYQsb-pEplhUZyKUZqdTkeELs6ur0IYJ2I_f0uPtERuSt_jS4cJvTm9PGlD6U4qDDa7jh7cHXq-6GpBHhn5rVblF-lRsGnqimknxEAwPiubl_qMsuOE_pUi92y_cmzMrdUflPAzzUee48BjUbeZpYijPmvacaLWBPlvBzTge25PZc5eLSzaH8LY0uB2aTu8HFt6g9mINiEWA8fR4G4Y4VzjuDuh7-40QkWA_jm24J7CfYsGjLAIsPeth4b37_IN2vr7JxvfmlG8JqCnl737cfSanMVHLcEHupsoQfCt0X0YOFkXoX328hE2lotP3tXRAmwDtZR-Cr-bQcMy4D2WB_-fCqRANkA2kAdMGNB_RcaLBPC5x6YOfsqvxa_QmlVfK1cF24mVNC3_r83OuTBx3h6fBL8CYQLPQimkp5PEixns3_eUuNVxa6_I9lwqIZ1bxZvja1qDVwSsYydKDD_8R4h2IQczyfzvp2p4ClLUHg9-<\/p>\n\n\n\n<p><strong>Perceptions of prior authorization burden and solutions<\/strong><\/p>\n\n\n\n<p>Nikhil R. Sahni et al. 2024. Health Affairs Scholar.<\/p>\n\n\n\n<p><a href=\"https:\/\/watermark.silverchair.com\/qxae096.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA3QwggNwBgkqhkiG9w0BBwagggNhMIIDXQIBADCCA1YGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMqZuHtmTEzt0qnyWBAgEQgIIDJx4QHQknX5rOAwl5vE3a83uYc9YtYQVSNT9I2-3i9svFQj8BoFoUFmKdDNuiMMm8GvMgm7kHOg_9pzoQFDfZJeTLTdJlqKUWTRmx5YPPxb5PCmmntUWUY2AD2fblNLmz4dxCTkZRHxH_L3TTskG2xotq5S9ACokqMT39E_KpnSjBy8aUCT0OESLDYketXOhBxNVjcCXTHnuvoao2HlS3_gV8kRKKlyDOQxqPSqfu0haQQLJx9fI7swzVO1OtB6EJ7B1SbpCY-OhQkYgAznmkB-Pize-XJkdcfr39XI_4uiqUSMYR3rGepixRvg_wkL--MJ6AKRV_JjwZUr1WxzQSz5oVzqgeMG9kyEBEWdXd-ZTTuHCzDRmjFO5iHRjcDrPN2zNI1KHlCyW9n2f9Z4ZQibsc1jDCO3hlSsZRwWqXxmrkCmvx8TK4sp7BWDMPEWPzGovchdSwZ9u2Jvt6cis_TVkUD3cFYsyEM43VuMJ4ici1PvKgTgBnbS5OOeT3LP1zjr1DuKcLRUt5NW-hhvzHNLuBa7GT-Y5OHeHLW9lrXFASEDS3S6k3u2W1xFjss_FKZdzpFj51tb_zxcH23fg5MwbBJo5cmFSUn1VDUDFOKdtahIchI-2EGCSpsylxJqxOMJ01XEiD2IqjqW4kqbMCB0fBtV3exnKT7Q5E4Dw_EYLWqDubrQKELyuWk8inOoiCDrXdftiKTRWwGX8a8-cGOfOTQHkVSIE1weyRQq8QUW7Qo-J4aoQNw-x0byIbcl9X4KOVcZ2REHvbgM82cXeLgIhzqjXzUfpJ3Ud85d1m-g8-AVHzNC2cHSnmaX6fqn9ppK-S3j9CXJdyuGzuRlTJMcyrGCQyD0XSKxta_jXXk8faAkyJG3gJxWnOxtMErPQKcyp2NSFMCijJ8J9lM7E5xNfqy9cH_Gxh93l5IhZbfKd_7unyXBJ27b1g4glrdRpFZpvqBaDfDaReBomG1poROb-yWgTSheHHlWN_if0Bz82hKYW925hye9iZSEjaJ6gFJSpVEpP0VCNyncnMa0t6LsMvHYQFGOQgp9US1uB6m-H54TtjhmjlFA\">https:\/\/watermark.silverchair.com\/qxae096.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA3QwggNwBgkqhkiG9w0BBwagggNhMIIDXQIBADCCA1YGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMqZuHtmTEzt0qnyWBAgEQgIIDJx4QHQknX5rOAwl5vE3a83uYc9YtYQVSNT9I2-3i9svFQj8BoFoUFmKdDNuiMMm8GvMgm7kHOg_9pzoQFDfZJeTLTdJlqKUWTRmx5YPPxb5PCmmntUWUY2AD2fblNLmz4dxCTkZRHxH_L3TTskG2xotq5S9ACokqMT39E_KpnSjBy8aUCT0OESLDYketXOhBxNVjcCXTHnuvoao2HlS3_gV8kRKKlyDOQxqPSqfu0haQQLJx9fI7swzVO1OtB6EJ7B1SbpCY-OhQkYgAznmkB-Pize-XJkdcfr39XI_4uiqUSMYR3rGepixRvg_wkL&#8211;MJ6AKRV_JjwZUr1WxzQSz5oVzqgeMG9kyEBEWdXd-ZTTuHCzDRmjFO5iHRjcDrPN2zNI1KHlCyW9n2f9Z4ZQibsc1jDCO3hlSsZRwWqXxmrkCmvx8TK4sp7BWDMPEWPzGovchdSwZ9u2Jvt6cis_TVkUD3cFYsyEM43VuMJ4ici1PvKgTgBnbS5OOeT3LP1zjr1DuKcLRUt5NW-hhvzHNLuBa7GT-Y5OHeHLW9lrXFASEDS3S6k3u2W1xFjss_FKZdzpFj51tb_zxcH23fg5MwbBJo5cmFSUn1VDUDFOKdtahIchI-2EGCSpsylxJqxOMJ01XEiD2IqjqW4kqbMCB0fBtV3exnKT7Q5E4Dw_EYLWqDubrQKELyuWk8inOoiCDrXdftiKTRWwGX8a8-cGOfOTQHkVSIE1weyRQq8QUW7Qo-J4aoQNw-x0byIbcl9X4KOVcZ2REHvbgM82cXeLgIhzqjXzUfpJ3Ud85d1m-g8-AVHzNC2cHSnmaX6fqn9ppK-S3j9CXJdyuGzuRlTJMcyrGCQyD0XSKxta_jXXk8faAkyJG3gJxWnOxtMErPQKcyp2NSFMCijJ8J9lM7E5xNfqy9cH_Gxh93l5IhZbfKd_7unyXBJ27b1g4glrdRpFZpvqBaDfDaReBomG1poROb-yWgTSheHHlWN_if0Bz82hKYW925hye9iZSEjaJ6gFJSpVEpP0VCNyncnMa0t6LsMvHYQFGOQgp9US1uB6m-H54TtjhmjlFA<\/a><\/p>\n\n\n\n<p><strong>List of countries by total health expenditure per capita<\/strong><\/p>\n\n\n\n<p><a>Wikipedia. 2024 11 8.<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/en.wikipedia.org\/wiki\/List_of_countries_by_total_health_expenditure_per_capita\">https:\/\/en.wikipedia.org\/wiki\/List_of_countries_by_total_health_expenditure_per_capita<\/a><\/p>\n\n\n\n<p><strong>Healthcare Spending<\/strong><\/p>\n\n\n\n<p><a>Esteban Ortiz-Ospina and Max Roser. 2017 6 16. Our World in Data.<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/ourworldindata.org\/financing-healthcare\">https:\/\/ourworldindata.org\/financing-healthcare<\/a><\/p>\n\n\n\n<p><strong>Health expenditure per capita &#8211; Total<a><\/a><\/strong><\/p>\n\n\n\n<p>Our World in Data.<\/p>\n\n\n\n<p><a href=\"https:\/\/ourworldindata.org\/grapher\/health-expenditure-and-financing-per-capita?time=earliest..2022\">https:\/\/ourworldindata.org\/grapher\/health-expenditure-and-financing-per-capita?time=earliest..2022<\/a><\/p>\n\n\n\n<p><strong>How Does the U.S. Healthcare System Compare to Other Countries?<a><\/a><\/strong><\/p>\n\n\n\n<p>Peter G. Peterson Foundation. 8 15 2024.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.pgpf.org\/blog\/2024\/08\/how-does-the-us-healthcare-system-compare-to-other-countries\">https:\/\/www.pgpf.org\/blog\/2024\/08\/how-does-the-us-healthcare-system-compare-to-other-countries<\/a><\/p>\n\n\n\n<p><strong>U.S. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes<\/strong><\/p>\n\n\n\n<p><a>Munira Z. Gunja et al. 2023 1 31. The Commonwealth Fund.<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2023\/jan\/us-health-care-global-perspective-2022\">https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2023\/jan\/us-health-care-global-perspective-2022<\/a><\/p>\n\n\n\n<p><strong>Biden administration sticks with slight cuts to 2025 Medicare Advantage payments<\/strong><\/p>\n\n\n\n<p>Bob Herman. 2024 4 1. STAT.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.statnews.com\/2024\/04\/01\/joe-biden-2025-medicare-advantage-payment-health-insurance\">https:\/\/www.statnews.com\/2024\/04\/01\/joe-biden-2025-medicare-advantage-payment-health-insurance<\/a><\/p>\n\n\n\n<p><strong>Biden admin to spend billions to blunt spike in Medicare drug premiums<\/strong><\/p>\n\n\n\n<p>Robert King and David Lim. 2024 8 13. Politico.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.politico.com\/news\/2024\/08\/13\/biden-adiminstration-medicare-drug-premiums-spike-00173308\">https:\/\/www.politico.com\/news\/2024\/08\/13\/biden-adiminstration-medicare-drug-premiums-spike-00173308<\/a><\/p>\n\n\n\n<p><strong>LUGPA Policy Update: Biden Administration Finalizes Medicare Advantage Payment Rates for 2025<\/strong><\/p>\n\n\n\n<p>LUGPA.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.lugpa.org\/biden-administration-finalizes-medicare-advantage-payment-rates-for-2025\">https:\/\/www.lugpa.org\/biden-administration-finalizes-medicare-advantage-payment-rates-for-2025<\/a><\/p>\n\n\n\n<p><strong>Pros and Cons of Managed Care in Healthcare<\/strong><\/p>\n\n\n\n<p>6 Degrees Health. 2022 11 18.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-6-degrees-health wp-block-embed-6-degrees-health\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"c9FjkksfnL\"><a href=\"https:\/\/www.6degreeshealth.com\/pros-and-cons-of-managed-care-sdh\/\">Pros and Cons of Managed Care in Healthcare<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Pros and Cons of Managed Care in Healthcare&#8221; &#8212; 6 Degrees Health\" src=\"https:\/\/www.6degreeshealth.com\/pros-and-cons-of-managed-care-sdh\/embed\/#?secret=ggY2gtr1Mh#?secret=c9FjkksfnL\" data-secret=\"c9FjkksfnL\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Managed Care<\/strong><\/p>\n\n\n\n<p>Angelo P. Giardino and Orlando De Jesus. 2022 10 24. StatPearls.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK564410\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK564410<\/a><\/p>\n\n\n\n<p><strong>Value of Medicare Advantage to the federal government<a><\/a><\/strong><\/p>\n\n\n\n<p>Ali Heinrich et al. 2024 4. Milliman. Commissioned by UnitedHealth Group.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.milliman.com\/-\/media\/milliman\/pdfs\/2024-articles\/4-29-24_value-of-ma-to-the-federal-government.ashx\">https:\/\/www.milliman.com\/-\/media\/milliman\/pdfs\/2024-articles\/4-29-24_value-of-ma-to-the-federal-government.ashx<\/a><\/p>\n\n\n\n<p><strong>Does Medicare Advantage Save Money?<\/strong><\/p>\n\n\n\n<p>Mitch Kaminski. 2023 3 9. HMP Global Learning Network.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.hmpgloballearningnetwork.com\/site\/pophealth\/population-points\/does-medicare-advantage-save-money\">https:\/\/www.hmpgloballearningnetwork.com\/site\/pophealth\/population-points\/does-medicare-advantage-save-money<\/a><\/p>\n\n\n\n<p><strong>Recent Growth In Medicare Advantage Enrollment Associated With Decreased Fee-For-Service Spending In Certain US Counties<\/strong><\/p>\n\n\n\n<p>Garret Johnson et al. 2016 9. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2015.1468\">https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2015.1468<\/a><\/p>\n\n\n\n<p><strong>The Persistence of Medicare Advantage Spillovers in the Post-Affordable Care Act Era<\/strong><\/p>\n\n\n\n<p>Yevgeniy Feyman and Austin JB Frakt. 2017 11.<\/p>\n\n\n\n<p><a href=\"file:\/\/\/C:\/Users\/ajk13\/Downloads\/ssrn-3072604.pdf\">file:\/\/\/C:\/Users\/ajk13\/Downloads\/ssrn-3072604.pdf<\/a><\/p>\n\n\n\n<p>Yevgeniy Feyman et al. 2020 11 21. Health Economics.<\/p>\n\n\n\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/hec.4199\">https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/hec.4199<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2022.00994\"><strong>Increased Medicare Advantage Penetration Is Associated With Lower Postacute Care Use For Traditional Medicare Patients<\/strong><\/a><\/p>\n\n\n\n<p>Fangli Geng et al. 2023 4. Health Affairs.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2022.00994\">https:\/\/www.healthaffairs.org\/doi\/abs\/10.1377\/hlthaff.2022.00994<\/a><\/p>\n\n\n\n<p><strong>What Motivates Doctors to Work for Insurance Companies?<\/strong><\/p>\n\n\n\n<p>Jennifer Lycette. 2019 4 16. Op-Med.<\/p>\n\n\n\n<p><a href=\"https:\/\/opmed.doximity.com\/articles\/what-motivates-doctors-to-work-for-insurance-companies\">https:\/\/opmed.doximity.com\/articles\/what-motivates-doctors-to-work-for-insurance-companies<\/a><\/p>\n\n\n\n<p><strong>For doctors leaving clinical practice: Do not consider utilization review jobs<\/strong><\/p>\n\n\n\n<p>Arthur Lazarus. 2021 10 23. KevinMD.<\/p>\n\n\n\n<p><a href=\"https:\/\/kevinmd.com\/2021\/10\/for-doctors-leaving-clinical-practice-consider-utilization-review-jobs.html\">https:\/\/kevinmd.com\/2021\/10\/for-doctors-leaving-clinical-practice-consider-utilization-review-jobs.html<\/a><\/p>\n\n\n\n<p><strong>NHE Fact Sheet<\/strong><\/p>\n\n\n\n<p>CMS. 2024 9 10.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.cms.gov\/data-research\/statistics-trends-and-reports\/national-health-expenditure-data\/nhe-fact-sheet\">https:\/\/www.cms.gov\/data-research\/statistics-trends-and-reports\/national-health-expenditure-data\/nhe-fact-sheet<\/a><\/p>\n\n\n\n<p><strong>History of SSA During the Johnson Administration 1963-1968<\/strong><\/p>\n\n\n\n<p>Social Security.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ssa.gov\/history\/ssa\/lbjmedicare1.html\">https:\/\/www.ssa.gov\/history\/ssa\/lbjmedicare1.html<\/a><\/p>\n\n\n\n<p><strong>The History of Medicare<\/strong><\/p>\n\n\n\n<p>National Academy of Social Insurance.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.nasi.org\/learn\/medicare\/the-history-of-medicare\">https:\/\/www.nasi.org\/learn\/medicare\/the-history-of-medicare<\/a><\/p>\n\n\n\n<p><strong>Health Insurer Financial Performance in 2023<\/strong><\/p>\n\n\n\n<p>Jared Ortaliza et al. 2024 7 2. KFF.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-kff wp-block-embed-kff\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"MVcErZjkMS\"><a href=\"https:\/\/www.kff.org\/medicare\/issue-brief\/health-insurer-financial-performance\/\">Health Insurer Financial Performance in 2023<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Health Insurer Financial Performance in 2023&#8221; &#8212; KFF\" src=\"https:\/\/www.kff.org\/medicare\/issue-brief\/health-insurer-financial-performance\/embed\/#?secret=tXcu0sYFZT#?secret=MVcErZjkMS\" data-secret=\"MVcErZjkMS\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Medicare Advantage profitability is declining, Moody\u2019s says<\/strong><\/p>\n\n\n\n<p>Emily Olsen. 2024 1 30. HealthcareDIVE.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthcaredive.com\/news\/medicare-advantage-profitability-decline-moodys\/706000\">https:\/\/www.healthcaredive.com\/news\/medicare-advantage-profitability-decline-moodys\/706000<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Industry Will Focus on Profits Over Benefits in 2025<\/strong><\/p>\n\n\n\n<p>DJ. Lipschutz. 2024 5 23. Center for Medicare Advocacy.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-center-for-medicare-advocacy wp-block-embed-center-for-medicare-advocacy\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"oAZ738284A\"><a href=\"https:\/\/medicareadvocacy.org\/medicare-advantage-industry-will-focus-on-profits\/\">Medicare Advantage Industry Will Focus on Profits Over Benefits in 2025<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Medicare Advantage Industry Will Focus on Profits Over Benefits in 2025&#8221; &#8212; Center for Medicare Advocacy\" src=\"https:\/\/medicareadvocacy.org\/medicare-advantage-industry-will-focus-on-profits\/embed\/#?secret=8SvRZ3vrMO#?secret=oAZ738284A\" data-secret=\"oAZ738284A\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Medicare Advantage Is Booming. Why Are So Few Payers Winning?<\/strong><\/p>\n\n\n\n<p>Sanjay Saxena et al. 2019 5 23. BCG.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.bcg.com\/publications\/2019\/medicare-advantage-booming-why-so-few-payers-winning\">https:\/\/www.bcg.com\/publications\/2019\/medicare-advantage-booming-why-so-few-payers-winning<\/a><\/p>\n\n\n\n<p><strong>Report to the Congress: Medicare Payment Policy<\/strong><\/p>\n\n\n\n<p>Medpac: Medicare Payment Advisory Commission. 2024 3.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.medpac.gov\/wp-content\/uploads\/2024\/03\/Mar24_MedPAC_Report_To_Congress_SEC-3.pdf\">https:\/\/www.medpac.gov\/wp-content\/uploads\/2024\/03\/Mar24_MedPAC_Report_To_Congress_SEC-3.pdf<\/a><\/p>\n\n\n\n<p><strong>DISADVANTAGED: How Medicare Advantage Plans Fail Us &amp; Would Sabotage Medicare for All<\/strong><\/p>\n\n\n\n<p>WeAreSocialSecurity. 2021 2 4.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=E99FryOyXIc\">https:\/\/www.youtube.com\/watch?v=E99FryOyXIc<\/a><\/p>\n\n\n\n<p><strong>MASSIVE: Hospitals Are DROPPING Medicare Advantage Plans<\/strong><\/p>\n\n\n\n<p>Medicare School. 2023 12 10.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=vn2k1W-JzB8\">https:\/\/www.youtube.com\/watch?v=vn2k1W-JzB8<\/a><\/p>\n\n\n\n<p><strong>Medicare Advantage Overpayments<\/strong><\/p>\n\n\n\n<p>AHealthcareZ &#8211; Healthcare Finance Explained. 2022 11 27.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=SCbf1sLU8RY\">https:\/\/www.youtube.com\/watch?v=SCbf1sLU8RY<\/a><\/p>\n\n\n\n<p><strong>The Future of Medicare: The Rise of Medicare Advantage and What Comes Next<\/strong><\/p>\n\n\n\n<p>Brown University School of Public Health. 2024 3 14.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"The Future of Medicare: The Rise of Medicare Advantage and What Comes Next\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/7QX3WUPSvn0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Ongoing Medicare Advantage Overpayments and Barriers to Care Prompt More Congressional Interest in Oversight<\/strong><\/p>\n\n\n\n<p>D. Lipschutz. 2024 10 31. Center for Medicare Advocacy.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-center-for-medicare-advocacy wp-block-embed-center-for-medicare-advocacy\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"MldyJpbg8L\"><a href=\"https:\/\/medicareadvocacy.org\/ongoing-medicare-advantage-overpayments-and-barriers-to-care\/\">Ongoing Medicare Advantage Overpayments and Barriers to Care Prompt More Congressional Interest in Oversight<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Ongoing Medicare Advantage Overpayments and Barriers to Care Prompt More Congressional Interest in Oversight&#8221; &#8212; Center for Medicare Advocacy\" src=\"https:\/\/medicareadvocacy.org\/ongoing-medicare-advantage-overpayments-and-barriers-to-care\/embed\/#?secret=JjlcYeriO3#?secret=MldyJpbg8L\" data-secret=\"MldyJpbg8L\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><strong>Inpatient hospital care<\/strong><\/p>\n\n\n\n<p>Medicare.gov.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.medicare.gov\/coverage\/inpatient-hospital-care\">https:\/\/www.medicare.gov\/coverage\/inpatient-hospital-care<\/a><\/p>\n\n\n\n<p><strong>Independent Health settles with Justice Department over alleged Medicare Advantage upcoding<\/strong><\/p>\n\n\n\n<p>Rebecca Pifer. 2025 1 3. Healthcare Dive.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.healthcaredive.com\/news\/independent-health-doj-settlement-medicare-advantage-upcoding\/735618\">https:\/\/www.healthcaredive.com\/news\/independent-health-doj-settlement-medicare-advantage-upcoding\/735618<\/a><\/p>\n\n\n\n<p><strong>Another News-Filled Medicare Advantage Regulatory Week<\/strong><\/p>\n\n\n\n<p>Jeffrey Davis and Kirsten O\u2019Brien. 2024 4 4. McDermott.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.mcdermottplus.com\/blog\/regs-eggs\/another-news-filled-medicare-advantage-regulatory-week\">https:\/\/www.mcdermottplus.com\/blog\/regs-eggs\/another-news-filled-medicare-advantage-regulatory-week<\/a><\/p>\n\n\n\n<p><strong>Online Training Session: Risk-Adjustment Secret Sauce<\/strong><\/p>\n\n\n\n<p>Dr. Brikcer. 2023 5 19. AHealthcareZ &#8211; Healthcare Finance Explained.<\/p>\n\n\n\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=_xex0L_t0Fo\">https:\/\/www.youtube.com\/watch?v=_xex0L_t0Fo<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medicare Advantage: Good? Or Bad? LC Sources<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[692],"tags":[674,1193,81,334,80,73,22,50,70,378,2158,411,260,279,150],"class_list":["post-16322","post","type-post","status-publish","format-standard","hentry","category-video-sources","tag-entitlements","tag-government-spending","tag-health","tag-health-insurance","tag-health-system","tag-healthcare","tag-insurance","tag-medical","tag-medical-prices","tag-medicare","tag-medicare-advantage","tag-policy","tag-sources","tag-spending","tag-welfare"],"_links":{"self":[{"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/posts\/16322","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lonecandle.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16322"}],"version-history":[{"count":2,"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/posts\/16322\/revisions"}],"predecessor-version":[{"id":16326,"href":"https:\/\/lonecandle.com\/index.php?rest_route=\/wp\/v2\/posts\/16322\/revisions\/16326"}],"wp:attachment":[{"href":"https:\/\/lonecandle.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16322"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lonecandle.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=16322"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lonecandle.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=16322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}