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American Health Insurance Plans Center for Policy and Research Studies Care Differences Between Medicare Advantage and Traditional Medicare Beneficiaries

December 19th, 2009

The American Health Insurance Plans Center for Policy and Research has published a report on its study of the differences in health care patterns amongst patients who are enrolled in Medicare Advantage plans and patients who are enrolled in traditional fee-for-service Medicare plans. In order to conduct their research, the AHIP studied Medicare beneficiaries using both plans who were enrolled in two multi-state Medicare Advantage HMO plans and traditional Medicare plans.

According to the study, Medicare beneficiaries enrolled in Medicare Advantage plans had a 20 percent reduction in hospital days, 11 percent reduction in hospital admissions, 24 percent reduction in visits to the emergency room, 39 percent reduction in readmissions for the same DRG in a calendar quarter, and 10 percent reduction in potentially avoidable admissions, compared with beneficiaries enrolled in traditional Medicare plans.

Office visits for Medicare Advantage beneficiaries were 25 percent higher than traditional Medicare beneficiaries. Also, outpatient hospital visits were about the same between Medicare Advantage and traditional Medicare beneficiaries.

What does this data mean for Medicare beneficiaries? The results of the data may indicate that individuals enrolled in Medicare Advantage plans are healthier. The results may also indicate that Medicare Advantage subscribers receive a higher level of healthcare so they spend less time in hospitals and emergency rooms.

While the implications of the research may be far-reaching, each Medicare subscriber needs to determine on his or her own whether a Medicare Advantage plan is the right solutions for their specific needs. Contact us today to learn more about how a Medicare Advantage plan could help to save you money and increase your healthcare coverage options.

Jim McFadden

Jim McFadden has over 11 years of executive-level experience in the health insurance industry, is a youth baseball, softball and football coach, and has one of the worst fantasy football records in the world.
 

 

 
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