Navigation Links
Managing care and competition
Date:12/4/2012

Medicare Advantage (MA), with more than 10 million enrollees, is the largest alternative to traditional Medicare. MA's managed care approach was designed to provide coordinated, integrated care for patients and savings for taxpayers, but since the program launched as Medicare Part C in 1985, critics have said that the system limited enrollee freedom of choice without significant benefit or savings to the Medicare program. They also pointed to the tendency of some private payers to design benefit plans and marketing campaigns that attracted healthier patients, leaving sicker, moreexpensive patients in traditional Medicare a process known as favorable selection.

Three new studies led by researchers from Harvard Medical School's Department of Health Care Policy address these issues. The first shows that enrollees in MA use health care services more efficiently and cost effectively. The second and third studies show that a series of risk-adjustment reforms that began in 2004 have mitigated the adverse affects of favorable selection. All three papers appear in the December issue of Health Affairs.

Bruce Landon, HMS professorof health care policy and co-authors compared the service utilization patterns of MA HMO enrollees with traditional Medicare enrollees from 2003-2009. The authors found 25 to 35 percent lower emergency room use and 20 to 25 percent lower inpatient medical days among the MA HMO patients. Elective knee and hip replacement use was 10 to 20 percent lower. In contrast, MA patients had open-heart surgery at consistently higher rates in accordance with current practice guidelines. These heart surgeries are more expensive than other treatments, but provide more durable repairs and therefore may represent a better value in the long term.

"Integrated care provided by managed care plans, with their ability to put in policies and procedures to control utilization appear to be having desired effects," Landon said, adding that
'/>"/>

Contact: David Cameron
david_cameron@hms.harvard.edu
617-432-0441
Harvard Medical School
Source:Eurekalert

Page: 1 2 3

Related medicine news :

1. Self-Managing COPD Might Pose Risks, Study Suggests
2. Preventing or better managing diabetes may prevent cognitive decline, according to UCSF study
3. Device is effective in managing incontinence after surgery
4. Efficacy of herbal remedies for managing insomnia
5. New clinical guidelines for managing hypothyroid disease presented in Thyroid Journal
6. Mercyhurst University presents new research on managing spinal injuries to NFL
7. First comprehensive guidelines for managing anaplastic thyroid cancer published in Thyroid journal
8. CFO 911 Solutions' Charles K. Dargan II, CEO, and Reid Dabney, Managing Director Have Been Added to the Financial Entrepreneur Platform ("FEP") of Merriman Capital, Inc., a Wholly Owned Subsidiary of Merriman Holdings, Inc. (OTCQX: MERR)
9. The Casey Group's Sales Navigator Wins 2012 Best Mobility App in the New Jersey Technology Council's Mobile Application Competition
10. Clemson bioengineering team wins undergraduate design competition
11. New insights on cell competition
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/22/2014)... are only 24 hours in a day, that doesn’t seem to ... within their busy schedules for exercise and fitness. Fortunately, one does ... in shape. Here are five ways you can reach your fitness ... Your Commute , Consider riding a bike or taking the bus ... routine. If you must use your car to get to work, ...
(Date:10/22/2014)... HealthDay Reporter , TUESDAY, Oct. 21, 2014 ... may be showing a genetic propensity for obesity as toddlers, ... been linked to increased body fat, but the same genes ... the researchers said. At 1 year, kids with these ... 3, however, these genes were linked to excessive weight gain, ...
(Date:10/22/2014)... HealthDay Reporter TUESDAY, Oct. ... in vitro fertilization (IVF) -- the incubation of embryos in ... device inside the vagina, new research suggests. Scientists from ... an INVOcell, might sharply cut costs for pricey IVF procedures ... accessible to those who don,t live near big-city assisted reproduction ...
(Date:10/20/2014)... The newly updated Worldwide Medical Market Forecasts to ... figures and forecasts on the global medical markets. , ... the Worldwide Medical Market Forecasts to 2019 ... the worldwide medical market to reveal key insights into ... for 2010-2019, covering each country market individually, allowing you ...
(Date:10/20/2014)... New York, NY (PRWEB) October 20, 2014 ... City based non-profit organization that helps New Yorkers ... lasting, positive changes toward health, housing, recovery and ... who have transformed the local community through their ... Managing Director, Marc Shapses , has been ...
Breaking Medicine News(10 mins):Health News:HealthGuideMD Presents Ways to Improve Your Exercise and Fitness 2Health News:Tall, Heavy 1-Year-Olds May Be at Risk for Obesity Later, Study Finds 2Health News:Experimental Infertility Treatment Seems Effective, Cheaper 2Health News:Experimental Infertility Treatment Seems Effective, Cheaper 3Health News:Experimental Infertility Treatment Seems Effective, Cheaper 4Health News:Worldwide Medical Market Forecasts to 2019 a New Research Report Added to ReportsnReports.com 2Health News:Worldwide Medical Market Forecasts to 2019 a New Research Report Added to ReportsnReports.com 3Health News:Worldwide Medical Market Forecasts to 2019 a New Research Report Added to ReportsnReports.com 4Health News:Savills Studley's Marc Shapses To Be Honored as 2014 "Positive Changemaker" by ASCNYC 2Health News:Savills Studley's Marc Shapses To Be Honored as 2014 "Positive Changemaker" by ASCNYC 3
... new tuition scholarship, awarded to one African-American student of high achievement. ... ... FL USA - March 25, 2009 - Acupuncture & Massage College ... year to an African-American student of high achievement. The first recipient ...
... conflicts of interest posed by relationships between academic medical ... a significant number of academic institutions do not have ... Institutional Review Boards (IRBs), committees charged with ensuring that ... In the April issue of Academic Medicine ...
... and weight have all been considered as risk factors for ... journal Breast Cancer Research has found that even ... the risk of developing an aggressive ,triple negative tumour, compared ... US, which has the highest rate of breast cancer in ...
... 24 In keeping with its mission to ... educators, administrators and board members, Educators Health Alliance ... Plan Advocate. This individual will provide cost-effective methods ... school district employees who participate in the plan. ...
... 24 Spheris, a leading global outsource provider ... the three and twelve months ended December 31, 2008. Financial ... the fourth quarter of 2008 were $41.8 million compared with ... decrease in net revenues was due to the impact of ...
... The Medicare Advocacy Recovery Coalition (MARC), a broad-based ... announced its appreciation for the federal extension of ... liability and other non-group health claims. By program ... (CMS) announced that it was extending implementation of ...
Cached Medicine News:Health News:Acupuncture & Massage College Announces Ricky William's Scholarship 2Health News:Acupuncture & Massage College Announces Ricky William's Scholarship 3Health News:Policies regarding IRB members' industry relationships often lacking 2Health News:Policies regarding IRB members' industry relationships often lacking 3Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 2Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 3Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 4Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 5Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 6Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 7Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 8Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 9Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 10Health News:Spheris Reports Fourth Quarter and Year-End 2008 Results 11Health News:MARC Coalition Welcomes CMS Extension of MSP Reporting Requirements and Clarification of Reporting Thresholds 2
(Date:10/22/2014)... IRVINE, Calif. , Oct 22, 2014 ... Irvine, California , announced the receipt ... Small Business Innovation Research award (SBIR) from the National Institute of ... will fund the development of a Pan-HIV Protein Microarray ... the HIV-1 and HIV-2 subtypes and aid in the ...
(Date:10/22/2014)... Oct. 22, 2014  Paper Pak Industries, a ... APLS ® Body Guard Bio, a disposable, ... of bacteria and virus while protecting service providers ... Bio features a rugged, external nylon shell, watertight ... a leak-proof inner chamber that contains contaminated and ...
(Date:10/22/2014)... , Oct. 22, 2014  With a ... animal health medications, a Global Pharmaceutical and Biotech ... serialization technology and turnkey solution to protect their ... http://photos.prnewswire.com/prnh/20141021/153438 Photo - ... that was serialized and aggregated by the Xyntek ...
Breaking Medicine Technology:Biomarker Discovery Company, Antigen Discovery Inc., Awarded an NIH Phase I Small Business Innovation Research Grant to Develop a Pan-HIV Protein Microarray Chip 2New, State-Of-The-Art Body Bag Minimizes The Spread Of Bacteria And Virus 2Xyntek and Antares Serialization Solution Protects Pets Too! 2
... 30 Shire plc (LSE: SHP, ... announced findings at a major medical meeting from a Phase ... Daytrana ® (methylphenidate transdermal system) in adolescents aged 13 ... ). In addition, data regarding the pharmacokinetic profile ...
... , SAN DIEGO, Oct. 30 Gen-Probe Incorporated (Nasdaq: ... the Oppenheimer 20th Annual Healthcare Conference in New York on ... at the Lazard Capital Markets 6th Annual Healthcare Conference in ... Eastern time. The presentations are scheduled to be webcast ...
Cached Medicine Technology:Shire Reports Tolerability and Clinical Effects Results of Daytrana(R) (methylphenidate transdermal system) from Study in Adolescents with ADHD 2Shire Reports Tolerability and Clinical Effects Results of Daytrana(R) (methylphenidate transdermal system) from Study in Adolescents with ADHD 3Shire Reports Tolerability and Clinical Effects Results of Daytrana(R) (methylphenidate transdermal system) from Study in Adolescents with ADHD 4Shire Reports Tolerability and Clinical Effects Results of Daytrana(R) (methylphenidate transdermal system) from Study in Adolescents with ADHD 5Shire Reports Tolerability and Clinical Effects Results of Daytrana(R) (methylphenidate transdermal system) from Study in Adolescents with ADHD 6Shire Reports Tolerability and Clinical Effects Results of Daytrana(R) (methylphenidate transdermal system) from Study in Adolescents with ADHD 7Gen-Probe to Webcast Two Upcoming Investor Presentations 2
Provides extended cold therapy to the shoulder area for acute, chronic, or post-surgical applications. The DuraKold products can help reduce pain, edema, and speed recovery....
Provides continuous cold therapy to the knee area for acute, chronic, or post-surgical applications. Cryotherapy can reduce pain, swelling and facilitate faster rehabilitation....
... Halo™ was designed in 1988 as an attachment ... patient, it greatly restricts rotation of the cervical ... Halo can be removed while allowing the Collar ... used in conjunction with the Philadelphia Stabilizer attachment., ...
... cold therapy Gel Pad. Our Gel Pad helps ... to reduce swelling and /or hot therapy to ... order hot and cold therapy gel pad, place ... suspenders can be added to each support upon ...
Medicine Products: