A Primer on Managed Care: Multiple Chronic Conditions
Finally, for the two highest need cohorts, those who are dually eligible for Medicare and Medicaid and those with diabetes, the rates were even higher in reduced, potentially avoidable admissions, lower rates of complications, and lower per-beneficiary costs. These findings build on the growing body of evidence that MA is providing high-value care through innovations in care delivery and pay- ment arrangements, which are satisfying the needs of beneficiaries, including those having complex needs.
Conclusion MA’s managed care framework offers greater simplicity, affordability, and enhanced benefits that improve healthcare and well-being for mil- lions of individuals in Medicare. With policy and payment stability, and increasing investment and enrollment, MA plans offer a path toward a brighter future for Medicare. Former Congresswoman Allyson Y. Schwartz (D-PA) is president and CEO of Better Medicare Alliance, based in Washington, D.C.
References Better Medicare Alliance. 2018. Spotlights on Innovation . tinyurl. com/ybjrwmvd. Retrieved Nov ember 1, 2018. Centers for Medicare & Medicaid Services (CMS). 2018. Fact Sheet: 2019 Medicare Advantage and Part D Prescription Drug Program Land- scape. tinyurl.com/yc9m6s3b. Retrieved November 1, 2018. Gerteis, J., et al. 2014. Multiple Chronic Conditions Chartbook . Rockville, MD: Agency for Health- care Research and Quality.
Health Care Payment Learning & Action Network. 2018. Measuring Progress: Adoption of Alternative Payment Models in Commercial, Medicaid, Medicare Advantage, and Medicare Fee-for-Service Programs . tinyurl.com/y9swvtus. Retrieved November 1, 2018. Mendelson, D., Teigland, C., and Creighton, S. 2018. Medicare Advantage Achieves Better Health Outcomes and Lower Utilization of High-Cost Services Compared to Fee-for-Service Medicare . Washing- ton, DC: Avalere Health. tinyurl. com/yanort28. Retrieved Novem- ber 1, 2018.
National Council on Aging. 2018. “Healthy Aging Facts . ” tinyurl. com/yc8fzcvr. Retrieved Novem- ber 1, 2018. Pham, H. H., et al. 2007. “Care Pat- terns in Medicare and Their Impli- cations for Pay for Performance.” New England Journal of Medicine 356(11): 1130–9.
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