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Effects of Medicare Advantage Enrollment on Beneficiary Risk Scores: Working Paper 2017-08

Author

Listed:
  • Alice Burns
  • Tamara Hayford

Abstract

Medicare beneficiaries may receive services through a traditional fee-for-service (FFS) program or they may enroll in Medicare Advantage (MA), under which they select a private health insurance plan. Medicare pays the MA plan to provide beneficiaries’ health care services. Medicare adjusts payments to MA plans based on beneficiaries’ demographic characteristics and documented health conditions: those traits are summarized in a risk score that estimates the relationship between beneficiary characteristics and FFS Medicare spending. Recent literature finds that health

Suggested Citation

  • Alice Burns & Tamara Hayford, 2017. "Effects of Medicare Advantage Enrollment on Beneficiary Risk Scores: Working Paper 2017-08," Working Papers 53270, Congressional Budget Office.
    • Handle: RePEc:cbo:wpaper:53270
    as

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    File URL: https://www.cbo.gov/system/files/115th-congress-2017-2018/workingpaper/53270-workingpaper.pdf
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    References listed on IDEAS

    as
    1. Newhouse, Joseph P. & McWilliams, J. Michael & Price, Mary & Huang, Jie & Fireman, Bruce & Hsu, John, 2013. "Do Medicare Advantage plans select enrollees in higher margin clinical categories?," Journal of Health Economics, Elsevier, vol. 32(6), pages 1278-1288.
    2. Anna, Petrenko, 2016. "Мaркування готової продукції як складова частина інформаційного забезпечення маркетингової діяльності підприємств овочепродуктового підкомплексу," Agricultural and Resource Economics: International Scientific E-Journal, Agricultural and Resource Economics: International Scientific E-Journal, vol. 2(1), March.
    3. Michael Geruso & Timothy Layton, 2020. "Upcoding: Evidence from Medicare on Squishy Risk Adjustment," Journal of Political Economy, University of Chicago Press, vol. 128(3), pages 984-1026.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs

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