The Comparative Advantage of Medicare Advantage

Joseph P. Newhouse, Mary Beth Landrum, Mary Price, J. Michael McWilliams, John Hsu, Thomas G. McGuire
  • American Journal of Health Economics, April 2019, The MIT Press
  • DOI: 10.1162/ajhe_a_00120

The Comparative Advantage of Medicare Advantage

What is it about?

We show that despite varying margins for different diagnoses (or combinations of diagnoses, meaning CMS-HCC's), that Medicare Advantage plans engage in relatively little selection across diagnoses.

Why is it important?

That selection seems to be modest suggests the various policy tools CMS has implemented to minimize it have had their intended effect, although coding is more intense in Medicare Advantage

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http://dx.doi.org/10.1162/ajhe_a_00120

The following have contributed to this page: Joseph Newhouse