Study Suggests Higher Priced Medicare Advantage Plans Aren’t Always Higher Quality

  • Sep 09, 2022

    The quality of care and patient experience significantly varies among Medicare Advantage plans with similar monthly premiums, according to an analysis published on Aug. 26 in JAMA Health Forum. The retrospective, cross-sectional study also found that there was only a small mean difference in quality among low- and high-cost plans.  

    Amelia Haviland, the study’s lead author, tells AIS Health that the results indicate “how little guarantee there is that by paying more you’re going to wind up in a plan with higher quality. You might pick one of the plans that’s well below the mean within that cost tier or much higher.” However, she suggests insurers that offer low-cost Medicare plans can use the findings to show that people can still receive top-notch plans without paying high premiums. 

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  • Tim Casey

    Tim has been a reporter and editor for newspapers, websites and magazines for more than 20 years, including 10 years covering health care business topics. He has a deep knowledge of the managed care industry and pharmacy benefit management. He also has experience covering medical conferences and clinical and legislative health care issues. In 2014, the Society for Advancing Business Editing and Writing selected Tim as one of 15 journalists to participate in a national symposium on the Affordable Care Act. Tim has a B.A. in Psychology from the University of Notre Dame and an M.B.A. from Georgetown University.

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