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10.1377/hlthaff.2015.0272 http://scihub22266oqcxt.onion/10.1377/hlthaff.2015.0272 C4676406!4676406 !26438743     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26438743 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Health+Aff+(Millwood) 2015 ; 34 (10 ): 1675-81 Nephropedia Template TP {{tp|p=26438743 |t=2015. High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare |pdf=|usr=}}{{26438743 }} gab.com Text High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare JO: Health Aff (Millwood) http://www.kidney.de/pget.php?&tw=1&pmid=26438743 #FOAvip Medicare Advantage payment regulations include risk-adjusted capitated reimbursement, which was implemented to discourage favorable risk selection and encourage the retention of members who incur high costs. However, the extent to which risk-adjusted capitation has succeeded is not clear, especially for members using high-cost services not previously considered in assessments of risk selection. We examined the rates at which participants who used three high-cost services switched between Medicare Advantage and traditional Medicare. We found that the switching rate from 2010 to 2011 away from Medicare Advantage and to traditional Medicare exceeded the switching rate in the opposite direction for participants who used long-term nursing home care (17 percent versus 3 percent), short-term nursing home care (9 percent versus 4 percent), and home health care (8 percent versus 3 percent). These results were magnified among people who were enrolled in both Medicare and Medicaid. Our findings raise questions about the role of Medicare Advantage plans in serving high-cost patients with complex care needs, who account for a disproportionately high amount of total health care spending. Twit Text FOAVip High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare ????Health Aff (Millwood) http://www.kidney.de/pget.php?&tw=1&pmid=26438743 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26438743 #FOAvip English Wikipedia <ref>{{Cite pmid|26438743 }}</ref> High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare #MMPMID26438743 Rahman M ; Keohane L ; Trivedi AN ; Mor V Health Aff (Millwood) 2015[Oct]; 34 (10 ): 1675-81 PMID26438743 show ga Medicare Advantage payment regulations include risk-adjusted capitated reimbursement, which was implemented to discourage favorable risk selection and encourage the retention of members who incur high costs. However, the extent to which risk-adjusted capitation has succeeded is not clear, especially for members using high-cost services not previously considered in assessments of risk selection. We examined the rates at which participants who used three high-cost services switched between Medicare Advantage and traditional Medicare. We found that the switching rate from 2010 to 2011 away from Medicare Advantage and to traditional Medicare exceeded the switching rate in the opposite direction for participants who used long-term nursing home care (17 percent versus 3 percent), short-term nursing home care (9 percent versus 4 percent), and home health care (8 percent versus 3 percent). These results were magnified among people who were enrolled in both Medicare and Medicaid. Our findings raise questions about the role of Medicare Advantage plans in serving high-cost patients with complex care needs, who account for a disproportionately high amount of total health care spending. |Health Expenditures/*statistics & numerical data [MESH] |Home Care Services/*economics [MESH] |Humans [MESH] |Long-Term Care/*economics [MESH] |Medicaid/*economics/*statistics & numerical data [MESH] |Nursing Homes/*economics [MESH]High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage(epmc).pdf DeepDyve Pubget Overpricing