At least half of new medicare advantage enrollees had switched from traditional medicare during 2006-11

Health Affairs

Volumn 34, Issue 1, 2015, Pages 48-55

  Jacobson, Gretchen A ^a   Neuman, Patricia ^a   Damico, Anthony ^b  

^a HENRY J KAISER FAMILY FOUNDATION   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; DISABILITY; DUAL ELIGIBILITY (HEALTH INSURANCE); HUMAN; MEDICARE; PUBLIC HEALTH INSURANCE; COST; DECISION MAKING; ECONOMICS; FEMALE; FORECASTING; HEALTH CARE POLICY; HEALTH SURVEY; INSURANCE; MALE; POPULATION DYNAMICS; TRENDS; UNITED STATES; UTILIZATION; UTILIZATION REVIEW;

AGED; CHOICE BEHAVIOR; COSTS AND COST ANALYSIS; FEMALE; FORECASTING; HEALTH SURVEYS; HUMANS; INSURANCE COVERAGE; MALE; MEDICARE; MEDICARE PART C; PATIENT PROTECTION AND AFFORDABLE CARE ACT; POPULATION DYNAMICS; UNITED STATES; UTILIZATION REVIEW;

EID: 84920896605     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2014.0218     Document Type: Article

References (19)

1. Coulam RF, Feldman RD, Dowd BE. Competitive pricing and the challenge of cost control in Medicare. J Health Polit Policy Law. 2011;36(4): 649-89.
2. Dowd BE, Coulam RF, Feldman RD, Pizer SD. Fee-for-service Medicare in a competitive market environment. Health Care Financ Rev. 2005-06; 27(2):113-26.
3. Berenson RA, Dowd BE. Medicare Advantage plans at a crossroads-yet again. Health Aff (Millwood). 2009; 28(1):w29-40. DOI: 10.1377/hlthaff.28.1.w29.
4. Medicare Payment Advisory Commission. Report to the Congress: Medicare payment policy [Internet]. Washington (DC): MedPAC; 2009 Mar [cited 2014 Nov 18]. Available from: http://medpac.gov/documents/reports/march-2009-report-to-congress-medicarepayment-policy.pdf
5. Gold M, Jacobson G, Damico A, Neuman T. Medicare Advantage 2014 spotlight: plan availability and premiums [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2013 Nov 25 [cited 2014 Nov 18]. Available from: http://www.kff.org/medicare/issue-brief/medicare-advantage-2014-spotlightplan-availability-and-premiums/
6. Jacobson G, Swoope C, Perry M, Slosar MC. How are seniors choosing and changing health insurance plans? [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2014 May 13 [cited 2014 Nov 18]. Available from: http://kff.org/medicare/report/how-are-seniorschoosing-and-changing-healthinsurance-plans/
7. Medicare Payment Advisory Commission. A data book: health care spending and the Medicare program [Internet]. Washington (DC): Med- PAC; 2014 Jun [cited 2014 Dec 1]. Available from: http://www.medpac.gov/documents/publications/jun14databookentirereport.pdf?sfvrsn=1
8. Congressional Budget Office. CBO's August 2010 baseline: Medicare [Internet]. Washington (DC): CBO; 2010 Aug 25 [cited 2014 Nov 18]. Available from: http://www.cbo.gov/sites/default/files/cbofiles/attachments/MedicareAugust2010FactSheet.pdf
9. Gold M, Jacobson G, Damico A, Neuman PH. Medicare Advantage 2014 spotlight: enrollment market update [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2014 May 1 [cited 2014 Nov 18]. Available from: http://kff.org/medicare/issue-brief/medicareadvantage-2014-spotlightenrollment-market-update/
10. Jacobson G, Neuman T, Damico A, Huang J. Medicare Advantage plan star ratings and bonus payments in 2012 [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2011 Nov [cited 2014 Nov 18]. (Data Brief). Available from: http://kff.org/medicare/report/medicareadvantage-2012-star-ratings-andbonuses/
11. Sinaiko AD, Afendulis CC, Frank RG. Enrollment in Medicare Advantage plans in Miami-Dade County: evidence of status quo bias? Inquiry. 2013;50(3):202-15.
12. Burnham KP, Anderson DR. Model selection and multimodel inference: a practical information-theoretic approach. 2nd ed. New York (NY): Springer; 2002.
13. An article by Anne Martin and coauthors observed that the increase in Medicare Advantage enrollees in 2012 was equivalent to more than half of the number of people newly eligible for Medicare that year. This observation has been incorrectly interpreted by others to mean that more than half of the people newly eligible for Medicare were enrolling in Medicare Advantage. That interpretation fails to take into account traditional Medicare beneficiaries who switched to Medicare Advantage. Instead, our analysis shows that the majority of new Medicare Advantage enrollees were people who switched from traditional Medicare. Martin AB, Hartman M, Whittle L, Catlin A, National Health Expenditure Accounts Team. National health spending in 2012: rate of health spending growth remained low for the fourth consecutive year. Health Aff (Millwood). 2014;33(1):167-77.
14. This result is similar to preliminary findings presented at a meeting of the Medicare Payment Advisory Commission in September 2014. See Medicare Payment Advisory Commission. Do new Medicare beneficiaries choose Medicare Advantage right away? [Internet]. Washington (DC): MedPAC; 2014 Sep 15 [cited 2014 Nov 18]. Available from: http://medpac.gov/blog/september/2014/09/15/do-new-medicarebeneficiaries-choose-medicareadvantage-right-away-
15. Cubanski J, Neuman P. Medicare doesn't work as well for younger, disabled beneficiaries as it does for older enrollees. Health Aff (Millwood). 2010;29(9):1725-33.
16. Jacobson G, Neuman T, Damico A. Medicare's role for dual eligible beneficiaries [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2012 Apr [cited 2014 Nov 18]. (Issue Brief). Available from: http://kff.org/medicare/issue-brief/medicares-role-for-dual-eligiblebeneficiaries/
17. Congressional Budget Office. Congressional Budget Office's April 2014 Medicare baseline [Internet]. Washington (DC): CBO; 2014 Apr 14 [cited 2014 Nov 18]. Available from: http://www.cbo.gov/sites/default/files/cbofiles/attachments/44205-2014-04-Medicare.pdf
18. Hoadley J, Hargrave E, Summer L, Cubanski J, Neuman T. To switch or not to switch: are Medicare beneficiaries switching drug plans to save money? [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2013 Oct 10 [cited 2014 Dec 1]. (Issue Brief). Available from: http://kff.org/report-section/to-switch-ornot-to-switch-issue-brief/
19. Neuman T, Jacobson G. Medicare Advantage: take another look [Internet]. Menlo Park (CA): Henry J. Kaiser Family Foundation; 2014 May 7 [cited 2014 Nov 18]. Available from: http://kff.org/medicare/perspective/medicare-advantagetake-another-look/