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Impact of Continued Biased Disenrollment from the Medic...

Summary

Type of release
a one-off release of a set of related datasets

Data Licence
Not Applicable

Content Licence
Creative Commons CCZero

Verification
automatically awarded

Release Date
19 June 2015
Modified Date
4 September 2015
Publishers
U.S. Department of Health & Human Services
Keywords
managed-care, medicare-advantage, national, part-a, part-b, publications
Identifier
impact-of-continued-biased-disenrollment-from-the-medic
Landing Page
http://catalog.data.gov/dataset/impact-of-continued-biased-disenrollment-from-the-medic
Maintainers
admin HealthData@hhs.gov
Language
en

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Description

Impact of Continued Biased Disenrollment from the Medicare Advantage Program to Fee-for-Service As reported in Impact of Continued Biased Disenrollment from the Medicare Advantage Program to Fee-for-Service, published in Volume 2, Issue 4, of the Medicare and Medicaid Research Review, disenrollment from the Medicare Advantage (MA) program to fee-for-service (FFS) continues to occur disproportionately among high-cost beneficiaries. Disenrollees incurred 1,021 dollars per month in Medicare payments following disenrollment to FFS in 2007, which was 28 percent higher than predicted based on risk scores used to set MA payment rates. Differences between actual and predicted payments were smaller for disenrollees of Preferred Provider Organizations (PPOs) and Private Fee-for-Service (PFFS) plans than for Health Maintenance Organizations (HMOs), indicating less biased disenrollment from PPOs and PFFS plans. Analysis of 10 individual MA plans revealed considerable variation in the degree of biased disenrollment. These findings raise concerns about care experiences among sicker enrollees and increased costs to Medicare.

General Information

Legal Information

This dataset has been created by US Government which means it is required to be in the public domain. However US copyright law only allows open access by US citizens, we have assumed the data is equivalently licensed as CC0 for the rest of the world as this is in the spirit of the US Government’s Open Data policy.

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  • Find out how to contact someone about this data at

    http://catalog.data.gov/dataset/impact-of-continued-biased-disenrollment-from-the-medic Do you think this data is incorrect? Let us know

  • Find out how to suggest improvements to publication at

    http://www.data.gov/issue/?media_url=http://catalog.data.gov/dataset/impact-of-continued-biased-disenrollment-from-the-medic Do you think this data is incorrect? Let us know

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