ArticleHealth services research2017
Medicare Advantage and Fee-for-Service Performance on Clinical Quality and Patient Experience Measures: Comparisons from Three Large States.
Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed.
- Comparing Health Care Utilization Between Medicare Advantage and Traditional Medicare by Dementia Status: A Propensity-Weighted Analysis.Health services research · 2026Observational
- Assessing the impact of racial and ethnic disparities on 30-day emergency department visits after hysterectomy: A state-based retrospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Risk equalization and prevention.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Racial and Ethnic Disparities in Preventive and Chronic Disease Care in Medicare Advantage vs. Traditional Medicare.Journal of general internal medicine · 2026Article
- Cardiovascular Risk Factor Management in Medicare Advantage and Traditional Medicare.Circulation. Cardiovascular quality and outcomes · 2025Article
- Potentially Inappropriate Medication Use Among Patients With Dementia in Traditional Medicare and Medicare Advantage.Medical care · 2025Article
- Medigap Protection and Plan Switching Among Medicare Advantage Enrollees With Cancer.JAMA health forum · 2025Article
- Racial and Ethnic Differences in Potentially Inappropriate Medication Use Among Medicare Beneficiaries.JAMA network open · 2025Article
- Estimating financial and health burden by initial Medicare plan choice and history of cancer.Health affairs scholar · 2025Article
- Quality of Hospices Used by Medicare Advantage and Traditional Fee-for-Service Beneficiaries.JAMA network open · 2024Article
- Minimally invasive colorectal cancer surgery: an observational study of medicare advantage and fee-for-service beneficiaries.Surgical endoscopy · 2024Observational
- Racial/Ethnic Disparities in Hospital Readmission and Frequent Hospitalizations Among Medicare Beneficiaries With Alzheimer's Disease and Related Dementia: Traditional Medicare Versus Medicare Advantage.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- New Supplemental Benefits and Plan Ratings Among Medicare Advantage Enrollees.JAMA network open · 2024Article
- The business case for quality: estimating lives saved and harms avoided in a value-based purchasing model.Health affairs scholar · 2024Article
- Comparing HEDIS performance of Dual Eligible Special Needs Plans with other coverage types for dually eligible people.Health affairs scholar · 2024Article
- Association Between the Medicare Advantage Quartile Adjustment System and Plan Behavior and Enrollment.JAMA health forum · 2024Article
- The Better Care Plan: a blueprint for improving America's healthcare system.Health affairs scholar · 2023Article
- Use of High-Risk Medications Among Older Adults Enrolled in Medicare Advantage Plans vs Traditional Medicare.JAMA network open · 2023Article
- Effects of Medicare Advantage on preventive care use and health behavior.Health services research · 2023Article
- Differences In Use Of Services And Quality Of Care In Medicare Advantage And Traditional Medicare, 2010 And 2017.Health affairs (Project Hope) · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo compare performance between Medicare Advantage (MA) and Fee-for-Service (FFS) Medicare during a time of policy changes affecting both programs. DATA SOURCES/STUDY
settingPerformance data for 16 clinical quality measures and 6 patient experience measures for 9.9 million beneficiaries living in California, New York, and Florida. STUDY
designWe compared MA and FFS performance overall, by plan type, and within service areas associated with contracts between CMS and MA organizations. Case mix-adjusted analyses (for measures not typically adjusted) were used to explore the effect of case mix on MA/FFS differences. DATA COLLECTION/EXTRACTION
methodsPerformance measures were submitted by MA organizations, obtained from the nationwide fielding of the Medicare Consumer Assessment of Healthcare Providers and Systems (MCAHPS) Survey, or derived from claims. PRINCIPAL
findingsOverall, MA outperformed FFS on all 16 clinical quality measures. Differences were large for HEDIS measures and small for Part D measures and remained after case mix adjustment. MA enrollees reported better experiences overall, but FFS beneficiaries reported better access to care. Relative to FFS, performance gaps were much wider for HMOs than PPOs. Excluding HEDIS measures, MA/FFS differences were much smaller in contract-level comparisons.
conclusionsMedicare Advantage/Fee-for-Service differences are often large but vary in important ways across types of measures and contracts.
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