Provider-Offered Medicare Advantage Plans: Recent Growth And Care Quality

被引：19

作者：

Johnson, Garret ^{[1
]}

Lyon, Zoe M. ^{[2
]}

Frakt, Austin ^{[3
]}

机构：

[1] Harvard Med Sch, Boston, MA 02115 USA

[2] Harvard TH Chan Sch Publ Hlth, Hlth Policy & Management, Boston, MA USA

[3] Vet Affairs Boston Healthcare System, Boston, MA USA

来源：

HEALTH AFFAIRS | 2017年 / 36卷 / 03期

关键词：

HOSPITAL CONSOLIDATION; PHYSICIAN PRACTICES; COMPETITION; MARKET; INTEGRATION; DELIVERY; PRICES;

D O I：

10.1377/hlthaff.2016.0722

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Hospitals and health systems are increasingly offering their own insurance products, a type of consolidation known as "vertical integration." The relationship between plan-provider vertical integration and quality of care has not been examined extensively or over time. We created a new data set of all vertically integrated Medicare Advantage contracts operating in the period 2011-15 and tracked their characteristics and quality over time. While the percentage of vertically integrated contracts increased slightly between 2011 and 2015, the percentage of all Medicare Advantage enrollees in them declined from 24.4 percent to 22.0 percent. Vertically integrated contracts generally were of higher quality than other contracts, with the largest differences related to enrollee satisfaction. These findings provide the first detailed, longitudinal look at vertically integrated Medicare Advantage plan enrollment and quality.

引用

页码：539 / 547

页数：9