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    DOES MANAGED CARE REDUCE PREVENTABLE HOSPITALIZATIONS IN THE MEDICARE POPULATION? THE IMPACT OF MEDICARE ADVANTAGE ON AMBULATORY CARE SENSITIVE HOSPITAL ADMISSIONS AND USE OF PREVENTIVE SERVICES

    Cover for DOES MANAGED CARE REDUCE PREVENTABLE HOSPITALIZATIONS IN THE MEDICARE POPULATION?  THE IMPACT OF MEDICARE ADVANTAGE ON AMBULATORY CARE SENSITIVE HOSPITAL ADMISSIONS AND USE OF PREVENTIVE SERVICES
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    Creator
    Berger, Gregory
    Advisor
    Pylypchuk, Yuriy
    Abstract
    One controversial option to control growth in the rate of federal spending on health care is to transform Medicare into a "voucher" program for beneficiaries to purchase health insurance from managed care plans in the private market. Approximately one-quarter of Medicare beneficiaries are currently enrolled in a private health plan through Medicare Advantage, which has higher average costs than the traditional fee-for-service program but potentially reduces costly and unnecessary medical services by increasing the use of preventive care. Using a nationally representative sample of Medicare beneficiaries from the Medical Expenditure Panel Survey (MEPS) from 2006 to 2010, I compared the prevalence of potentially avoidable hospital admissions and use of preventive services for beneficiaries in Medicare Advantage to beneficiaries in the traditional fee-for-service program. Using propensity score estimation to control for observable bias, I found no relationship between enrollment in Medicare Advantage and potentially avoidable hospital admissions, and a significant but small positive relationship with use of select preventive services. Considered together, these findings suggest that Medicare Advantage may not achieve better health outcomes for beneficiaries than the traditional fee-for-service program. These findings have implications for policy discussions surrounding the future expansion of private managed care plans in the Medicare program.
    Description
    M.P.P.
    Permanent Link
    http://hdl.handle.net/10822/558601
    Date Published
    2013
    Subject
    ambulatory care sensitive condition; avoidable hospital admission; managed care; Medicare; preventable hospital admission; preventive care; Public policy; Economics; Public health; Public policy; Economics; Public health;
    Type
    thesis
    Publisher
    Georgetown University
    Extent
    67 leaves
    Collections
    • Graduate Theses and Dissertations - Public Policy
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      Scanlon, William J. (U.S. Congress, General Accounting Office [GAO], 1999-02-25)
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    Georgetown University Seal
    ©2009 - 2022 Georgetown University Library
    37th & O Streets NW
    Washington DC 20057-1174
    202.687.7385
    digitalscholarship@georgetown.edu
    Accessibility