Medicare Advantage Value-Based Care

 

Alongside its positive impact on health outcomes, the Medicare Advantage value-based care plans implemented by an insurance provider resulted in a significant $8 billion in cost savings throughout 2022. Reports from the payer revealed that Medicare Advantage beneficiaries under value-based care exhibited improved health conditions, marked by reduced inpatient admissions and emergency room visits.

The insurance provider’s annual tenth report on value-based care underscores the substantial enhancements in the healthcare journey for both beneficiaries and providers. According to the Chief Medical Officer at the insurance provider, the effectiveness of value-based care is evident. This innovative healthcare approach not only betters outcomes for Medicare Advantage members but also empowers primary care physicians to elevate their practice and foster deeper connections with patients.

During 2022, an impressive 70% of individual Medicare Advantage plan members were aligned with value-based care providers. This alignment translated to higher rates of preventive screenings among beneficiaries, ranging between 3% and 11% more than those not under such arrangements. Notably, for screenings requiring seamless coordination across providers, the rate was notably elevated, ranging between 8% and 11% higher for those engaged in value-based care models.

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