The Beneficial Effects Of Medicare Advantage Special Needs Plans For Patients With End-Stage Renal Disease

Autor:	Jennifer Kowalski, Amol S. Navathe, Kristin A. Linn, Jiali Yan, Sachin H. Jain, Jingsan Zhu, Brian W. Powers
Rok vydání:	2020
Předmět:	medicine.medical_specialty business.industry Health Policy medicine.medical_treatment Special needs Disease Medicare Advantage End stage renal disease Acute care Emergency medicine medicine business Fee-for-service Dialysis Health policy
Zdroj:	Health Affairs. 39:1486-1494
ISSN:	1544-5208 0278-2715
DOI:	10.1377/hlthaff.2019.01793
Popis:	Patients with end-stage renal disease (ESRD) are a vulnerable population with high rates of morbidity, mortality, and acute care use. Medicare Advantage Special Needs Plans (SNPs) are an alternative financing and delivery model designed to improve care and reduce costs for patients with ESRD, but little is known about their impact. We used detailed clinical, demographic, and claims data to identify fee-for-service Medicare beneficiaries who switched to ESRD SNPs offered by a single health plan (SNP enrollees) and similar beneficiaries who remained enrolled in fee-for-service Medicare plans (fee-for-service controls). We then compared three-year mortality and twelve-month utilization rates. Compared with fee-for-service controls, SNP enrollees had lower mortality and lower rates of utilization across the care continuum. These findings suggest that SNPs may be an effective alternative care financing and delivery model for patients with ESRD.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::8b06365c3b2005d30245492225623c32 https://doi.org/10.1377/hlthaff.2019.01793 Zobrazit plný text záznamu