IS THERE POSITIVE SPILLOVER ON QUALITY OF CARE FROM THE MEDICARE ADVANTAGE PROGRAM ON TRADITIONAL MEDICARE

dc.contributor.advisorMcLaren, Zoe
dc.contributor.authorBoward, Mark Douglas
dc.contributor.departmentSchool of Public Policy
dc.contributor.programPublic Policy
dc.date.accessioned2024-08-09T17:11:51Z
dc.date.available2024-08-09T17:11:51Z
dc.date.issued2024-01-01
dc.description.abstractThe amount the government should be spending for the Medicare Advantage program has been a long-standing debate. To answer this question, many studies seek to identify cost differences between TM (Traditional Medicare) and MA (Medicare Advantage) programs. Because of differences in the programs, direct cost comparisons are challenging and do not capture potential social benefits the MA program provides for TM enrollees. Social benefits would come from a positive spillover of efficiencies established in MA coverage areas. MA spillover lowering the cost of care in the TM program must be considered when performing budgetary comparisons. The purpose of this study is to examine the effect of post-ACA (Affordable Care Act) MA program growth on the quality of care for TM enrollees. As a result of the ACA, CMS (Center for Medicare & Medicaid Services) has been developing and implementing new models intended to reduce cost and improve the health of Medicare enrollees. Many of the studies that have examined an MA spillover effect were conducted with pre-ACA data. Using post-ACA data, this study focuses on six health outcome measures: 1) Potentially Avoidable Hospital Admission, 2) Inpatient Hospital Stays, 3) Inpatient Hospital Days, 4) Acute Hospital Readmission, 5) Emergency Department Visits, and 6) Outpatient Visits. These six health outcomes measures serve as a proxy for behavioral and other changes within TM enrollees that are influenced by MA plans.
dc.formatapplication:pdf
dc.genredissertation
dc.identifierdoi:10.13016/m2zyku-pge1
dc.identifier.other12850
dc.identifier.urihttp://hdl.handle.net/11603/35287
dc.languageen
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC School of Public Policy Collection
dc.relation.ispartofUMBC Theses and Dissertations Collection
dc.relation.ispartofUMBC Graduate School Collection
dc.relation.ispartofUMBC Student Collection
dc.rightsThis item may be protected under Title 17 of the U.S. Copyright Law. It is made available by UMBC for non-commercial research and education. For permission to publish or reproduce, please see http://aok.lib.umbc.edu/specoll/repro.php or contact Special Collections at speccoll(at)umbc.edu
dc.sourceOriginal File Name: Boward_umbc_0434D_12850.pdf
dc.subjectEconomics
dc.subjectInstrumental Variable
dc.subjectMedicare Advantage
dc.subjectPublic Policy
dc.subjectSpillover
dc.subjectTraditional Medicare
dc.titleIS THERE POSITIVE SPILLOVER ON QUALITY OF CARE FROM THE MEDICARE ADVANTAGE PROGRAM ON TRADITIONAL MEDICARE
dc.typeText
dcterms.accessRightsAccess limited to the UMBC community. Item may possibly be obtained via Interlibrary Loan thorugh a local library, pending author/copyright holder's permission.

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