Journal article
2012 rural Medicare Advantage quality ratings and bonus payments
Rural policy brief, (2014 1), pp.1-4
01/01/2014
PMID: 25399466
Abstract
Key Data Findings. (1) The average rural Medicare Advantage (MA) plan enrollee in 2012 experienced a quality rating of 3.60 stars (of a potential 5.0), compared with a rating of 3.71 stars experienced by urban enrollees. (2) The measured rural-urban difference in the MA plan quality is a result of the difference in the composition of the enrollment and plan availability in MA markets, rather than differences between MA plans of the same type. (a) In general, rural Medicare beneficiaries often have limited MA plans available from which to choose, and typically have lower quality ratings than urban MA plans. (b) Rural MA beneficiaries are more likely to be enrolled in preferred provider organization (PPO) plans than in health maintenance organization (HMO) plans. (c) PPO plans have lower quality ratings on average than HMO plans. (d) HMO plans had the highest average quality rating at 3.83 and 3.78 stars, respectively, in rural and urban areas. PPO plans had lower quality ratings, at 3.52 and 3.50, respectively. (3) In rural areas, 32% of the MA population is enrolled in a plan with a star rating of 4.0 or higher, and 92% are enrolled in a plan with a star rating of at least 3.0, as contrasted to urban enrollment of 36% and 94% respectively, making these plans eligible for quality based bonus payments. (4) The quality rating of rural MA plans varies significantly across the country, with the highest quality ratings in rural areas in Minnesota, Iowa, Wisconsin, Oregon, Pennsylvania, and Maine.
Details
- Title: Subtitle
- 2012 rural Medicare Advantage quality ratings and bonus payments
- Creators
- Leah KemperAbigail R BarkerTimothy D McBrideKeith MuellerRUPRI Center for Rural Health Policy Analysis
- Resource Type
- Journal article
- Publication Details
- Rural policy brief, (2014 1), pp.1-4
- PMID
- 25399466
- eISSN
- 2152-0267
- Grant note
- 1U1G RH07633 / PHS HHS
- Language
- English
- Date published
- 01/01/2014
- Academic Unit
- Health Management and Policy; Public Policy Center (Archive)
- Record Identifier
- 9984221748802771
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