Can quality of care improved with Medicare Advantage Plans?

With Medicare Modernization Act being passed in 2003, there was born Medicare Advantage program that is immensely popular today. The bestĀ Medicare Advantage PlansĀ of 2018 are known to allow Medicare eligible people suffering from disability and seniors to get proper health coverage from the reputed private health insurance providers.

Offering benefits

Medicare Advantage Plans being offered by private insurance providers are of the same benefit like that Part A & B of Medicare. Hospital insurance is covered by Part A, while medical insurance is covered by Part B. Besides the coverage from both out-patient and in-patient services, the Advantage plans tend to cover few prescription drugs. It is for this reason such plans are at times referred to as Part C Medicare. They do combine coverage of Part A, B and D often.

Popular alternative

Since Medicare Advantage Plans can be easily accessed, they are regarded to be a popular choice against Original Medicare. Around 25% of Medicare beneficiaries in 2010 alone got enrolled in this plan. From an initial 5.3 million enrollment, the enrollees are found to have doubled, with the numbers only increasing with passing time.

Beneficiaries through these plans are able to expand their existing benefits offered by traditional Medicare. Right from the initiation of the project, the kind of success that Medicare Advantage Plans are said to have among seniors is always a subject of discussion and debate.

High quality care

It has been agreed by the industry experts that such plans offer the beneficiaries with higher care quality, when compared to those fee for service plans offered on delivery of care and hospital use, by using quality measurements that are widely accepted.

With MA plans first data made available way back in 2006, 11 measurements were took to check out the underuse of efficient care. Among the 11 measurements, it was just MA plans that were found to have performed much better than expectations when compared to those fee for service plans. It is only on couple of measurements that fee for service plans were found to have outperformed MA plans.

Another study conducted clearly shows quality improvements received by MA policyholders in healthcare especially those suffering from heart disease and diabetes. Diabetic MA policyholders were found to experience less hospital readmissions including short hospital stays, than those with fee for service plans. The trend was noticed to be quite the same for patients suffering from heart disease.