Health plans participating in the Medicare managed care program, called Medicare
Advantage since 2003, have historically attracted healthier enrollees than has the traditional …

Within Medicare, the Medicare Advantage program has historically attracted better risks—
healthier, lower-cost patients—than has traditional Medicare. The disproportionate …

Medicare Advantage payment regulations include risk-adjusted capitated reimbursement,
which was implemented to discourage favorable risk selection and encourage the retention …

Objectives To examine the effects of changes in payment and risk adjustment on (1) the
annual enrollment and switching behavior of M edicare A dvantage (MA) beneficiaries, and …

The CMS-HCC risk adjustment system for Medicare Advantage (MA) plans calculates
weights, which are effectively relative prices, for beneficiaries with different observable …

The health economics literature contains two models of selection, one with endogenous
plan characteristics to attract good risks and one with fixed plan characteristics; neither …

Context Medicare Part C, or Medicare Advantage (MA), now almost 30 years old, has
generally been viewed as a policy disappointment. Enrollment has vacillated but has never …

To combat adverse selection, governments increasingly base payments to health plans and
providers on enrollees' scores from risk-adjustment formulae. In 2004, Medicare began to …

The proliferation of Medicare Advantage plans has given Medicare enrollees more choices,
but these could be overwhelming for some, especially for those with impaired decision …

Background: Risk selection in the Medicare managed care program (“Medicare Advantage”)
is an important policy concern. Past research has shown that Medicare managed care plans …