Association of Medicare Advantage star ratings with patterns of end-of-life care

Article indépendant

PARK, Sungchul | TENO, Joan M. | WHITE, Lindsay | COE, Norma B.

Medicare Advantage (MA) has the potential to improve end-of-life care for Medicare beneficiaries." Evidence suggests that MA enrollment decreases deaths in hospitals and increases deaths while receiving hospice services compared with traditional Medicare.' The Centers for Medicare and Medicaid Services has implemented a five-star quality rating system to encourage MA insurers to improve care quality. Since 2014, MA contracts with four stars or higher have received additional quality bonus payments, but there is evidence that the MA quality bonus program does not lead to improvements in overall quality of care." This raises concerns about the validity of the MA star rating system, leading to an ongoing discussion about how to redesign the quality performance system. However, it remains unknown whether highly rated MA contracts provide high-quality end-of-life care. In this study, we examined whether enrollment in highly rated MA contracts was associated with improved end-of-life care among MA decedents. We focused on patterns of end-of-life care in hospital and hospice settings. [Début de l'article]

http://dx.doi.org/10.1111/jgs.18022

Voir la revue «Journal of the American Geriatrics Society»

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