Medicare Advantage HMO Enrolles Use Fewer Outpatient Surgery Benefits
According to the study, MA HMO enrollees receive fewer hip and knee replacements and use fewer benefits for outpatient surgeries and procedures, inpatient stays and emergency department visits.
Based on a national comparison of data from MA HMO and traditional Medicare plans from 2003 to 2009, the researchers found that utilization rates in some areas — like ER and ambulatory surgery — were around 20 percent lower in MA HMO plans.
MA HMO enrollees also received about 10 percent fewer hip and knee replacements and initially had lower rates of ambulatory visits and hospitalizations.
Related Articles on Coding, Billing and Collections:
Billing Company Executive to Be Charged With $41M in Tax Evasion Fraud
5 ICD 10 Regulation Myths
© Copyright ASC COMMUNICATIONS 2017. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.
- 5 things to know about Pres. Trump's executive order addressing the ACA
- Should Medicare allow total joints in ASCs? Q&A with Drs. Barry Waldman, Derek Johnson
- 84% of medical personnel are unsure of MACRA's requirements, survey finds: 3 takeaways
- Healthcare plan vanishes from WhiteHouse.gov after President Donald Trump takes oath
- Christ Hospital's dispute with St. Elizabeth Healthcare over $24M ASC may wage on for years