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Medicare Advantage beneficiaries whose primary care organization participated in a value-based payment model saw lower rates of hospitalizations, observation stays, and emergency department visits, according to a study published in JAMA Network Open.
Value-based payment models incentivize providers to deliver quality care while keeping healthcare spending low. As stakeholders see positive results, Medicare and Medicare Advantage plans have shifted toward value-based care and away from fee-for-service reimbursement.
To understand the association between value-based payment and acute care use among Medicare Advantage beneficiaries, researchers gathered claims data from a large Medicare Advantage organization between January 1, 2017, and December 31, 2019. The data identified hospitalizations, observation stays, and emergency department visits.