• Do Medicare Advantage plans pay providers different rates than traditional Medicare?

    Several source suggest they don’t.

    Berenson, Ginsburg, Christianson, and Yee:

    With few exceptions, we learned that Medicare Advantage plans pay provider rates at or close to fee-for-service Medicare rates. Similarly, Medicaid managed care plan payments are close to the relatively low Medicaid fee-for-service rates.

    Congressional Budget Office:

    [T]he rates paid for Medicare Advantage enrollees are similar to or slightly above those that Medicare pays for FFS patients’ care.

    Medicare Payment Advisory Commission:

    MA plan hospital prices are not tied to prices in the non-Medicare market, which is consistent with what we have heard from plans and other market participants. Non-Medicare physician payment rates also appear to have at most a modest relationship to MA bids, suggesting that physician payment rates may be partly anchored to FFS prices.

    @afrakt

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