Medicare Advantage Plans: Who Benefits When the Government Pays More?
Episode Description
KNOWLEDGE AT WHARTON ARCHIVES: When the U.S. government pays more for medical services — as it does for Medicare Advantage — does the quality of those services improve? Not much, says Mark Duggan, a Wharton business economics and public policy professor. That was a key finding that he and co-authors Amanda Starc, a Wharton health care management professor, and Wharton Ph.D. student Boris V. Vabson came to in their recent research paper, “Who Benefits When the Government Pays More? Pass-through in the Medicare Advantage Program.”
In this interview, Duggan explains the study’s findings and some of the policy implications. He notes the increase in competition generated by higher Medicare Advantage payments “doesn’t seem to translate into better benefits for consumers.” The study could have implications for Medicaid, managed care and other government health care spending, Duggan says. It shows there may be many opportunities to cut programs, with minimal adverse impact on consumers, and then use the money saved where it may provide more efficient benefits.
More on this interview: https://knowledge.wharton.upenn.edu/article/medicare-advantage-offer-much-advantage/
#medicare #medicareadvantage #healthcare 📂 Public Policy 🏷️ Research
Brief Summary
Higher Medicare Advantage payments increase insurer competition but do not significantly improve coverage quality.
Key points
- Government Spending on Healthcare. The U.S. spends vastly more on healthcare than any other country, yet the returns are often minimal.
- Medicare Advantage Insights. Research reveals that increased government payments lead to more competition but not necessarily better care.
Ask about Knowledge at Wharton
Episode highlights
- Government Spending on HealthcareThe U.S. spends vastly more on healthcare than any other country, yet the returns are often minimal.“What are we getting for that last $100 or last $500 on the margin?”14:07Jun 20, 2014
- Medicare Advantage InsightsResearch reveals that increased government payments lead to more competition but not necessarily better care.“Paying more doesn’t necessarily benefit consumers all that much.”16:38Jun 20, 2014





