“Particularly costly has been profiteering among insurance companies participating in the Medicare Advantage (MA) program,” he wrote. “Originally intended to give Medicare beneficiaries the choice of access to well-managed care at lower cost, MA has mushroomed into a massive program, now about to...
CMS used a minimization procedure (adaptive randomization), equivalent to random assignment (eMethods 1 in Supplement 2). cIn the control group, the number of participating practitioners per organization was capped at 20. This resulted in fewer beneficiaries per organization, on average, in the ...
Between March and August 2021, we modeled overuse occurrences with a negative binomial regression model including the year-quarter, procedure indicator, and a health system indicator. The model included random effects for hospital and beneficiary age, sex, and comorbidity count specific to each ...
CMS used a minimization procedure (adaptive randomization), equivalent to random assignment (eMethods 1 in Supplement 2). cIn the control group, the number of participating practitioners per organization was capped at 20. This resulted in fewer beneficiaries per organization, on average, in the ...