Abstract
One-third of Medicare beneficiaries are enrolled in Medicare Advantage (MA), Medicare's private plan option. Medicare Advantage incentivizes performance on evidence-based care, but limited information exists using reliable clinical data to determine whether this translates into better quality for patients with coronary artery disease (CAD) enrolled in MA compared with those enrolled in traditional fee-for-service (FFS) Medicare. To determine differences in evidence-based secondary prevention treatments and intermediate outcomes among patients with CAD enrolled in MA vs FFS Medicare. In this observational, retrospective, cohort study, deidentified data from patients 18 years or older diagnosed as having CAD between January 1, 2013, and May 1, 2014, at cardiology practices participating in the Practice Innovation and Clinical Excellence (PINNACLE) registry were studied, including 35 563 patients enrolled in MA and 172 732 enrolled in FFS Medicare. Data were analyzed from March to July 2018. Medicare Advantage enrollment. Medication prescription patterns among eligible patients and intermediate outcomes, including blood pressure and low-density lipoprotein cholesterol. Of the 35 563 patients with CAD enrolled in MA, 20 193 (56.8%)...Continue Reading
References
Jul 17, 1997·The New England Journal of Medicine·R O MorganN A Persily
Feb 12, 1998·Annals of Internal Medicine·L I Iezzoni
Jul 6, 2006·JAMA : the Journal of the American Medical Association·Elizabeth H BradleyHarlan M Krumholz
Feb 4, 2010·Medical Care·Mark E PattersonLesley H Curtis
Mar 11, 2010·International Journal of Health Care Finance and Economics·Hai Zhong
Sep 21, 2010·Journal of Health Economics·Abe Dunn
Dec 6, 2012·Health Affairs·Joseph P NewhouseJohn Hsu
Jul 10, 2013·Health Affairs·John Z AyanianJoseph P Newhouse
Nov 5, 2013·Journal of the American College of Cardiology·Thomas M MaddoxPamela N Peterson
Dec 10, 2013·Journal of the National Cancer Institute·John Z AyanianJoseph P Newhouse
Nov 19, 2014·Annals of Surgery·Elise H LawsonClifford Y Ko
Sep 22, 2015·American Journal of Health Economics·Joseph P NewhouseThomas G McGuire
Jan 11, 2017·Health Affairs·Peter J HuckfeldtNeeraj Sood
Dec 10, 2017·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Kate Traynor
Jun 2, 2018·Circulation. Cardiovascular Quality and Outcomes·Quoc Dinh NguyenMaxime Tremblay-Gravel
Jun 27, 2018·PLoS Medicine·Amit KumarVincent Mor
Citations
Sep 3, 2020·JAMA Cardiology·Jose F FigueroaKaren E Joynt Maddox
Apr 1, 2020·JAMA Network Open·Sungchul ParkNorma B Coe
Apr 11, 2020·Journal of Clinical Medicine·Pei-Hsun SungHon-Kan Yip
Sep 15, 2020·Medical Care·Sungchul ParkNorma B Coe
Jan 11, 2020·Journal of the American College of Cardiology·Thomas M MaddoxFrederick A Masoudi
Jan 29, 2021·Journal of the American Heart Association·Vinay KiniFrederick A Masoudi
May 12, 2021·Circulation·Ivor J BenjaminRichard E Anderson
May 13, 2021·Cell Transplantation·Jui-Ning YehJun Guo
May 19, 2021·JAMA : the Journal of the American Medical Association·Elizabeth L WhitlockM Maria Glymour
Jun 8, 2021·Health Affairs·Rajender AgarwalAmol S Navathe
May 26, 2021·BMC Health Services Research·Soo-Hoon LeeAndrew A Bennett
May 18, 2021·Journal of the American College of Cardiology·UNKNOWN Executive CommitteeRichard E Anderson