Differences in Management of Coronary Artery Disease in Patients With Medicare Advantage vs Traditional Fee-for-Service Medicare Among Cardiology Practices

JAMA Cardiology
Jose F FigueroaKaren E Joynt Maddox

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
Mar 11, 2010·International Journal of Health Care Finance and Economics·Hai Zhong
Sep 21, 2010·Journal of Health Economics·Abe Dunn
Dec 10, 2013·Journal of the National Cancer Institute·John Z AyanianJoseph P Newhouse
Sep 22, 2015·American Journal of Health Economics·Joseph P NewhouseThomas G McGuire
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

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Citations

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
Jun 8, 2021·Health Affairs·Rajender AgarwalAmol S Navathe
May 18, 2021·Journal of the American College of Cardiology·UNKNOWN Executive CommitteeRichard E Anderson

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