The Persistence of Medicare Advantage Spillovers in the Post-Affordable Care Act Era

2017 ◽  
Author(s):  
Yevgeniy Feyman ◽  
Austin Frakt
Medical Care ◽  
2018 ◽  
Vol 56 (4) ◽  
pp. 321-328 ◽  
Author(s):  
Rachel Mosher Henke ◽  
Zeynal Karaca ◽  
Teresa B. Gibson ◽  
Eli Cutler ◽  
Chapin White ◽  
...  

2018 ◽  
Vol 2 (1) ◽  
pp. 56-77
Author(s):  
ANNA D. SINAIKO ◽  
RICHARD ZECKHAUSER

AbstractBehavioural economic research has established that defaults, one form of nudge, powerfully influence choices. In most policy contexts, all individuals receive the same nudge. We present a model that analyses the optimal universal nudge for a situation in which individuals differ in their preferences and hence should make different choices and may incur a cost for resisting a nudge. Our empirical focus is onterminated choosers(TCs), individuals whose prior choices become no longer available. Specifically, we examine the power of defaults on individuals who had enrolled in Medicare Advantage plans with drug coverage and whose plans were then discontinued. Currently, if these TCs fail to actively choose another Medicare Advantage plan, they are defaulted into traditional fee-for-service Medicare (TM) without drug coverage. Overall, the rate of transition of TCs into TM is low, implying that original preferences and status quo bias overpower the default. Increasing numbers of Americans are choosing plans in health insurance exchange settings such as Medicare, the Affordable Care Act and private exchanges. Plan exits and large numbers of TCs are inevitable, along with other forms of turmoil. Any guidance and defaults provided for TCs should factor in their past revealed preferences.


2012 ◽  
Vol 47 (6) ◽  
pp. 2339-2352 ◽  
Author(s):  
Christopher C. Afendulis ◽  
Mary Beth Landrum ◽  
Michael E. Chernew

The Forum ◽  
2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Andrew S. Kelly

AbstractIn 2009, Medicare Advantage became a prime target in the Obama Administration’s efforts to pay for the Affordable Care Act (ACA). After securing substantial cuts to a program the President described as a failure, the Obama administration was compelled to take unprecedented administrative steps to put billions of dollars back into Medicare Advantage. These developments demonstrate how Medicare Advantage’s support constituency, which has come to include Democrats, Republicans, beneficiaries, and the managed care industry, has maintained more political influence in the aftermath of the ACA than some initially believed. The continued and growing influence of the Medicare Advantage constituency does not, however, mean that Medicare is primed for a more conservative turn toward vouchers or premium support. With the provision of generous benefits and increasing evidence that Medicare Advantage produces higher quality health outcomes than traditional Medicare, Medicare Advantage appears to be secure in its current form.


2007 ◽  
Vol 38 (8) ◽  
pp. 60
Author(s):  
MARY ELLEN SCHNEIDER
Keyword(s):  

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