Medicare Spending was 27% More for People who Disenrolled from Medicare Advantage than for Similar People in Traditional Medicare

Medicare Spending was 27% More for People who Disenrolled from Medicare Advantage than for Similar People in Traditional Medicare

“People with greater health needs may see multiple providers and require numerous specialty services, resulting in greater burden from limited provider networks, prior authorization, and referral requirements Medicare Advantage plans often employ.”

— KFF,  6 December 2024

Source Biniek, Jeannie Fuglesten, et al. Medicare Spending was 27% More for People who Disenrolled from Medicare Advantage than for Similar People in Traditional Medicare. KFF, 6 December 2024. https://www.kff.org/medicare/issue-brief/medicare-spending-was-27-percent-more-for-people-who-disenrolled-from-medicare-advantage-than-for-similar-people-in-traditional-medicare/

Medicare spending jumps 27 percent when patients leave Medicare Advantage plans

“Medicare spent 27% more — an average of $2,585 per person — for beneficiaries who disenrolled from MA plans compared to those continuously enrolled in traditional Medicare during 2022. Skilled nursing facility spending accounted for 34% of this cost difference, followed by outpatient hospital spending at 23% and inpatient hospital spending at 20%.”

— McKnight’s Long-Term Care News, 7 December 2024