@zackcooperYale Much of why MA plans are able to offer a higher actuarial value plan is because of the extra $ they make from risk adjustment and the fact that they can take advantage of Medicare FFS payment rates. https://t.co/u1yeJfYQQa.
@dp_oneill @mucha_carlos @hassankhan Don’t the lower prices in MA reflect the statutory provision that limits out of network hospital prices paid by MA plans to FFS rates? That gives MA insurers a nice outside option. Bob Berenson wrote a great @Health_A…
@larry_levitt @rockcreekpolicy Medicare advantage works mainly because providers can’t be out of network and charge above Medicare rates. https://t.co/EogQRTxipK
@nealemahoney @C_Garthwaite @asacarny @MattAFiedler @sanghavineil You should read Bob Berenson's study where he (and co-authors) interviewed hosp and insurer execs to understand MA reimbursements https://t.co/bGszYVQsho