Access to High-Quality SNF Care for Medicare

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Access to High-Quality SNF Care for Medicare Advantage Enrollees with Dementia Presenter: Mingyu Qi Collaborators: R. Tamara Konetzka, PhD (PI); Betsy Q. Cliff, PhD, Nadia Ghazali The University of Chicago Motivation Post-acute care is a

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Access to High-Quality SNF Care for Medicare Advantage Enrollees with Dementia Presenter: Mingyu Qi
Collaborators: R. Tamara Konetzka, PhD (PI); Betsy Q. Cliff, PhD, Nadia Ghazali
The University of Chicago<br>
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Motivation Post-acute care is a focal point for concerns about access to high-quality care under Medicare Advantage (MA), especially in Skilled Nursing Facilities (SNFs).
May be especially salient for beneficiaries with ADRD (who use post-acute care at twice the rate of those without ADRD).
Limited/mixed evidence overall on utilization and quality.<br>
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Existing Evidence Access to care:
Park et al. (2020) find that utilization of many services is lower for Medicare beneficiaries with ADRD enrolled in MA than in TM.
Quality of care:
Meyers et al. (2018) examine the SNFs used by MA enrollees during 2012-2014, finding them to be of lower quality than those used by Traditional Medicare (TM) enrollees, even in highly rated MA plans.
MA enrollment among beneficiaries with ADRD:
Medicare beneficiaries with ADRD have increasingly enrolled in MA, in proportion to beneficiaries without ADRD (James et al., 2023).<br>