By the numbers
Compared to traditional Medicare patients, outcomes for patients in two-sided value-based care models were superior across 16 of 20 measures. Key findings show that MA patients were:
Study: Medicare Advantage enrollees see superior health outcomes under fully accountable care models
May 19, 2025 | 3-minute read
up to 43%
less likely than traditional Medicare patients to be hospitalized for acute and chronic conditions, showing that patients are experiencing better overall health and fewer severe health episodes.
39%
less likely to be readmitted to a hospital within 30 days of being discharged, indicating that patients are receiving high-value care coordination leading to effective follow-up care.
19%
less likely to undergo avoidable hospital emergency department care, reducing the strain on emergency services and lowering health care expenses.
23%
less likely to use high-risk medications that can be harmful or fatal if used incorrectly.
This is the third in a series of peer-reviewed studies that demonstrate superior outcomes for MA patients in fully accountable value-based care arrangements. The first paper shows that the advantages of value-based care can extend — or “spill over” — beyond MA patients to other Medicare recipients. The second paper compares two groups of MA enrollees, one group which received care in a fully accountable MA arrangement and another which received care through FFS MA.
Why it matters
The results suggest physician groups operating in fully accountable models have additional resources to focus on preventive care, intensive case management, and other strategies to ultimately deliver better care outcomes for older adults.
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