Favorable Selection of Veterans in Medicare Advantage
MA plans enroll Veterans who are healthier and less costly than TM-enrolled Veterans. Our findings underscore plans' potential selection of enrollees based on characteristics unobservable in the HCC risk adjustment model. Policymakers may consider opportunities to adopt additional risk-adjustment factors specifically for dual VHA-MA enrollees.
Authors
- Austin B. Frakt (ORCID: https://orcid.org/0000-0002-0795-5462)
- Steven D. Pizer (ORCID: https://orcid.org/0000-0003-4908-5976)
- Yevgeniy Feyman (ORCID: https://orcid.org/0000-0001-7372-7671)
- Melissa M. Garrido (ORCID: https://orcid.org/0000-0002-8986-3536)
- Paul Shafer (ORCID: https://orcid.org/0000-0003-0654-5821)
- Allison Dorneo (ORCID: https://orcid.org/0009-0007-0307-3853)
Institutions
- Boston University (US)
- Brigham and Women's Hospital (US)
- Joint Commission (US)
- Harvard University (US)
- VA Boston Healthcare System (US)
Publication Details
- Journal
- Medical Care
- Published
- 2025-10-08
- DOI
- https://doi.org/10.1097/mlr.0000000000002226
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00