Changes in Health Care Utilization and Low-Value Service Use After Risk-Based Contract Adoption in Medicare Advantage
This study found that voluntary transition to upside-only or 2-sided risk payment contracts in Medicare Advantage was not associated with consistent changes in health care utilization or low-value service use. It is uncertain what factors account for the lack of apparent changes.
Authors
- Aina Katsikas (ORCID: https://orcid.org/0000-0001-5018-394X)
- Amanda Sutherland (ORCID: https://orcid.org/0000-0001-5581-283X)
- Aaron L. Schwartz (ORCID: https://orcid.org/0000-0002-8583-1369)
- Gosia Sylwestrzak
- Sumedha Chhatre (ORCID: https://orcid.org/0000-0002-4718-0198)
- Emily Boudreau
- Amol S. Navathe (ORCID: https://orcid.org/0000-0001-7182-4988)
- Soohyun Kim (ORCID: https://orcid.org/0000-0002-6091-7086)
- Sara Riaz (ORCID: https://orcid.org/0000-0002-7568-6604)
Institutions
- Philadelphia VA Medical Center (US)
- University of Pennsylvania (US)
- Humana (United States) (US)
Publication Details
- Journal
- JAMA Internal Medicine
- Published
- 2025-11-10
- DOI
- https://doi.org/10.1001/jamainternmed.2025.5917
- Primary Topic
- Healthcare Policy and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00