Medicare Advantage Enrollment and Outcomes of Post-Acute Nursing Home Care Among Patients with Dementi

Kim D, Meyers DJ, Keohane, Varma H, Achola EM, Trivedi AN.

Enrollment in Medicare Advantage (MA) has been rapidly growing. We examine whether MA enrollment affects the outcomes of post-acute nursing home care among patients with Alzheimer’s Disease and Related Dementias (ADRD). We exploit year-to-year changes in MA penetration rates within counties from 2012 through 2019. After adjusting for patient-level characteristics and county fixed effects, we find that MA enrollment was not associated with days spent at home, nursing home days, likelihood of becoming a long-stay resident, hospital days, hospital readmission, or 1-year mortality. There was a modest increase in successful discharge to community by 0.73 percentage points (relative increase of 2.4%) associated with a 10-percentage point increase in MA enrollment. The results are consistent among racial/ethnic subgroups and dual-eligible patients. These findings suggest an imperative need to monitor and improve quality of managed care among enrollees with ADRD.