Effect of Medicare advantage payments on dually eligible Medicare beneficiaries

Adam Atherly, Bryan E. Dowd

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


This study estimates the effect of Medicare Advantage (MA) payments and State Medicaid policies on the choice by Medicaid eligible Medicare beneficiaries to either join a MA plan, remain in the fee-for-service (FFS) and enroll in Medicaid (dually enrolled), or remain in FFS Medicare without joining Medicaid. Individual plan choice was modeled using a multinomial logit. The sample includes Medicaid-eligible Medicare beneficiaries (including specified low income Medicare beneficiaries [SLMBs] and qualified Medicare beneficiaries [QMBs]) drawn from the 2000 Medicare Current Beneficiary Survey (MCBS). We find a $10 increase in monthly MA payment reduces the probability of dual enrollment by four percentage points, and FFS Medicare enrollment by 11 percentage points.

Original languageEnglish (US)
Pages (from-to)93-104
Number of pages12
JournalHealth Care Financing Review
Issue number3
StatePublished - Mar 2005


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