Health Care Utilization and Equity in Medicare Advantage Compared With Traditional Medicare - Takeaways - MDSpire
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Comparative Analysis of Health Care Access and Equity in Medicare Advantage Versus Traditional Medicare

  • By

  • Lucy B. Schulson

  • Laura Hatfield

  • Alyssa Chen

  • Timothy S. Anderson

  • Jeffrey Souza

  • John Z. Ayanian

  • Bruce E. Landon

  • September 9, 2026

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  • 1

    Medicare beneficiaries face significant disparities in access to care, with racial differences evident in procedure utilization and emergency department visits.

  • 2

    Medicare Advantage (MA) aims to promote high-value care but may inadvertently reduce access for non-White beneficiaries due to cost-sharing and care management.

  • 3

    The study evaluates differences in healthcare utilization between Medicare Advantage and Traditional Medicare among Hispanic, Black, and White beneficiaries.

  • 4

    Utilization was assessed using HEDIS data, focusing on discretionary orthopedic procedures and less discretionary cardiac interventions.

  • 5

    Beneficiaries were eligible for the study if they maintained enrollment in either Traditional Medicare or an MA plan throughout the year.

Original Source(s)

Health Care Utilization and Equity in Medicare Advantage Compared With Traditional Medicare

  • by Lucy B. Schulson, Laura Hatfield, Alyssa Chen, Timothy S. Anderson, Jeffrey Souza, John Z. Ayanian, Bruce E. Landon

  • September 9, 2026

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