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Harvard & Inovalon Medicare Research Collaboration
Harvard and Inovalon are collaborating to unlock insights on the characteristics of MA vs FFS beneficiaries before and after initial Medicare enrollment at age 65.
Download White PapersReal-World Insights from Harvard Medical School and Inovalon
Given the dramatic growth of Medicare Advantage (MA) – enrollment increased from 17% of Medicare beneficiaries in 2000 to 48% in 2023 – it is increasingly important for MA plans to understand who is going to be enrolling and how that is likely to impact resource needs, costs, and quality performance.
Harvard Medical School and Inovalon partnered to conduct a first-of-its-kind analysis to characterize the emerging Medicare population during the one-year period before and after enrolling at age 65.
The insights and analysis from this partnership include:
Quality of care before and after the age of 65 under MA versus FFS.
Medicare members' demographics and socioeconomic characteristics before and after transitioning from commercial insurance plans to Medicare.
Healthcare utilization before and after the age of 65 under MA versus FFS.
How MA addressed health inequities based on race, income, and other social drivers of health.
How It Helps
The data used to produce these insights is informing new algorithms to help health plans better target their offerings to new and existing members.
Predict retention risk and personalize marketing offers
Access customized market insights to project enrollment flows into specific product lines and understand what attracts and retains new enrollees.
Project new enrollees’ resource needs
Project healthcare utilization and costs for strategic resource planning and to better meet members' unique needs.
Improve star ratings
Understand how new enrollees will affect your rating and performance on individual quality measures and the new Excellent Health Outcomes for All (EHO4all) and reward factor.
Benchmark against competitors
Benchmark your MA plan performance against competitor MA plans in your market region.
Evaluate competitive position
Improve your competitive position by better understanding who is switching between MA and FFS.
Identify social needs of new enrollees
Understand your new and current members’ social drivers of health, to drive impact on reducing health disparities and lowering overall costs.
Meet the Experts
Boris Vabson, Ph.D.
Seidman Fellow
Harvard Medical School
Yalun Su
Student Affiliate, HMR Lab,
Harvard Medical School
Zarek Brot-Goldberg, Ph.D.
Faculty Affiliate, HMR Lab,
Harvard Medical School
White Papers
Real-World Insights from Harvard Medical School and Inovalon
Download White Paper
Harvard-Inovalon Medicare Study: Who Enrolls in Medicare Advantage vs. Medicare Fee-for-Service
While almost half of all Medicare beneficiaries are now enrolled in Medicare Advantage (MA), surprisingly little is known about how those who enroll …
Healthcare Utilization After the Age of 65 Under MA vs. FFS
While Medicare Advantage (MA) now covers over half of Medicare beneficiaries and accounts for over $350 billion in expenditures annually…
Quality of Care After the Age of 65 Under MA vs. FFS
While Medicare Advantage (MA) now covers over half of Medicare beneficiaries, including a disproportionate share of those facing socioeconomic disadvantage…
Harvard-Inovalon Medicare Study: The Importance of Plan Design in Medicare Advantage
For the past 40 years, Medicare beneficiaries have been able to freely choose between two different types of
insurance coverage…
News & Insights
View articles, press releases, journals, and other newsworthy highlights from this partnership.
Harvard & Inovalon Study: Understanding the Quality Outcomes and the Importance of Plan Design
Watch the Webinar
Harvard Medical School and Inovalon Insights: SDOH and Other Enrollment Differences in Medicare FFS and MA Members
Watch the Webinar
New Report from Inovalon and Harvard Reveals Notable Differences Between Those Opting for Medicare Advantage vs. Traditional Medicare
Read Article From InovalonMA Beneficiaries More Socioeconomically Disadvantaged than FFS Enrollees, Report Finds
MA Beneficiaries More Socioeconomically Disadvantaged than FFS Enrollees, Report Finds
Read Article From Industry Drive
Key Predictors an Individual Younger than 65 Will Choose Medicare Advantage
Read Article From Becker’s.
Growing Differences in Enrollment of Fee-for-Service Medicare and Medicare Advantage
Read Article From Healthcare IT Today
Data Show Clear Economic Divide Between MA and FFS Medicare Enrollees
Read Article From Fierce Healthcare
MA Enrollees Are More Likely to be Socioeconomically Disadvantaged than Traditional Medicare
Read Article From MedCity News
The Other Side of the Equation: Consumer Acceptance of Value
Read Article From Health Data Management
Medicare Advantage Members More Socioeconomically Disadvantaged than Traditional Medicare
Read Article From HealthLeaders
Researchers Zero in on Who Chooses MA vs. Traditional Medicare
Read Article From Healthcare Innovation
Latino, Black, Asian Medicare Beneficiaries Choosing MA Over Traditional Medicare
Read Article From Fierce Healthcare
Minority Groups Comprise More than 25 Percent of MA Beneficiaries, Study Finds
Read article from McKnight’s Home Care.
Report: Black, Latino, Asian Americans Are More Likely to Choose MA Plans Over Traditional
Read article from MedCity NewsDiscover More RWD Insights
Explore research and publications from our HEOR experts and extensive primary source, real-world data.
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