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The Rise of Medicare Advantage Payviders
This brief combines information from published literature with diverse public data sources to describe trends in Medicare Advantage (MA) payviders—financial integration between MA plans and provider organizations. We describe patterns in health system ownership of MA plans and MA plan affiliation with primary care providers. We also use analyses from the Medicare Payment Advisory Commission and others to show how growing MA payvider control of primary care settings might reflect organizational strategies to use payvider arrangements to maximize MA payments.
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