{"id":985699,"date":"2026-07-28T10:05:07","date_gmt":"2026-07-28T14:05:07","guid":{"rendered":"https:\/\/www.marketnewsdesk.com\/index.php\/new-humana-healthcare-researchstudy-finds-favorable-selection-in-medicare-advantage-is-substantially-lower-than-medpac-estimates\/"},"modified":"2026-07-28T10:05:07","modified_gmt":"2026-07-28T14:05:07","slug":"new-humana-healthcare-researchstudy-finds-favorable-selection-in-medicare-advantage-is-substantially-lower-than-medpac-estimates","status":"publish","type":"post","link":"https:\/\/www.marketnewsdesk.com\/index.php\/new-humana-healthcare-researchstudy-finds-favorable-selection-in-medicare-advantage-is-substantially-lower-than-medpac-estimates\/","title":{"rendered":"New Humana Healthcare ResearchStudy Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates"},"content":{"rendered":"<p>        <!--.bwalignc { text-align: center; list-style-position: inside }\n.bwlistdisc { list-style-type: disc }body {font:normal small Arial,Helvetica,sans-serif;color:#000;background-color:#fff;padding:24px;margin:0;} a img {border:0;} h3 {font-size:medium;color:#000;margin:0 0 1em 0; text-align:center;}-->  <\/p>\n<p class=\"bwalignc\"><b>New Humana Healthcare Research<\/b><i \/><b>Study Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates<\/b><\/p>\n<p class=\"bwalignc\"><i>Published in Health Affairs Scholar, the study finds that a single methodological refinement reduces favorable selection estimates by 42%-65%, suggesting a smaller impact on MA payments than previous analyses have indicated<\/i><\/p>\n<p>LOUISVILLE, Ky.&#8211;(<a href=\"http:\/\/www.businesswire.com\">BUSINESS WIRE<\/a>)&#8211;<br \/>\nA new study from Humana Healthcare Research (HHR), published in <a rel=\"nofollow\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Facademic.oup.com%2Fhealthaffairsscholar%2Farticle%2Fdoi%2F10.1093%2Fhaschl%2Fqxag182%2F8729648&amp;esheet=54577980&amp;newsitemid=20260728763045&amp;lan=en-US&amp;anchor=Health+Affairs+Scholar&amp;index=1&amp;md5=7fd24b6649c75d5c00a75713ff05b610\"><i>Health Affairs Scholar<\/i><\/a>, finds that favorable selection in Medicare Advantage (MA) may be significantly lower than commonly cited estimates suggest. Favorable selection refers to the extent to which MA enrollees incur lower costs than predicted after risk adjustment and is an important factor in MA payment policy debates. The study found that a single methodological refinement substantially reduced favorable selection estimates compared with previous analyses by MedPAC and others.<\/p>\n<p><b>Key HHR Study Findings<\/b><\/p>\n<ul class=\"bwlistdisc\">\n<li>\nFavorable selection estimates were 42%-65% lower than the 10%-15% range often cited in policy discussions, including estimates published by MedPAC.<\/p>\n<\/li>\n<li>\nUsing data from the full MA population, the study estimated favorable selection at 4.9%-5.8% from 2020 through 2022.<\/p>\n<\/li>\n<li>\nThe lower estimates were driven by a single methodological refinement: using comprehensive encounter data to evaluate the full MA population directly, rather than relying on extrapolation derived from external studies and a limited subset of enrollees.<\/p>\n<\/li>\n<li>\nThe findings suggest that favorable selection may have a smaller impact on MA payments than commonly cited estimates indicate.<\/p>\n<\/li>\n<li>\nMore broadly, the study shows that comprehensive encounter data and full-population comparisons can produce more grounded estimates and enable extrapolation that is more directly informed by the full MA population.<\/p>\n<\/li>\n<li>\nIt highlights the importance of continued methodological refinement in assessing favorable selection and its potential impact on MA payment policy.<\/p>\n<\/li>\n<\/ul>\n<p><i>&#8220;This study contributes important new evidence to the Medicare Advantage payment conversation,\u201d <b>said Dr. Sanjay Shetty, President of CenterWell, Humana\u2019s health services organization.<\/b> \u201cThe fact that a single methodological refinement produced substantially lower estimates of favorable selection suggests there is still more to learn about how best to measure this complex issue. These findings highlight the value of comprehensive data and the importance of continued research to inform Medicare Advantage payment policy.\u201d<\/i><\/p>\n<p>\nThe study was published in <a rel=\"nofollow\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%3A%2F%2Facademic.oup.com%2Fhealthaffairsscholar%2Farticle%2Fdoi%2F10.1093%2Fhaschl%2Fqxag182%2F8729648&amp;esheet=54577980&amp;newsitemid=20260728763045&amp;lan=en-US&amp;anchor=Health+Affairs+Scholar&amp;index=2&amp;md5=dcfd48f7f9dffe274bb0b8e9f1340e86\"><i>Health Affairs Scholar<\/i><\/a>.<\/p>\n<p><b>About Humana Healthcare Research<\/b><\/p>\n<p>\nHumana Healthcare Research is a team of expert researchers dedicated to transforming healthcare through impactful, data-driven insights. As a subsidiary of Humana, Humana Healthcare Research collaborates with leading academic and industry partners to advance and shape innovation in care delivery and health policy for better outcomes.<\/p>\n<p><b>About Humana<\/b><\/p>\n<p>\nHumana (NYSE:HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health \u2013 delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at <a rel=\"nofollow\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.humana.com%2F&amp;esheet=54577980&amp;newsitemid=20260728763045&amp;lan=en-US&amp;anchor=Humana.com&amp;index=3&amp;md5=f5068747f9a7bf9df2066f4ff8d43973\">Humana.com<\/a> and at <a rel=\"nofollow\" href=\"https:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%3A%2F%2Fwww.centerwell.com%2F&amp;esheet=54577980&amp;newsitemid=20260728763045&amp;lan=en-US&amp;anchor=CenterWell.com&amp;index=4&amp;md5=5e5d7327516314e8f888edee5b3f764f\">CenterWell.com<\/a>.<\/p>\n<p><img decoding=\"async\" alt=\"\" src=\"https:\/\/cts.businesswire.com\/ct\/CT?id=bwnews&amp;sty=20260728763045r1&amp;sid=flmnd&amp;distro=nx&amp;lang=en\" style=\"width:0;height:0\" \/><span class=\"bwct31415\" \/><\/p>\n<p id=\"mmgallerylink\"><span id=\"mmgallerylink-phrase\">View source version on businesswire.com: <\/span><span id=\"mmgallerylink-link\"><a href=\"https:\/\/www.businesswire.com\/news\/home\/20260728763045\/en\/\" rel=\"nofollow\">https:\/\/www.businesswire.com\/news\/home\/20260728763045\/en\/<\/a><\/span><\/p>\n<p>\nKevin Smith<br \/>\n<br \/>Humana Corporate Communications<br \/>\n<br \/><a rel=\"nofollow\" href=\"mailto:ksmith305@humana.com\">ksmith305@humana.com<\/a><\/p>\n<p><b>KEYWORDS:<\/b> Kentucky United States North America<\/p>\n<p><b>INDUSTRY KEYWORDS:<\/b> Professional Services Health Insurance Health Insurance General Health Research Science<\/p>\n<p><b>MEDIA:<\/b><\/p>\n<table cellpadding=\"3\" cellspacing=\"3\">\n<tr>\n<td><font face=\"Arial\" size=\"2\"><b>Logo<\/b><\/font><\/td>\n<\/tr>\n<tr>\n<td><img decoding=\"async\" src=\"https:\/\/mms.businesswire.com\/media\/20260728763045\/en\/674649\/3\/HUM_logo.jpg\" alt=\"Logo\" \/><\/td>\n<\/tr>\n<tr>\n<td><font face=\"Arial\" size=\"2\"><\/font><\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>New Humana Healthcare ResearchStudy Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates Published in Health Affairs Scholar, the study finds that a single methodological refinement reduces favorable selection estimates by 42%-65%, suggesting a smaller impact on MA payments than previous analyses have indicated LOUISVILLE, Ky.&#8211;(BUSINESS WIRE)&#8211; A new study from Humana Healthcare Research (HHR), published in Health Affairs Scholar, finds that favorable selection in Medicare Advantage (MA) may be significantly lower than commonly cited estimates suggest. Favorable selection refers to the extent to which MA enrollees incur lower costs than predicted after risk adjustment and is an important factor in MA payment policy debates. The study found that a single methodological refinement substantially reduced favorable selection &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.marketnewsdesk.com\/index.php\/new-humana-healthcare-researchstudy-finds-favorable-selection-in-medicare-advantage-is-substantially-lower-than-medpac-estimates\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;New Humana Healthcare ResearchStudy Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-985699","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>New Humana Healthcare ResearchStudy Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates - Market Newsdesk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.marketnewsdesk.com\/index.php\/new-humana-healthcare-researchstudy-finds-favorable-selection-in-medicare-advantage-is-substantially-lower-than-medpac-estimates\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"New Humana Healthcare ResearchStudy Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates - Market Newsdesk\" \/>\n<meta property=\"og:description\" content=\"New Humana Healthcare ResearchStudy Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates Published in Health Affairs Scholar, the study finds that a single methodological refinement reduces favorable selection estimates by 42%-65%, suggesting a smaller impact on MA payments than previous analyses have indicated LOUISVILLE, Ky.&#8211;(BUSINESS WIRE)&#8211; A new study from Humana Healthcare Research (HHR), published in Health Affairs Scholar, finds that favorable selection in Medicare Advantage (MA) may be significantly lower than commonly cited estimates suggest. Favorable selection refers to the extent to which MA enrollees incur lower costs than predicted after risk adjustment and is an important factor in MA payment policy debates. 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Market Newsdesk","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.marketnewsdesk.com\/index.php\/new-humana-healthcare-researchstudy-finds-favorable-selection-in-medicare-advantage-is-substantially-lower-than-medpac-estimates\/","og_locale":"en_US","og_type":"article","og_title":"New Humana Healthcare ResearchStudy Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates - Market Newsdesk","og_description":"New Humana Healthcare ResearchStudy Finds Favorable Selection in Medicare Advantage is Substantially Lower Than MedPAC Estimates Published in Health Affairs Scholar, the study finds that a single methodological refinement reduces favorable selection estimates by 42%-65%, suggesting a smaller impact on MA payments than previous analyses have indicated LOUISVILLE, Ky.&#8211;(BUSINESS WIRE)&#8211; A new study from Humana Healthcare Research (HHR), published in Health Affairs Scholar, finds that favorable selection in Medicare Advantage (MA) may be significantly lower than commonly cited estimates suggest. Favorable selection refers to the extent to which MA enrollees incur lower costs than predicted after risk adjustment and is an important factor in MA payment policy debates. 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